Severity of temporomandibular disorders in women: validity and reliability of the Fonseca Anamnestic Index

The aim of this study was to assess the validity and reliability of the Fonseca Anamnestic Index (IAF), used to assess the severity of temporomandibular disorders, applied to Brazilian women. We used a probabilistic sampling design. The participants were 700 women over 18 years of age, living in the city of Araraquara (SP). The IAF questionnaire was applied by telephone interviews. We conducted Confirmatory Factor Analysis (CFA) using Chi-Square Over Degrees of Freedom (χ2/df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA) as goodness of fit indices. We calculated the convergent validity, the average variance extracted (AVE) and the composite reliability (CR). Internal consistency was assessed by Cronbach's alpha coefficient (α).The factorial weights of questions 8 and 10 were below the adequate values. Thus, we refined the original model and these questions were excluded. The resulting factorial model showed appropriate goodness of fit to the sample (χ2/df = 3.319, CFI = 0.978, TLI = 0.967, RMSEA = 0.058). The convergent validity (AVE = 0.513, CR = 0.878) and internal consistency (α = 0.745) were adequate. The reduced IAF version showed adequate validity and reliability in a sample of Brazilian women.

Erotismo e religiosidade: romances de Antônio da Fonseca Soares sobre mulheres

Pós-gradua��ão em Letras - FCLAS

Análise semiótica do conto Passeio Noturno, de Rubem Fonseca

This paper presents an analysis of the short story Passeio Noturno I, by Rubens Fonseca, from the gerative way of sense, oriented by Greimas´ postulations of generative semiotics. For the semiotics, discourse is conceived as a superposition of levels of diferent depth which are articulated according to a way which goes from the abstract to the concrete (BARROS, 2001). Following the notion of gerative way, the analysis of the short story is three folded: the level of fundamental structures, the level of the narrative structures and the level of the discursive structures. The subject matter that underlies the structure of the short story refers to a critique of the violence present in capitalist society in which "voices of culture" coexist with "voices of barbarie".

Os elementos satíricos nas obras de Antônio da Fonseca Soares e Gregório de Matos

Funda��ão de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Os jogos do texto ou as facetas da escrita?: gênero policial, intertextualidade e literatura francesa em Bufo & Spallanzani (1985) de Rubem Fonseca

Pós-gradua��ão em Letras - FCLAS

Valores hematológicos de morcegos hematófagos Desmodus rotundus (E. Geoffroy, 1810) mantidos em cativeiro

Hematological values from captive vampire bats Desmodus rotundus (E. Geoffroy, 1810). Desmodus rotundus is one of the hematophagous bat species that are responsible for significant losses to livestock and has important involvement on public health. The great interest on this bat species made it becomes the target of many investigations a required its maintenance in laboratories. Similarly to others mammals, hematological evaluation has been utilized to assess the health and morbidity state of bats, however there are scarce studies with captive bats. The aim of this study was to investigate the hypothesis that is possible to feed the vampire bat D. rotundus with frozen blood treated with citrate during a long captivity period without hematological dyscrasias. Therefore, complete blood count was performed monthly from 15 adult females kept for 345 days in cages and fed with frozen blood added to citrate. The erythrocyte concentration (9.02 ± 1.43 x1012/L), PCV (0.47 ± 0.08 L/L) and hemoglobin (163.9 ± 31.5 g/L) obtained from free-living bats (immediately after capture) were lower or similar to those obtained after 345 days of captivity, presenting erythrocytes’ count of 11.01 ± 0.82 x1012/L, packed cell volume of 0.50 ± 0.05 L/L and hemoglobin level of 158 ± 10.1 g/L. The total white blood cell (11.09 ± 6.07 x109 /L) and segmented neutrophil counts (9.85 ± 3.5 x109 /L) of free living D. rotundus decreased significantly after 345 days of captivity, with values of 3.98 ± 1.98 and 1.87 ± 978.6 x109 /L respectively, which are similar to bats from temperate regions in hibernation period. This study proved that is possible to feed D. rotundus for long periods of captivity with citrated blood without the occurrence of anemia, erythrocyte or other hematologic dyscrasia

A comparison of CA125, HE4, risk ovarian malignancy algorithm (ROMA), and risk malignancy index (RMI) for the classification of ovarian masses

OBJECTIVE: Differentiation between benign and malignant ovarian neoplasms is essential for creating a system for patient referrals. Therefore, the contributions of the tumor markers CA125 and human epididymis protein 4 (HE4) as well as the risk ovarian malignancy algorithm (ROMA) and risk malignancy index (RMI) values were considered individually and in combination to evaluate their utility for establishing this type of patient referral system. METHODS: Patients who had been diagnosed with ovarian masses through imaging analyses (n = 128) were assessed for their expression of the tumor markers CA125 and HE4. The ROMA and RMI values were also determined. The sensitivity and specificity of each parameter were calculated using receiver operating characteristic curves according to the area under the curve (AUC) for each method. RESULTS: The sensitivities associated with the ability of CA125, HE4, ROMA, or RMI to distinguish between malignant versus benign ovarian masses were 70.4%, 79.6%, 74.1%, and 63%, respectively. Among carcinomas, the sensitivities of CA125, HE4, ROMA (pre-and post-menopausal), and RMI were 93.5%, 87.1%, 80%, 95.2%, and 87.1%, respectively. The most accurate numerical values were obtained with RMI, although the four parameters were shown to be statistically equivalent. CONCLUSION: There were no differences in accuracy between CA125, HE4, ROMA, and RMI for differentiating between types of ovarian masses. RMI had the lowest sensitivity but was the most numerically accurate method. HE4 demonstrated the best overall sensitivity for the evaluation of malignant ovarian tumors and the differential diagnosis of endometriosis. All of the parameters demonstrated increased sensitivity when tumors with low malignancy potential were considered low-risk, which may be used as an acceptable assessment method for referring patients to reference centers.

Metformin versus lifestyle changes in treating women with polycystic ovary syndrome

Objective: To compare the efficacy of metformin with that of lifestyle changes in patients with polycystic ovary syndrome (PCOS). Design: Prospective, randomized clinical trial of 40 women with PCOS to analyze the effects of metformin and lifestyle intervention treatments on menstrual pattern and hormone and metabolic profile. The duration of treatment was 6 months. Statistical analysis was done using Student's t-test. Results: Fifteen women in the metformin group and 12 in the lifestyle changes group completed the study. The menstrual pattern improved by similar to 67% in both groups. There was a significant decrease in waist circumference in the lifestyle changes group (101.8 +/- 3.9 and 95.1 +/- 3.6, at baseline and at 6 months of treatment, respectively; p<0.001) and in body mass index (BMI) in both groups. The predictor of menstrual pattern improvement was BMI. Conclusions: Both metformin and lifestyle changes may increase the number of menstrual cycles in PCOS. This effect was related to a decrease in BMI.

Construction and validation of an instrument that breaks the silence: the impact of domestic and/or sexual violence on women's health, as shown during climacterium

Objective: The aim of this study was to construct and to validate a measure of the consequences of domestic violence on women's health during climacterium. Methods: A questionnaire was administered at the Outpatient Climacterium Clinic to 124 women aged 40 to 65 years who were the victims of domestic and/or sexual violence (experimental group). They were divided into three groups: (1) those who were victims of violence exclusively during childhood/adolescence, (2) those who were victims of violence exclusively during adulthood, and (3) those who were victims of violence throughout their lives. The instrument included 34 items evaluating the beginning, frequency, and type of violence; the search for health assistance and reporting of the violence; the violence and the number of comorbidities; and violence and the Kupperman Menopausal Index. We also included a control group composed of perimenopausal and postmenopausal women who did not experience any violence (n = 120). Results: The instrument presented a Cronbach alpha = 0.82, good reliability among the examiners (+0.80), and a good possibility of reproducibility. The mean age of menopause was 45.4 years, and the mean age in the control group was 48.1 years. Group 1 showed a mean of 5.1 comorbidities, Group 2 had 4.6, and Group 3 had 4.4. Sexual violence (43.5%) and other types of violence both presented average comorbidities (4.60) but represented a significant impairment in the victim's sexual life. There were significant associations in group 3 and a high Kupperman Menopausal Index score. In the experimental group, 80.6% did not seek health services for the violence they experienced. Conclusions: The questionnaire presented good internal consistency and a validated construction. It can be easily reproduced and is indicated to evaluate the consequences of domestic and/or sexual violence on women's health during climacterium.

Vaginal morcellation: A new strategy for large gynecological malignant tumor extraction A pilot study

Objective. Evaluate feasibility and safety of a novel technique for uterine morcellation in patients scheduled for laparoscopic treatment of gynecologic malignances. Background. The laparoscopic management of uterine malignancies is progressively gaining importance and popularity over laparotomy. Nevertheless, minimal invasive surgery is of limited use when patients have enlarged uterus or narrow vagina. In these cases, conventional uterus morcellation could be a solution but should not be recommended due to risks of tumor dissemination. Methods. Prospective pilot study of women with endometrial cancer in which uterus removal was a realistic concern due to both organ size and proportionality. Brief technique description: after completion of total laparoscopic hysterectomy and bilateral anexectomy, a nylon with polyurethane Lapsac (R) is vaginally inserted into the abdomen; the specimen is placed inside the pouch that will be closed and rotated 180 degrees toward the vaginal vault and, posteriorly, pushed into the vaginal canal; in the transvaginal phase, the surgeon pulls the edges of the bag up to vaginal introitus and all vaginal walls will be covered; inside the pouch, the operator performs a uterus bisection-morcellation. Results. In our series of 8 cases, we achieved successful completion in all patients, without conversion to laparotomy. Average operative time, blood loss and length of hospitalization were favorable. One patient presented with a vesicovaginal fistula. Conclusion. The vaginal morcellation following oncologic principles is a feasible method that permits a rapid uterine extraction and may avoid a number of unnecessary laparotomies. Further studies are needed to confirm the oncological safety of the technique. (C) 2012 Elsevier Inc. All rights reserved.

Entre antropologia e medicina: uma análise dos estudos antropológicos de Álvaro Fróes da Fonseca nas décadas de 1920 e 1930

O médico e antropólogo Álvaro Fróes da Fonseca percorreu várias cidades do Brasil durante sua trajetória profissional, na primeira metade do século XX. Atuou no magistério na cadeira de Anatomia Médico-Cirúrgica, nas Faculdades de Medicina de Porto Alegre, da Bahia e do Rio de Janeiro. Como antropólogo, exerceu atividades no Museu Nacional do Rio de Janeiro e, já nos anos 1960, no Instituto de Antropologia Tropical da Faculdade de Medicina do Recife. Pretendo, neste artigo, resgatar a contribuição do estudioso no campo antropológico, analisando algumas de suas pesquisas desenvolvidas no Laboratório de Antropologia do Museu Nacional e outras publicadas no periódico dessa instituição entre os anos 1920 e 1930. Neste período, ele congregou cientistas, desenvolveu e orientou vários trabalhos no âmbito da antropologia física e dos 'tipos antropológicos', voltando-se para o desenvolvimento de métodos e índices de classifica��ão racial, ou seja, para a produção de conceitos e técnicas que orientavam a prática antropológica. Refutou o racismo científico do período, motivo pelo qual as investiga��ões desenvolvidas por Fróes da Fonseca refletiram sobre o 'problema da ra��a' e a questão da mestiçagem em prol do futuro do Brasil.

Kulturwissenschaftliches Filmen im Umbruch: Die Filmarbeit von Edmund Ballhaus

Der Autor untersucht die Strategien und Konzepte des Göttinger Kulturwissenschaftlers Edmund Ballhaus, der mit seiner Filmarbeit die Entwicklung des wissenschaftlichen Films seit Mitte der achtziger Jahre ma��geblich beeinflußte. Detaillierte Analysen seiner ersten zwölf, in den Jahren 1986 bis 1996 entstandenen Filme verdeutlichen seine Abkehr von überholten inhaltlichen und methodischen Standards und die Entwicklung eines eigenständigen Typus des kulturwissenschaftlichen Films. Dieser rückt den Menschen in den Mittelpunkt der Betrachtung und erteilt den Gefilmten selbst das Wort. Damit wurde sowohl dem klassischen Erklärdokumentarismus des Fernsehens als auch dem distanzierten Dokumentationsstil des Instituts für den Wissenschaftlichen Film (IWF) ein neues Modell gegenübergestellt. Darüber hinaus löste sich Edmund Ballhaus von der traditionellen Arbeitsteilung in Hinblick auf Recherche, Konzeption und Umsetzung und ersetzte sie durch den selbstfilmenden Wissenschaftler, der für alle Arbeitsschritte einer Filmproduktion allein verantwortlich ist. Seine bereits 1987 veröffentlichten Forderungen verwirklichte er nicht nur in seinen Filmen, sondern auch mit der Gründung der Gesellschaft für den kulturwissenschaftlichen Film (GfkF) und der Einrichtung eines Studienganges Visuelle Anthropologie in Göttingen. In die Untersuchung einbezogen wurde eine im Anhang des Buches wiedergegebene Befragung des Filmautors, welche die Analyse um interessante Details sowohl in Hinblick auf die Entstehungsbedingungen einzelner Filme als auch auf seine persönlichen Überzeugungen und Beweggründe ergänzt.

Proposta di traduzione in italiano commentata del racconto "a rena e o cisne" della scrittrice portoghese catarina fonseca.

L’obiettivo del presente elaborato è di fornire una proposta di traduzione in italiano del racconto "A Rena e o Cisne" della scrittrice portoghese Catarina Fonseca, pubblicato all’interno della raccolta "Picante- Histórias que ardem na boca", dalla casa editrice di Lisbona, Casa das Letras nel 2011. Dopo aver delineato un breve profilo dell’autrice e dell’opera in questione, presenterò la mia proposta di traduzione del racconto in lingua italiana. Seguiranno poi una riflessione sul testo e un commento alla traduzione, nel quale saranno analizzate le maggiori difficoltà di traduzione e il modo in cui sono state risolte. Infine vi sarà una breve conclusione.