Reference values for handgrip strength in among healthy young adults

Background: Isometric grip strength, evaluated with a handgrip dynamometer, is a marker of current nutritional status and cardiometabolic risk and future morbidity and mortality. We present reference values for handgrip strength in healthy young Colombian adults (aged 18 to 29 years). Methods: The sample comprised 5.647 (2.330 men and 3.317 women) apparently healthy young university students (mean age, 20.6±2.7 years) attending public and private institutions in the cities of Bogota and Cali (Colombia). Handgrip strength was measured two times with a TKK analogue dynamometer in both hands and the highest value used in the analysis. Sex- and age-specific normative values for handgrip strength were calculated using the LMS method and expressed as tabulated percentiles from 3 to 97 and as smoothed centile curves (P3, P10, P25, P50, P75, P90 and P97). Results: Mean values for right and left handgrip strength were 38.1±8.9 and 35.9±8.6 kg for men, and 25.1±8.7 and 23.3±8.2 kg for women, respectively. Handgrip strength increased with age in both sexes and was significantly higher in men in all age categories. The results were generally more homogeneous amongst men than women. Conclusions: Sex- and age-specific handgrip strength normative values among healthy young Colombian adults are defined. This information may be helpful in future studies of secular trends in handgrip strength and to identify clinically relevant cut points for poor nutritional and elevated cardiometabolic risk in a Latin American population. Evidence of decline in handgrip strength before the end of the third decade is of concern and warrants further investigation

Editorial

When The Who sang about teenage angst in the 60s, their rock anthem ‘Talking about my Generation’ captured the divide between youth and beyond. Today, another divide – the digital divide – speaks to the issues of access, capital, and input that follow digital technologies. Like the earlier ‘me generation’, the new millennium D(igital) generation remains enigmatic, its members variously praised for their technological wizardry, criticised for their self-absorption, and pathologised for their unsociability. The D generation does not comprise youth alone, but the young are more exposed than others to the influence of new media and digital technologies. And like previous youth generations, they are often viewed as degenerate. A cybernetic degeneration symbolising society’s fears and cultural anxieties concerning the dehumanising prospects of technology appears most vividly in arguments about youth (Green & Bigum’s ‘aliens in the classroom’ [1993] is an apt description in this respect). Such negative rhetoric presents a dystopic view that tempers the more utopian, but equally reductionist visions of new technologies.

Wry-necked memory : the matter of Ireland in cutting green hay and memory Ireland, and the poems of the pattern.

This paper examines the matter of Ireland in Buckley’s two memoirs, Cutting Green Hay (1983) and Memory Ireland (1985), and the poems of The Pattern (1979), in order to revisit critically the ways in which he constructs himself as a diasporic Irish-Australian, a participant in the most remote Gaeltacht. It raises questions of victimhood, of similar and different experience of being at the mercy of the land, and of his re-engineering of the place of the political in poetry. It argues that Buckley’s agonized positioning as Ireland’s ‘guest/foreigner/son’ was a project that was doomed by its utopianism, and that, obsessed as he became with Ireland, the angst within had little to do with ‘the Ireland within’ or without. The paper suggests that the poet’s slow and unacknowledged abandonment in his Irish period of a key tenet of modernism, its distrust of propaganda and the political, is in itself a new formation which had some continuity with the radicalism of his thinking during the formative years of the revolutionary catholic apostolate he led both at the University of Melbourne and nationally. It also points to the deployment of an ancient medieval Irish trope, that of the ocean (rather than a landmass) linking a dispersed community, as one of the ways the poetry effects a resolution of the issues of being ‘Irish’ in a remote country.

Challenges in conserving indigenous culture in Minahasa : culture, Genius Loci and the Indonesian Environmental Planning system

Culture and spirit of land is integral to Indigenous community meaning and identity. With colonisation, transmigration and assimilation policies and practices over the last 200 years, many Indigenous communities, like the Minahasa, have witnessed their culture, curatorial responsibilities, and their mythological associations to their lands eroded. Minahasa, meaning 'becoming one united', encompasses some eight ethnic communities who reside in the Minahasa regencies in the North Sulawesi Province on Sulawesi Island in Indonesia. The region was first colonised by the Portuguese in the 16th century, and then by the Dutch VOC (Verenigde Oostindische Compagnie) in the 17th and 18th centuries bringing a strong Christian Protestant faith to the communities that appropriated many of the cultural symbols and mythological narratives of the Minahasa, and now compromises the largest concentration of Christian faith in the Indonesian archipelago being one of the reasons why there was considerable political requests for the region to formally become a province of The Netherlands in the lead up to Indonesian independence in 1945.

North Sulawesi never developed any large empire like on other islands in the archipelago. In 670, the leaders of the different tribes, who all spoke different languages, met by a stone known as Watu Pinawetengan. There they founded a community of independent states, who would form one unit and stay together and would fight any outside enemies if they were attacked, and the Dutch used this cultural ethos to help unite the linguistically diverse Minahasa confederacy under their colonial regime. Integral to the Minahasa is the Watu Pinawetengan and the series of narratives that enjoin the Minahasan communities to this place and around Lake Tondano. With Indonesian governance considerable angst has been launched by the Minahasa about loss of local autonomy, generic Indonesian policies, and a lack of respect of Indigenous culture and non-mainstream religions within this predominantly Moslem nation. This paper reviews the state of knowledge as to the cultural associations and genius loci meanings of the Minahasa, to their landscape and place, cast against contemporary Indonesian 10 year plans and policies that seek to generically manage the collective Indonesian archipelago as one community and landscape. It is a critique about the Minahasan Indigenous land use and planning philosophies, against top-down generic land use and environmental policies and plans written in Jakarta for generic application across the Indonesian archipelago.

Editorial Introduction: Religion and Postcolonialism

After the beginning there appeared some stranger texts
West’s Orientalism objectified the corpus’s otherness
And Modernity’s philology rendered their syntax as his own;
Thence followed the postmodern disruption of the aporia
Re-citing the alterity and the ousia of the Other’s face;
But it awaited the hybrid-angst of postcolonialism’s site
Whence the interrupted texts begun miming an-other meaning.

Predominant polarity as a course specifier for bipolar disorder: a systematic review

ABSTRACT

Estudo crítico das metodologias de cálculo para perfis dobrados a frio de vigas tipo canal sem enrijecedores de borda

Neste trabalho é realizada uma análise crítica sobre as formas de dimensionamento de estruturas de chapa dobrada, apresentando as metodologias utilizadas pelas principais normas modernas de cálculo, juntamente com metodologias não convencionais. Para realizar dita análise concentrou se a atenção num tipo de perfil simples (perfis não enrijecidos), e submetido a dois tipos de carregamento: carga axial concentrada no centro de gravidade; barra trabalhando como viga em balanço com carga aplicada no centro de corte. Foi realizado um estudo comparativo, entre as normas de cálculo NBR 14762, AISI e Eurocode 3, com outros métodos de dimensionamento, que são: o método direto desenvolvido por Schafer (1997); e duas formulações de análise por elementos finitos: uma considerando a carga de flambagem elástica; e outra empregando uma análise não linear física e geométrica, para perfis submetidos à compressão centrada e à flexão. Neste trabalho realizou-se um estudo paramétrico, registrando em gráficos e tabelas a influência de parâmetros tais como: comprimento do elemento analisado; da relação entre a alma e a mesa; da relação alma e a espessura. Através destes gráficos é possível observar as diversas formas de colapso (flambagem local, flambagem global, colapso plástico entre outras) se apresentando como críticas e interagindo entre si. Realizaram-se também dois experimentos de perfis submetidos à flexão, com o objetivo de verificar a grandeza dos valores obtidos através das diversas metodologias de cálculo. Para aplicação prática dos conceitos e métodos apresentados fez-se a verificação do dimensionamento de uma estrutura utilizada como prateleira em um almoxarifado de uma empresa metalúrgica situada na grande Porto Alegre, a qual apresentou flambagem lateral de seus elementos horizontais.

Response of molars and non-molars to a strict supragingival control in periodontal patients

The posterior position in the arches is one of the factors that underlies the poor prognosis of molar teeth (M). It is speculated that M do not benefit from the oral hygiene routine as well as non-molars (NM) do. This study evaluated the response of M and NM to supragingival control during a 6-month period in 25 smokers (S) and 25 never-smokers (NS) with moderate-to-severe periodontitis. One calibrated examiner assessed visible plaque (VPI) and gingival bleeding (GBI) indexes, periodontal probing depth (PPD), bleeding on probing (BOP), and clinical attachment loss (CAL) at days 0 (baseline), 30 and 180. At baseline, M showed significantly higher mean values of VPI (p = 0.017) and PPD (p < 0.001) compared with NM; CAL was also greater in M (p < 0.001) and was affected by smoking (p = 0.007). The reductions obtained for periodontal indicators at day 180 showed similar responses between M and NM. For CAL, M (NS 0.57 ± 0.50; S 0.67 ± 0.64) and NM (NS 0.38 ± 0.23; S 0.50 ± 0.33) reached an almost significant difference (p = 0.05). Smoking did not influence the response to treatment. Multilevel analysis revealed that, only for PDD reductions, the interaction between sites, teeth and patient was significant (p < 0.001). It was concluded that M benefit from an adequate regimen of supragingival biofilm control; therefore, supragingival condition should be considered in the prognosis of molar teeth.

Ensaio sobre a cegueira, de José Saramago, e a experiência pós-moderna da verdade

Pós-graduação em Estudos Literários - FCLAR

Vivência comunicativa do enfermeiro com pacientes e familiares de unidades críticas: do discurso à prática

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Um estudo sobre a teoria da angústia na obra de Sigmund Freud: caminhos de construção e de descoberta

Pós-graduação em Psicologia - FCLAS

Fantasias inconsciente de gestantes portadoras de hipertensão arterial crônica por meio da técnica do desenho-estória

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)