Saúde materno-infantil: visão crítica dos determinantes e dos programas assistenciais

Discute-se a determinação social da saúde materno-infantil nas Américas, a partir de inúmeras publicações e recomendações oficiais. Observou-se que nem todos os estudos valorizam apropriadamente as variáveis sociais e que muitos deles as consideram no mesmo nível de importância das variáveis biológicas. Como conseqüência, a compreensão final dos achados fica prejudicada e as conclusões e recomendações extraídas ficam longe de tocar a raiz dos problemas. Diferentes variáveis sociais (como escolaridade materna ou assistência médica) encontram-se freqüentemente associadas com variáveis biológicas (como peso ao nascer ou estado nutricional). Esta associação, no entanto, pode não representar uma relação causai, mas tão somente a ocorrência simultânea de características pertencentes a uma única classe social. Reitera-se a necessidade de estudos que reconheçam as classes sociais e analisem os resultados sobre saúde materno-infantil em relação às mesmas. Estes estudos provavelmente evidenciarão a importância social da saúde materno-infantil e evitarão as habituais diretrizes e recomendações restritas ao plano puramente técnico.

Alergia látex-fruta

O látex está sendo considerado o alergênico do ano 2000, tendo em vista que inúmeros indivíduos, principalmente profissionais da área de saúde e pacientes submetidos a várias intervenções diagnósticas e terapêuticas, estão freqüentemente expostos aos alérgenos do látex, presentes em produtos de borracha natural. As manifestações clínicas conseqüentes às reações alérgicas de hipersensibilidade imediata vão desde rinite, urticária, conjuntivite, angioedema, asma, até anafilaxia. Estudos recentes estão demonstrando que pacientes alérgicos ao látex desenvolvem concomitantemente sensibilização a certos alimentos de origem vegetal, especialmente frutas como papaia, figo, banana, abacate, kiwi, pêssego, abacaxi, melão e castanha, acreditando-se numa provável ocorrência de reações cruzadas entre os alérgenos do látex e destas frutas. Faz-se, então, uma revisão sobre a alergia ao látex, em particular sobre os grupos de risco, incluindo a presença de reatividade cruzada entre o látex e as frutas.

O processo sol-gel: uma visão físico-química

The aim of this work was to revise the main concepts involved in the physical-chemistry of the sol-gel process. First, the preparation and its influence on the gel's structure are focalized; the sol-gel transition is revised under the thermodynamics of crytical phenomena point of view and by considering the kinetic models of aggregation. Second, the experimental methods usually used to characterize the sol-gel transition are discussed.

Mosca-Negra-dos-Citros: Características Gerais, Bioecologia e Métodos de Controle dessa Importante Praga Quarentenária da Citricultura Brasileira

Citrus blackfly, Aleurocanthus woglumi Ashby, is a serious pest of citrus culture and other economically important fruit crops. It is a present quarantine pest or A2 maximum alert restricting trades with other regions free of its presence. Since the frst occurrence of the citrus blackfly in Belem in 2001 its dissemination was quickly to other States and regions of citrus production in Brazil. As an exotic pest, basic knowledge is scarce in order to establish the appropriate management to the insect in Brazil. Thus, the aim of the present study was to provide information about important aspects of A. woglumi, such as: history and geographical distribution, bioecology, host plants, appropriate control methods, among others, in order to provide subsidies for futures researches about the citrus blackfly in Brazil.

Tosse, uma visão do otorrinolaringologista.

Persistent cough leads individuals to seek for medical assistance. Clinical investigation, however, may not reveal any alteration within the clinic's sphere of action. Often enough, some professionals treat the symptom as a disease, introducing several medicines, unsuccessfully. The author's experience, as an otolaryngologist, allows to state that many of these professionals ignore the upper aerodigestive tract as a cough-generator site. The present work discusses the alterations on the mentioned tract, which may provoke the cough reflex, reviewing, initially, the cough mechanism and the localization of the specific receptors. Cough is produce by stimulus at the receptor level or far from it. In upper and lower parts of the aerodigestive tract secretions may run to several directions. Secretion from the paranasal sinus is a frequent cause of cough. Acute sinusitis may occur insidiously bringing about the chronification of the inflammation with cough being the only great apparent symptom. Nasal and dental alterations favor sinusal infection. Signs and symptoms, even if minimum, may be detected through an accurate anamnesis. Nasal allergy, laryngitis, post nasal dripping and septal deviation may also produce cough. The ORL examination is, therefore, imperative, and no radiologic examination can substitute for it. An inadequate treatment, particularly of the sinusitis, may bring about a worsening and extension of the initial condition.

A família do paciente em situação crônica de vida: a visão de enfermeiros de um hospital de ensino

This exploratory descriptive study, of qualitative nature had the purpose to study how the nurses from a hospital school see the family as care participants. Six nurses from clinics of chronically ill patients were interviewed. The data analysis allowed to infer that the nurses had only little knowledge of the family's thematic during graduation, making the relationship with the accompanying families very difficult. Daily care during hospitalization period is marked by easy moments when members are willing to participate in the process, and by difficulties when they attempt to break institutional rules. It was suggested that new nurses have theoretical foundation to attend the family in several scenarios of care. It was considered the need of investments in professional training, and that the advance of humanization of services implies in exchange and integration of knowledge among patients, family members, health professionals, support staff and managers beyond the science field.

Avaliação crítica da legislação brasileira de sucos de fruta, com ênfase no suco de fruta pronto para beber

The aim of this work was to critically assess the Brazilian regulations on fruit juices, with emphasis on ready-to-drink fruit juice. According to the Brazilian regulations, bottled fruit juices must follow specific regulations. They should be in accordance with the definition and designation that identify them, with the quality parameters established, and especially, follow the Brazilian food labeling regulations. The Brazilian regulations on bottled fruit juices have some gaps that promote their misunderstanding and marketing of substandard juices. Frequent changes, divergent labeling regulations and inappropriate use of expressions on the label can also lead to misinterpretation. Food regulations need to be clear and updated frequently if they are to be known and followed. Additionally, their wide dissemination should contribute to informed choices when buying.

Apatia na doença de alzheimer: Contribuição para uma visão clínica da progressão da demência

In addition to cognitive impairment, apathy is increasingly recognized as an important neuropsychiatric syndrome in Alzheimer's disease (AD). Aims: To identify the relationship between dementia severity and apathy levels, and to discuss the association of this condition with other psychopathological manifestations in AD patients. Methods: This study involved 15 AD patients (mean age: 77 years; schooling: 4.9 years), with mild, moderate and severe dementia, living in Rio Claro S P, Brazil. Procedures included evaluation of cognitive status by the Mini-Mental State Examination, Clinical Dementia Rating, and Global Deterioration Scale. Apathy syndrome was assessed by the Apathy Evaluation Scale and Neuropsychiatric Inventory (NPI-apathy domain). Other psychopathological manifestations such as depression were also considered. Results: Patients with more severe dementia presented higher levels of apathy, reinforcing the hypothesis that apathy severity aggravates as the disease progresses. Using the Spearman coefficient correlation an association was identified between the MMSE and Apathy Evaluation Scale (r=0.63; p=0.01), and also between the MMSE and NPI-apathy domain (r=0.81; p=0.01). Associations were also found between the Global Deterioration Scale and Apathy Evaluation Scale (r=0.58; p=0.02), and between the Global Deterioration Scale and NPI-apathy domain (r=0.81; p=0.01). Conclusions: Apathy is a distinct syndrome among patients with AD and increases with global deterioration.

Concepções de surdez: A visão do surdo que se comunica em língua de sinais

At this time, diverse views on deafness are present in society. Such views, in general, arecharacterized by theoretical disputes between communicative possibilities - either oral or gestural - based onthe importance of having appropriated oneself of a language code for the development of language, which isessential in the constitution of subjectivity of human beings. Thus, this study aimed to identify the conceptionsof deaf people had about their condition. To collect the data we used semi-structured interviews, applied toten participants who were deaf adult users of the Brazilian Sign Language - Libras. The interviews were taped,transcribed and subjected to content analysis. The results indicate that the conceptions of deafness constitute amultifaceted view on this condition, infl uenced by social relations throughout each person's life trajectories. Theresearchers perceived that learning Libras enabled deaf persons to constitute their own assertiveness as someonewho is different, with different needs.

O processo de (re)construção da teoria do conceito no domínio de Organização do Conhecimento: Uma visão dialógica

The search for a dialogical interpretation on the concept theory is the purpose of this paper. It uses the concept of dialogism, proposed by Bakhtin, which refers to the interaction occurring among the social actors in the process of (re)construction of language. Starting from the analysis of texts on concept theory authored by Dahlberg, Hjorland, Tennis and Tennis and Sutton, the convergent, divergent and complementary aspects related to the concepts advocated by the authors are discussed. The analysis revealed that, although these concepts have been built individually, they are reflections of distinct currents of thought and of the historical moments that have influenced each author's ideas. It can be argued, therefore, that the studied concepts were developed on dialogue with other authors and among themselves.

Mudança estrutural para a igualdade: Uma visão integrada do desenvolvimento. Trigésimo quarto período de sessões da CEPAL. Síntese

Versión en inglés y en español disponibles en Biblioteca

Atividade inseticida e Modos de Ação de Extratos Vegetais Sobre Mosca Branca (Bemisia tabaci)

Insecticide potential and efficaciousness of vegetal extracts concentrations from six botanic families in three different modes were analyzed on the nymphs of the silverleaf whitefly Bemisia tabaci (Genn. 1889) on a tomato plantation Lycopersicon esculentum Mill. Nymph breeding was kept in cherry tomato shrubs. Test solutions were obtained from successive extractions with ethanol and evaporation in a rotary evaporator. Tests consisted of 10 solutions in four concentrations (500; 1,000; 1,500 and 3,000 μg/mL) and control treatment (distilled water + 1% DMSO) under three different modes of activity, namely, contact, translaminar and systemic. Experimental design was totally randomized with four repetitions and eleven treatments. Means were compared by Scott-Knott test at 5% probability and lethal concentrations (CL50) were calculated by POLO. In the case of contact activity mode, all extracts had efficiency above 50% with the highest concentration (3,000 μg/mL) in which the highest efficiency for all extracts tested was verified. There was a need for dose increase in translaminar activity mode for similar results, whereas in the case of systemic activity the best performance was obtained with extracts of Nerium oleander, Derris amazonica and Ipomoea carnea. Extracts of the last two caused a higher percentage when compared with that of other extracts in all activity modes lower than CL50.

Flutuação populacional e infestação de mosca-das-frutas (Diptera: Tephritidae) em função do sistema produtivo de goiaba

The knowledge about population fluctuation of fruit flies (Diptera: Tephritidae) is an important tool to be adopted in pest control. Thus, this research aimed to analyse the population fluctuation of adults of fruit flies and the infestation of larvae in fruits depending on the conventional and organic agricultural systems of guava production in the 2010/2011 harvest. For monitoring the adults of fruit flies, five yellow sticky traps were installed in each system. The infestation percentage and the calculation of the ratio number of larvae/number of fruits were determined at harvest by harvesting 10 mature fruits/plant, in ten plants, for each system. In organic system predominated Anastrepha spp., principally in the period when the fruits were ripening or ripe, represented by elevated infestation percentage, while the conventional system presented low population density of fruit flies, with reduced larvae infestation inside the fruits.

Cine'stesia: uma visão crítica no fazer e pensar cinema

Pós-graduação em Artes - IA