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ResumoObjetivosDescrever o caso clínico de uma criança que apresenta comportamento agressivo e fala recorrente do tema de morte, e relatar a experiência da equipe de autores na proposição de uma alternativa à medicalização por meio da formação de uma Rede de Proteção e da aplicação Intersetorial do conceito de Círculo de Segurança da Criança.Descrição do casoCriança de 5 anos apresenta comportamento violento e agressivo na creche que frequenta. Foi diagnosticado pelo Centro de Saúde com Transtorno Depressivo e Transtorno de Conduta, sendo medicado com Sertralina e Risperidona. Apresentou efeitos colaterais, interrompendo o uso das medicações. Apesar de ações como conversas, trabalho em grupos, acompanhamento psicológico e psiquiátrico, a criança manteve esse comportamento.ComentáriosFoi desenvolvido um Projeto Terapêutico Singular por alunos do curso de Medicina da Universidade Estadual de Campinas (UNICAMP), com o objetivo de criar um vínculo entre as instituições responsáveis pelo cuidado da criança (Creche, Centro de Saúde e família), o que possibilitou o desenvolvimento de uma rede de proteção para o cuidado na Atenção Básica. A aplicação intersetorial do Círculo de Segurança, assim como a comunicação e a colaboração entre as equipes, mostrou resultados muito positivos neste caso, configurando-se como uma alternativa acessível e eficaz à Medicalização da criança.AbstractObjectivesTo describe the clinical history of a child with aggressive behavior and recurring death-theme speech, and report the experience of the team of authors, who proposed an alternative to medication through the establishment of a protection network and the inter-sector implementation of the circle of security concept.Case descriptionA 5-year-old child has a violent and aggressive behavior at the day-care. The child was diagnosed by the healthcare center with depressive disorder and behavioral disorder, and was medicated with sertraline and risperidone. Side effects were observed, and the medications were discontinued. Despite several actions, such as talks, teamwork, psychological and psychiatric follow-up, the child's behavior remained unchanged.RemarksA unique therapeutic project was developed by Universidade Estadual de Campinas’ Medical School students in order to establish a connection between the entities responsible for the child's care (daycare center, healthcare center, and family). Thus, the team was able to develop a basic care protection network. The implementation of the inter-sector circle of security, as well as the communication and cooperation among the teams, produced very favorable results in this case. This initiative was shown to be a feasible and effective alternative to the use of medication for this child.

Objective: To analyze the applicability of Body Knowledge dynamics in sensitizing children, through the expression of their experiences, to the practice of self-care. Methods: This descriptive and analytical study was conducted in May and June 2013 with six diabetic school-aged children attending the outpatient clinic of a referral hospital in Fortaleza, CE, Brazil. Results: The dynamics promoted a relaxed environment conducive to the expression of feelings and the reporting of basic care provided for diabetes. Sensitization was permeated with reflections upon the onset of the disease and current time. Thus, the children shared with their peers the need for care actions and learning concerning metabolic control. Conclusion: The application of Body Knowledge dynamics favored the development of educational activities with the participation of children, which promoted learning regarding self-care.

It is well known that the numerical solutions of incompressible viscous flows are of great importance in Fluid Dynamics. The graphics output capabilities of their computational codes have revolutionized the communication of ideas to the non-specialist public. In general those codes include, in their hydrodynamic features, the visualization of flow streamlines - essentially a form of contour plot showing the line patterns of the flow - and the magnitudes and orientations of their velocity vectors. However, the standard finite element formulation to compute streamlines suffers from the disadvantage of requiring the determination of boundary integrals, leading to cumbersome implementations at the construction of the finite element code. In this article, we introduce an efficient way - via an alternative variational formulation - to determine the streamlines for fluid flows, which does not need the computation of contour integrals. In order to illustrate the good performance of the alternative formulation proposed, we capture the streamlines of three viscous models: Stokes, Navier-Stokes and Viscoelastic flows.

We report on a 9-year-old female patient who had bilateral severe visual loss and was treated with oral corticosteroids. Visual improvement occurred in one eye. Nine years later she presented relapse of visual loss in her only seeing eye. Pulse corticosteroid therapy resulted in dramatic visual improvement followed, however, by progressive and complete visual loss as soon as the corticosteroid was tapered. Repeat treatment did not result in visual improvement. Clinical and laboratory investigation failed to find a systemic disease but the patient had positive antinuclear (1/640), anti-Ro and anti-La antibodies. Autoimmune optic neuropathy is a rare condition that may mimic an idiopathic optic neuritis and is characterized by acute visual loss, without systemic disease but with laboratory evidence of an autoimmune disorder, usually a positive ANA. A skin biopsy usually shows evidence of vasculitis. This condition should be treated aggressively, with corticosteroids and immunosuppressant, since the visual involvement is usually worse than that of idiopathic/desmyelinating optic neuritis.

Com o objetivo de detectar grupos tróficos, foram analisadas amostras de conteúdos estomacais de sete espécies de peixes cartilaginosos. Os exemplares foram coletados no período de Outubro/85 a Julho/87 na plataforma interna de Ubatuba, SP, Brasil (da costa, até a isóbata de 50 m). A importância dos itens alimentares foi analisada através da freqüência numérica (FN) e da freqüência de ocorrência (FO). As espécies foram agrupadas em três grupos distintos: Piscívoros: Squalus cubensis; comedores de peixes e crustáceos bentônicos: Raja castelnaui, Raja cyclophora, Raja agassizi; comedores de invertebrados bentônicos: Psammobatis glansdissimilis, Rhinobatos horkelii, Zapteryx brevirostris.