Influenza among the elderly in the Americas: A consensus statement

Influenza exacts a heavy burden on the elderly, a segment of the population that is estimated to experience rapid growth in the near future. In the past decade most developed and several developing countries have recommended influenza vaccination for those > 65 years of age. The World Health Organization (WHO) set a goal of 75% influenza vaccination coverage among the elderly by 2010, but it was not achieved. In 2011, the Technical Advisory Group at the Pan American Health Organization, Regional Office of WHO for the Americas, reiterated the influenza vaccine recommendation for older adults. Relatively little information has been compiled on the immunological aspect of aging or on reducing its impact, information particularly relevant for clinicians and gerontologist with firsthand experience confronting its effects. To fill this data gap, in 2012 the Americas Health Foundation (Washington, D.C., United States) and the nonprofit, Fighting Infectious Diseases in Emerging Countries (Miami, Florida, United States), convened a panel of Latin American clinicians and gerontologists with expertise in influenza to discuss key issues and develop a consensus statement. The major recommendations were to improve influenza surveillance throughout Latin America so that its impact can be quantified; and to conduct laboratory confirmation of influenza for all patients who have flu-like symptoms and are frail, immunosuppressed, have comorbidities, are respiratory compromised, or have been admitted to a hospital. The panel also noted that: since evidence for antivirals in the elderly is unclear, their use should be handled on a case-by-case basis; despite decreased immunological response, influenza vaccination in older adults is still crucial; indirect immunization strategies should be encouraged; and traditional infection control measures are essential in long-term care facilities.

As distintas interpretações acerca do projeto de industrialização do Governo Vargas (1951-54) e suas influências no Governo Juscelino Kubitschek (1956-61)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Consenso em reumatologia pediátrica: parte II - definição de melhora clínica para o lúpus eritematoso sistêmico e dermatomiosite juvenil

OBJETIVO: avaliar as medidas de atividade e critérios de melhora clínica para o lúpus eritematoso sistêmico juvenil (LESJ) e dermatomiosite juvenil (DMJ), desenvolvidos por meio de consenso entre especialistas. MÉTODOS E RESULTADOS: para o LESJ, as medidas essenciais em cinco domínios e as respectivas variáveis foram: 1) avaliação global pelo médico por escala analógica visual de 0-10 cm; 2) avaliação da qualidade de vida relacionada à saúde (índice Físico - CHQ-PF50); 3) avaliação da atividade pelos pais/paciente por escala analógica visual de 0-10 cm; 4) avaliação renal (proteinúria 24 h); e 5) avaliação global da atividade por instrumento específico (SLEDAI ou ECLAM). A definição preliminar de melhora clínica para o JSLE foi: melhora > 50% em pelo menos 2 das 5 variáveis e não mais que uma com piora > 30%, a qual não pode ser a proteinúria de 24h em casos com envolvimento renal. Os seis domínios e as respectivas variáveis selecionadas para a atividade na DMJ foram: 1) avaliação global pelo médico por escala analógica visual de 0-10 cm; 2) avaliação da força muscular proximal por meio de teste específico - CMAS-Childhood Myositis Assessment Scale 0-52; 3) avaliação da capacidade funcional (CHAQ); 4) avaliação da atividade pelos pais/paciente por escala analógica visual de 0-10 cm; 5) avaliação da qualidade de vida relacionada à saúde (Índice Físico - CHQ-PF50); 6) avaliação global da atividade por meio de instrumento específico (DAS - Disease Activity Score). A definição preliminar de melhora clínica para a DMJ foi: pelo menos 3 de quaisquer das 6 variáveis com melhora > 20% e não mais que uma com piora > 30%, a qual não pode ser o CMAS. CONCLUSÕES: estas variáveis foram testadas em uma casuística representativa e mostraram propriedades estatísticas adequadas de responsividade e validade discriminativa, podendo ser estudadas em ensaios terapêuticos.

La gripe en adultos en américa latina, situación actual y tendencias futuras: Una declaración de consenso

In Latin America, adult influenza is a serious disease that exacts a heavy burden in terms of morbidity, mortality, and cost. Although much has been written about the disease itself, relatively little information has been compiled on what could be done to reduce its impact across the region, particularly from the perspective of clinicians with firsthand experience in confronting its effects. To fill this data gap, in 2011, the Pan American Health and Education Foundation (PAHEF) and the U.S.-based nonprofit Fighting Infectious Diseases in Emerging Countries (FIDEC) organized a conference and convened a panel of Latin American scientistclinicians with experience and expertise in adult influenza in the region to 1) discuss the major issues related to the disease and 2) develop and produce a consensus statement summarizing its impact as well as current efforts to diagnose, prevent, and treat it. The consensus panel concluded a more concerted and better-coordinated effort was needed to reduce the adverse impact of seasonal influenza and future pandemics, including more surveillance, more active involvement by both governmental and nongovernmental organizations, and a much greater effort to vaccinate more adults, especially those at high risk of contracting the disease. In addition, a new approach for diagnosing influenza was recommended.

Os projetos para o desenvolvimento da nação na Revista Cultura Política durante o Governo Vargas

Pós-graduação em Ciências Sociais - FFC

O bambu na arquitetura: desing de conexões estruturais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O ensino da gramática da língua inglesa em um contexto de escola pública: crenças, abordagens e motivação

Pós-graduação em Estudos Linguísticos - IBILCE

Políticas Públicas & Desenvolvimento Rural: o Programa de Microbacias I e II no Estado de São Paulo

Pós-graduação em Geografia - FCT

Estrutura lógica como metodologia para avaliação de políticas públicas: uma análise do Pronaf

The National Program for Strengthening Family Agriculture (Pronaf) has included family farmers into the scope of public policies, by following the trends of policies from the 1990s to democratize access to financial resources. Sustainability has been put into the program. In this study, the overall purpose was analyze the objectives of Pronaf, in the context of economic development. We found out that Pronaf would not allow evaluating the relation among activities conducted and results obtained by the program. Thus, it would be inconsistent. Besides analyzing official documents, other specific objectives were to analyze the consistency of Pronaf and, in case of inconsistency, propose a logical framework matrix. No project was found, only the legislation. The analyse of the latter does not allow filling the matrix and this indicates an inconsistency. A full matrix was proposed.

Aços avançados de alta resistência: avaliação da microestrutura e propriedades dos aços DP 600 E DP 780

This work aims to study the Dual-Phase 600 and 780 steels, which are part of technology development project materials for the automotive industry. It is worth underscoring the antagonistic properties as the Dual-Phase steel assemble, high mechanical strength and elongation due its microstructure, ferrite and martensite. These properties are obtained by a intercritical heat treatment which facilitates the formation of a hardness metastable microstructure shaped plates of low carbon steels. The applicability of Dual Phase steel in the structure of vehicles is huge and its production is already on a commercial scale, so the study and development of this material implies lower cost in automobile manufacturing processes. The dual phase steels DP600 and DP780 underwent tensile, hardness and metallographic analysis to evaluate and comparing its properties. The results indicate that the DP780 steel has higher strength and hardness than the DP600 steel and its microstructure consists of martensite higher fraction which accounts for the higher resistance and hardness. However, the DP600 has higher conformability to DP780 steel

De associações às redes de sociabilidade: análise de resultados de pesquisa em assentamentos de reforma agrária

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

A Vale em Moçambique: uma etnografia das relações entre brasileiros e moçambicanos no cotidiano dos megaprojetos

Pós-graduação em Ciências Sociais - FCLAR

Project and Development of ErgoCoIn Version 2.0

Usability evaluation (UE) methods may have several purposes: identify and diagnose usability problems; evaluate the implementation, comparing the one under evaluation with other systems, and also perform acceptance test. These methods are usually expensive, time-consuming and complex. In this context, the ErgoCoIn 1.0 has being used as an accessible system that can be used by several people all over the world, even if they are not usability experts or evaluators. This paper aims to present a new version of this environment considering that its basic objective is to propose a higher quality for the questions. Additionally, a new presentation questionnaire window small enough to be used both in web browsers and mobile devices is proposed.