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This paper questions the impact of digitalization on the labour market, both regarding supply and demand, aiming to investigate what the role of collective bargaining should be at different levels, in order to exploit the potential and minimize the risks of digitalization.

The growing number of the elderly and their potential use of technological products requires understanding the interaction between these users and technology to develop appropriate products that include them. Accordingly, this article focuses on studying the interaction between older people and digital games to provide strategies for digital game developers to create inclusive games for these users. Thus, usability and user experience evaluation sessions were performed to achieve these objectives, and the older generation's acceptance of technology during interaction with digital games was verified. The data collection methods were observation and the application of questionnaires, one before the tests to evaluate the profile of the public and another afterward to assess usability, experience and technology acceptance. The test was applied to 36 people aged 60 and over. The results showed that the elderly prefer mobile devices and use them more often. Despite their lack of experience with digital games, the test participants had a good experience, even with difficulties such as game time management and perception of screen elements.

Insomnia is a highly prevalent sleep disorder, but its first line of treatment (Cognitive Behavioral Therapy for Insomnia - CBTi) is not widely available and affordable. Digital therapy has been an alternative to these limitations and its combination with pharmacological treatment may improve patients' clinical outcomes and therapy adherence. This was a real-world evidence study aimed to evaluate the efficacy of a CBTi smartphone app combined or not with sleep medication, based on a sample of users of a CBTi smartphone app (SleepUp®) registered between June 2020 and June 2022. Individuals were categorized into two groups (“dCBTi alone” and “dCBTi combined”) according to their self-reported use of sleep medication on the first day of treatment. Assessments were made based on the self-report of sleep logs (sleep quality and efficiency) and on insomnia severity (Insomnia Severity Index). Comparisons were made considering the first entry (baseline) and the mean of the last three days in which sleep logs were filled out (final). The final samples comprised 143 individuals: 73 (51%) reported using sleep medication at baseline, while 70 (49%) did not. In both groups, there was an improvement in sleep quality, (p

Objetivo: realizar a adaptação cultural e a equivalência semântica do Incivility in Nursing Education - Revised Survey para a cultura brasileira. Método: pesquisa metodológica, realizada em uma escola de enfermagem paulista, constou das seguintes etapas: tradução, síntese das traduções, retro tradução, análise por comitê de especialistas, teste na população-alvo e apresentação da versão final à autora. A avaliação semântica para o idioma português do Brasil com a população-alvo seguiu o método DISABKIDS® adaptado para o Brasil pelo Grupo de Pesquisa sobre Medidas em Saúde-CNPq. Resultados: obteve-se uma versão traduzida com poucas divergências da versão original; a equivalência semântica apontou poucos itens de dificuldade e as sugestões dos 21 estudantes de enfermagem que participaram dessa etapa foram essenciais para ajustes em três itens. A versão brasileira composta de 24 itens referentes a comportamentos de estudantes e outros 24 de professores, representando alto e baixo níveis de incivilidade, bem como, questões de múltipla escolha e descritivas para caracterização do fenômeno na instituição e de alternativas de enfrenta-lo, apresenta grande similaridade à versão original e foi aprovada pela autora original. Conclusão: o processo de adaptação à cultura brasileira e a equivalência semântica foram concluídos satisfatoriamente, resultando em uma versão em condições de ser submetida à análise de propriedades psicométricas e de contribuir para identificação e manejo do fenômeno incivilidade nas instituições brasileiras de ensino de enfermagem.

Objetivo: avaliar o efeito de uma capacitação que associa abordagem teórica com simulação clínica em reanimação cardiopulmonar no conhecimento, satisfação e autoconfiança na aprendizagem de enfermeiros. Métodos: estudo quase-experimental, realizado com enfermeiros de um hospital terciário, por meio de capacitação teórica e simulação clínica de reanimação cardiopulmonar. Antes e após a capacitação foram aplicados questionários; a Escala de Satisfação do Estudante e Autoconfiança na Aprendizagem foi aplicada após a capacitação. Resultados: participaram 31 enfermeiros, 90,32% eram do sexo feminino, com média de idade de 33,93 anos (DP = 9,02). A média de acertos no questionário pré-teste foi 8,90 (DP ± 1,95) e a média de acertos pós-teste foi de 11,58 (DP ± 1,26; p < 0,001). Quanto à satisfação e autoconfiança a média geral foi 4,51 (DP ± 0,10). Conclusão: a intervenção educativa utilizada para capacitação, que associa abordagem teórica e simulação clínica em reanimação cardiopulmonar promove melhora do conhecimento dos enfermeiros em suporte básico e avançado de vida, satisfação e autoconfiança na aprendizagem.

Relatar a experiência da atuação de três enfermeiras na orientação de onze acadêmicos bolsistas multiprofissionais em um programa de telessaúde de enfrentamento a COVID-19 no estado do Paraná. A interação se deu totalmente de forma online e ocorreu no período de março a maio de 2020. Os resultados evidenciaram que a telessaúde é uma estratégia inovadora em saúde que contribuiu para a evitabilidade de deslocamento de usuários à procura direta dos serviços de saúde durante a pandemia. Na ótica das orientadoras, os acadêmicos apresentaram fragilidades para o telemonitoramento da COVID-19 e a educação permanente em saúde. A experiência teve a intenção de partilhar a inovação no atendimento multiprofissional da telessaúde no enfrentamento do novo coronavírus e se apresenta como uma inovadora ferramenta tecnológica frente às diversas áreas da saúde.

Abstract This systematic review and meta-analysis of randomized controlled trials tested the effects of home-based, supervised, or mixed exercise interventions on the functional capacity (FC) and quality of life (QoL) in colorectal cancer patients. A literature search was performed using the PubMed, Embase, Cochrane, and Medline databases. Two reviewers screened the literature through March 10, 2021 for studies related to exercise and colorectal cancer. Of the 1161 screened studies in the initial search, 13 studies met the eligibility criteria (home-based = 6 studies; supervised or mixed = 7 studies). Overall, 706 patients were enrolled in the trials, and 372 patients were submitted to home-based, supervised, or mixed exercise intervention. The overall results from the main meta-analysis showed a significant effect regarding supervised or mixed intervention (6 studies; p = 0.002; I2 = 43%; PI 0.41–1.39); however, no significant effect was observed for home-based intervention (5 studies; p = 0.05; I2 = 25%; PI − 0.34–0.76). A sensitivity analysis based on studies with intervention adherence ≥ 80% (home-based = 3 studies; supervised or mixed = 4 studies) revealed that home-based intervention or intervention entirely supervised or with some level of supervision (mixed) are effective in improving the QoL and FC of CRC patients. In summary, this meta-analysis verified that supervised and home-based exercise can modify QoL and FC when intervention adherence ≥ 80%. Regardless of the supervision characteristics, future RCTs are strongly encouraged to provide a detailed description of the exercise variables in physical interventions for CRC prescription. This perspective will allow a refined exercise prescription for patients with CRC, mainly according to their clinical status.

Virtual synchronous generators (VSGs) are one of the most relevant solutions to integrate renewable energy in weak grids and microgrids. They indeed provide inverters characteristics of rotating machines (inertia for instance) that are useful for stabilizing the system, notably in the context of the high variability of the production. Thanks to the virtual characteristics of the VSG, the virtual parameters of the emulated synchronous machine can be optimally adapted online as a function of the electric environment of the inverter. We call that inverter’s control a polymorphic VSG. The online adaptation of the critical control parameters of the VSG helps reduce the risk of deterioration of the inverter’s constituents that might be induced by harsh events (frequent in weak grids) but, more importantly, improves the robustness of the system. In this paper, four implementations of a polymorphic VSG controller are compared on a simple microgrid study case to a complete VSG model. For the test, polymorphic VSGs have to minimize frequency and voltage oscillations while withstanding short circuits, which is typically a requirement for units in this context. One of the controls is based on recurrent optimization over a prediction time horizon, and two sub-optimal ones target practical implementation in industrial inverters with limited computational power. Results show a clear reduction in incidents in the microgrid thanks to the controllers. The error reduction with the complete polymorphic VSG is up to 100% for the voltage, 32% for the currents, and 79% for the duty ratio. Those values are decreased by 30 to 50% with the sub-optimal controllers but for a reduction in the computational burden of more than 97%. Recommendations are proposed for the development of an auto-adaptive polymorphic VSG from a high technology-readiness-level perspective, i.e., targeting a compromise between error reduction and computational burden.

Abstract This study proposes an approach for finding the optimal size of a high‐speed flywheel in an energy storage system based on battery‐flywheel cooperation, called battery‐flywheel energy storage system (BFESS), supplying an electric vehicle. Considering an energy‐based model for the flywheel and battery, including the losses, the optimal control theory is utilised as a two‐dimensional Pontryagin's minimum principle for solving the problem. The objective function of the flywheel sizing problem includes two terms, in which its maximum interaction with the system from the energy and filtering aspects are taken into consideration by a desirable weighting. While energy interaction is a common task, filtering the fast dynamics of the system such as the harsh conditions for the battery is the key role of the considered lightweight and high‐speed flywheel. A trade‐off between the energy contribution and filtering is made, targetted for the long‐term and short‐term dynamics in the drive cycles, respectively. The proposed methodology is presented in detail using some simple dynamics. Also, the sizing is carried out for the ECE‐15 urban drive cycle, the WLTC class‐3 and FTP‐75 drive cycles. The results confirm that by using the determined optimal size of the flywheel energy storage system (FESS), most of the dynamics could be handled from the filtering and energy interaction aspects.

The contribution investigates the need to provide an efficient system of active labour market policies for the autonomous workers too, and despite their heterogeneity, in order to give them the adequate support to stay and to overcome transitions in the labour market.

Although the link between sleep and hematological parameters is well-described, it is unclear how this integration affects the swimmer’s performance. The parameters derived from the non-invasive critical velocity protocol have been extensively used to evaluate these athletes, especially the aerobic capacity (critical velocity—CV) and the anaerobic work capacity (AWC). Thus, this study applied the complex network model to verify the influence of sleep and hematological variables on the CV and AWC of young swimmers. Thirty-eight swimmers (male, n = 20; female, n = 18) completed five experimental evaluations. Initially, the athletes attended the laboratory facilities for venous blood collection, anthropometric measurements, and application of sleep questionnaires. Over the 4 subsequent days, athletes performed randomized maximal efforts on distances of 100, 200, 400, and 800-m. The aerobic and anerobic parameters were determined by linear function between distance vs. time, where CV relates to the slope of regression and AWC to y-intercept. Weighted but untargeted networks were generated based on significant (p < 0.05) correlations among variables regardless of the correlation coefficient. Betweenness and eigenvector metrics were used to highlight the more important nodes inside the complex network. Regardless of the centrality metric, basophils and red blood cells appeared as influential nodes in the networks with AWC or CV as targets. The role of other hematologic components was also revealed in these metrics, along with sleep total time. Overall, these results trigger new discussion on the influence of sleep and hematologic profile on the swimmer’s performance, and the relationships presented by this targeted complex network can be an important tool throughout the athlete’s development.

The aim of the present study, starting from the renewed centrality of Article 35 of the Constitution postulating the protection of the work in all its forms and applications, is to investigate the possible (and necessary) extension of Article 36 of the Constitution to the area of self-employment. Through the review of jurisprudential interpretations and the legislative developments, the paper intends to find a point of synthesis that allows for the extensive application of the principle of fair pay to all personal work in favor of others.

Justificativa e Objetivos: as infecções relacionadas à assistência à saúde aumentaram gradativamente nos últimos anos e sua ocorrência em unidades de terapia intensiva é maior que em outras internações hospitalares. Para desenvolver e aplicar medidas preventivas é necessário primeiramente conhecer as características da população atendida e das infecções; assim o objetivo foi caracterizar as infecções relacionadas à assistência à saúde nos pacientes internados em Unidade de Terapia Intensiva Adulto em 2019. Métodos: estudo quantitativo, descritivo, retrospectivo realizado em Unidade de Terapia Intensiva Adulto de um hospital de referência, regional e terciário no interior do estado de São Paulo. Foram incluídos dados de pacientes maiores de 18 anos que estiveram internados nas Unidades de Terapia Intensiva Adulto do referido hospital, com diagnóstico confirmado de infecções relacionadas à assistência à saúde em 2019. Os dados foram analisados por meio de estatística descritiva, teste t de student para as variáveis quantitativas e Qui-quadrado de Pearson para as categóricas. O trabalho foi aprovado com dispensa do Termo de Consentimento Livre e Esclarecido (Tcle) pelo Comitê de Ética em Pesquisa com Seres Humanos. Resultados: a média de idade dos participantes foi de 55,6 anos (desvio padrão 19,7) com acometimento maior no sexo masculino (64%) e com comorbidades (72%), sendo hipertensão arterial sistêmica a mais prevalente (43%). Quanto aos procedimentos e dispositivos, a maioria estava em ventilação mecânica (87%), sedado (77%), em uso de sonda vesical de demora (96%) e com cateter venoso central (94%). O microrganismo isolado com maior incidência foi Klebsiella Pneumoniae (9%). O antibiótico mais utilizado para combater os microrganismos foi Vancomicina (66%). Como desfecho, 47% dos pacientes tiveram alta e 53% evoluíram para o óbito. Conclusão: Dentre as infecções analisadas, o microrganismo mais prevalente foi a Klebsiella Pneumoniae e as infecções do trato respiratório foram as mais prevalentes; a idade foi a única variável relacionada ao desfecho.

Introdução: A Unidade de Terapia Intensiva é a unidade mais complexa de um hospital e com a pandemia da COVID19, os pacientes demandaram um cuidado de enfermagem ainda maior. Neste aspecto, é importante os gestores entenderem e avaliarem a carga de trabalho da enfermagem, por meio de escalas, dentre elas a Nursing Activities Score (NAS), que pode mensurar e auxiliar na distribuição dos profissionais entre os setores. A escala de NAS é um instrumento sensível e promissor que dimensiona a carga de trabalho da equipe de enfermagem em UTI, possibilita a identificação do tempo de assistência de enfermagem dispensado aos pacientes internados nestas unidades, subsidiando, desta forma, o cálculo e a distribuição dos profissionais de enfermagem. Objetivo: Avaliar a aplicação da Escala NAS ao paciente crítico com suspeita ou confirmado de COVID-19 na Unidade de Terapia Intensiva em um Hospital Universitário. Método: Estudo quantitativo, transversal e descritivo, realizado em março a agosto de 2020 em uma UTI COVID19 em um Hospital Universitário do Paraná, a amostra foi constituída de 251 pacientes, as variáveis foram analisadas pelo software Statistical Package for the Social Sciences (SPSS), versão 22.0, de forma estatística descritivas com frequência absoluta e relativas. Resultados: O score mínimo apresentado foi de 4,5, o maior foi de 114,4. A média das médias do NAS foi de 82,01. A idade apresentou média de 61 anos, houve a predominância do sexo masculino (n=147; 58,57%). Do total, 148 (58,96%) pacientes obtiveram alta e 103 (41,04%) entraram em óbito. Em relação as comorbidades, 210 pacientes (83,67%) tinham alguma morbidade; Insuficiência Renal Aguda (p=0,0589). A média de internação foi de 9,33 dias (p=0.0254). Em relação aos dias de internamento entre o 7º ao 15º foram o que obtiveram relevância estatística na aplicação da escala NAS, com uma pontuação média de 83,88 com valor de p=0.0339. Conclusão: A carga de trabalho de enfermagem, avaliada por meio do NAS em pacientes COVID-19 é alta, nos primeiros 6 dias de internação a média foi de 80,51 pontos que repercutem em 19,32 horas/assistência, no entanto a significância estatística foi encontrada do 7º ao 15º dia de internação com média de pontos de 83,88, o que repercute em 20,13 horas ininterruptas de assistência neste período. Pacientes idosos, do sexo masculino e com doenças de bases associadas predominaram na análise deste estudo. Este estudo tem algumas limitações. Seria interessante repetir este estudo com mais pacientes e mais UTIs para melhorar a representatividade e o poder estatístico.

Three synchronous machine models representing three precision levels (complete, reduced and static), implemented in a virtual synchronous generator (VSG)-based industrial inverter, are compared and discussed to propose a set of tests for a possible standardization of VSG-based inverters and to ensure their “grid-friendly” operation in the context of isolated microgrids. The models and their implementation in the microcontroller of an industrial inverter (with the local control) are discussed, including the usability of the implementation with large-scale developments constraints in mind. The comparison is conducted based on existing standards (for synchronous machines and diesel generators) in order to determine their needed evolution, to define the requirements for future grid-friendly inverter-based generators, notably implementing a VSG solution.

O processo de pesquisa de uma tese de doutorado demanda esforços significativos por parte do pesquisador, que precisa aplicar seus conhecimentos com criatividade, inovação e sistematização, ponto crucial da ciência. De outro lado, o objeto de estudo deve instigá-lo a ampliar seu campo de análise e também, de percepção. Isso se conquista, dentre outras possibilidades, com o envolvimento da comunidade na investigação, em sua participação ativa e, por meio de incursões profundas acerca do fenômeno social analisado. Por fim, sustenta-se e reafirma-se o papel proeminente da academia, que é contribuir para a qualidade de vida das pessoas, e por isso, todo conhecimento gerado com sua participação deve, involuntariamente, retornar na forma de diagnóstico, soluções e co-criações. É o que se apresenta neste relato de experiência.

Objective: to assess the quality of life of cancer patients undergoing chemotherapy. Methods: a cross-sectional study carried out in the chemotherapy sector with 51 patients able to answer the data collection instruments. For the analyses, we adopted the variance analysis and Student’s t. Results: the health score indicated moderate quality of life and the symptoms nausea and vomiting, diarrhea, and dyspnea were the most present. The scores of the global health scale showed differences between age groups and presence of metastasis; diarrhea and financial difficulties showed differences with respect to gender; pain was more cited by those who did not undergo surgery; insomnia and nausea and vomiting were related to the time of treatment. Conclusion: participants had moderate overall health scores and the main functional levels affected by the treatment were social and emotional.

A Hemiplegia Alternante da Infância é um distúrbio neurológico grave e uma doença rara (1 em cada 100.000 recém-nascidos), caracterizado por ataques repetidos transitórios de hemiplegia episódica ou tetraplegia que podem durar minutos a horas, acompanhados por outros sintomas paroxísticos como anormalidades oculomotoras e autonômicas, distúrbios do movimento como ataxia, comprometimento cognitivo progressivo, convulsões, distonia e coreia. Os tratamentos atuais são amplamente sintomáticos. Neste relato de caso, apresentamos paciente do sexo feminino, 18 anos, na qual aos 10 meses apresentou o primeiro episódio aparente de crise convulsiva com versão ocular. O eletroencefalograma e tomografia computadorizada não revelaram anormalidades e foram administradas diversas medicações como fenobarbital, carbamazepina, valproato de sódio, topiramato, dicloridrato de flunarizina, clonazepam, cipro-heptadina e pizotifeno, todos sem resultado. Devidos aos sintomas extrapiramidais, paciente passou a utilizar biperideno, apresentando não só melhora da distonia, mas também no número de crises hemiplégicas. Aos 13 anos, ela foi diagnosticada com Hemiplegia Alternante da Infância na mutação patogênica missense de novo c.2415CG (p.Asp805Glu) no gene ATP1A3 apresentando boa resposta ao tratamento com cloridrato de biperideno.

This study aimed to systematically review studies that evaluated and compared mechanical, physiological, and technical parameters with the performance of slalom athletes. PubMed, SPORTDiscuss, and Scopus databases were searched until September 10, 2021, with no restriction of published data. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided the study's screening and quality assessment performed by an external reviewer using a 16-checklist item. A search of the databases identified 125 studies, but only eight were eligible, including a total sample of 117 male athletes. Four reports only associated mechanical or technical parameters with the performance of the paddler. Concerning the remaining studies, only one correlated physiological data, and the others associated more than one parameter with race time. Most of the eligible reports presented significant associations between mechanical/physiological components and slalom performance. Eligible studies support that high-force development during a slalom race is a relevant parameter for performance. Aerobic metabolism is highly required during slalom tasks and is inversely associated with race time, although it may not increase the chances of winning medals. Few reports have associated canoe slalom performance with technical components, and further research should focus on this matter.

ABSTRACT Objectives: to analyze the coping of individuals in social isolation due to suspicion or confirmation of coronavirus infection from the perspective of Hildegard Peplau’s Theory of Interpersonal Relations. Methods: this is a qualitative, descriptive research, carried out with 34 individuals in social isolation due to suspicion or confirmation of coronavirus infection who passed through a screening tent of a university hospital in Paraná. Data were collected through semi-structured interviews in June and July 2020. Empirical categories were interpreted by content analysis. Results: four categories emerged: Distance; Social and emotional support; Self-awareness and resolution; Learning. These categories established the coping strategies. Conclusions: individuals undergoing social isolation are more likely to present problems related to mental health. It was highlighted that coping strategies, motivated by nurses, anchored in Hildegard Peplau’s theoretical framework, promoted the necessary learning for promoting participants’ mental health in the face of a pandemic context.

Abstract Background and Aims Previous research has investigated the impact of diet on cognition, but the focus has often been on general cognition. This paper reports on a preregistered cross‐sectional study aimed at testing for specific executive function differences across individuals who self‐reported one of four distinct dietary patterns: No Diet, No Sugar, Vegetarian, or Mediterranean Diet pattern. Our hypotheses were aimed at testing whether adherence to a specialty diet improved decision making relative to those who reported following No Diet. Methods We administered an incentivized Bayesian choice task to all participants. The task involved multiple components of information—existing information (base rate odds) as well as new information (sample draw evidence)—to allow a test of how these information components were used in making probability assessments, and how this may differ by self‐reported dietary pattern. Sample size, hypotheses, and analysis plans were all determined ex ante and registered on the Open Science Framework. Multi‐variate linear and non‐linear estimation methods were used to analyze the data. Results Our data failed to support our pre‐registered hypotheses. In fact, we found some evidence that self‐reported adherence to a specialty No Sugar Diet was associated with a reduced decision accuracy and was connected to an increased imbalance in how the participant weighted the two available sources of information when making choices. Conclusion Our results suggest that decision making is nuanced among dietary groups, but that short‐term incentivized decisions in an ecologically valid field setting are likely not improved solely by following promoted dietary patterns such as the Mediterranean or Vegetarian diets.

Background: The growing awareness for the high prevalence of obstructive sleep apnea (OSA) coupled with the dramatic proportion of undiagnosed individuals motivates the elaboration of a simple but accurate screening test. This study assesses, for the first time, the performance of oximetry combined with demographic information as a screening tool for identifying OSA in a representative (i.e. non-referred) population sample. Methods: A polysomnography (PSG) clinical database of 887 individuals from a representative population sample of São Paulo's city (Brazil) was used. Using features derived from the oxygen saturation signal during sleep periods and demographic information, a logistic regression model (termed OxyDOSA) was trained to distinguish between non-OSA and OSA individuals (mild, moderate, and severe). The OxyDOSA model performance was assessed against the PSG-based diagnosis of OSA (AASM 2017) and compared to the NoSAS and STOP-BANG questionnaires. Findings: The OxyDOSA model had mean AUROC = 0.94 ± 0.02, Se = 0.87 ± 0.04 and Sp = 0.85 ± 0.03. In particular, it did not miss any of the 75 severe OSA individuals. In comparison, the NoSAS questionnaire had AUROC = 0.83 ± 0.03, and missed 23/75 severe OSA individuals. The STOP-BANG had AUROC = 0.77 ± 0.04 and missed 14/75 severe OSA individuals. Interpretation: We provide strong evidence on a representative population sample that oximetry biomarkers combined with few demographic information, the OxyDOSA model, is an effective screening tool for OSA. Our results suggest that sleep questionnaires should be used with caution for OSA screening as they fail to identify many moderate and even some severe cases. The OxyDOSA model will need to be further validated on data recorded using overnight portable oximetry. Keywords: Obstructive sleep apnea screening, Oxygen saturation, Sleep questionnaires, Machine learning

O objetivo deste artigo é discutir de que maneira os estudantes de cursos superiores em Tecnologia da Informação se apropriam da Internet como meio de interação e comunicação digital para desenvolver a língua inglesa, bem como apresentar algumas possibilidades de aprendizagem de inglês no contexto informal, com foco nos jogos digitais. Os resultados revelaram que filmes, séries, músicas são os conteúdos virtuais mais acessados e contribuem para a aprendizagem da língua inglesa. Os jogos do gênero estratégia, aventura, ação e MMORPGs (Massive Multiplayer Online Role Playing Games) são destacados pelos participantes como ferramentas de aprendizagem, em virtude da ampla possibilidade de interação entre os participantes, agência e desafios.

A 3-year field trial examined in a long-term no-till system the effects of surface-applied lime and N application on soil chemical attributes, grain yield and Mn contents in the leaf and grain of corn (Zea mays L.) and soybean [Glycine max (L.) Merr.] on a loamy, kaolinitic, thermic Typic Hapludox in Parana State, Brazil. The treatments consisted of dolomitic lime broadcast on the soil surface at 0, 4, 8, and 12 t/ha, in the main plots, and N application at 0, 60, 120, and 180 kg/ha, in the subplots. Nitrogen was applied as N-NH4NO3 in top dressing on the black oat (Avena strigosa Schreb) crop during the autumn–winter seasons before growing corn or soybean during the spring–summer seasons. Surface liming increased soil pH and the content of exchangeable Ca, and decreased the exchangeable Al level at topsoil. Acidification in the topsoil was caused by N-NH4NO3 application. Higher acidification was observed with N application in the no-lime plots. Grain yields of corn and soybean were not influenced by liming. Application of N-NH4NO3 on the black oat crop has low residual effect on grain yields of corn and soybean. Liming decreased Mn content in corn leaf and soybean leaf and grain. Nitrogen application increased Mn content in corn and soybean leaf and grain. Surface lime and N-NH4NO3 applications at higher rates did not cause Mn deficiency or toxicity in the no-till corn and soybean crops with a sufficient level of Mn (DTPA-TEA) in the topsoil.

RESUMO Objetivo: elaborar e validar material educativo escrito e ilustrativo para homens em uso de cateter urinário de demora no ambiente domiciliar. Material e Método: letramento em saúde, educação em saúde, modelos de validação de conteúdo diagnóstico de Enfermagem e Suitability Assessment of Educational Materials (SAM) foram referenciais teóricos e metodológicos utilizados. Resultados e discussão: realizaram-se a validação de conteúdo e aparência do material com base na avaliação de 30 peritos. Quanto ao conteúdo, todas as orientações foram validadas com escore final igual ou superior a 0,80. A aparência foi avaliada positivamente em todos os itens por 89,7% dos peritos. As sugestões contribuíram sobremaneira para melhor qualidade do material. Conclusão: considera-se que a validação de conteúdo e aparência com base nos referenciais utilizados pode contribuir como método de validação de materiais educativos em saúde

A avaliação dos pacientes com feridas embasa a seleção de intervenções apropriadas; no entanto, a existência de instrumentos com diferentes parâmetros pode dificultar a escolha daquele mais adequado a cada necessidade. O objetivo do estudo foi identificarinstrumentos utilizados e seus respectivos parâmetros para avaliação do processo de cicatrização. Trata-se de uma revisão integrativa, realizada nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde, Cumulattive Index to Nursing and Allied Health Literarure, PubMed, Web of Science e Scopus. Foram considerados 35 estudos; o instrumento mais utilizado foi o PUSH, seguido da BWAT, DESING e DESIGN-R. As características mais avaliadas foram tamanho (área, volume, profundidade), exsudato, tipo de tecido, sinais de infecção ou inflamação. Os instrumentos evidenciaram a complexidade do processo de cicatrização e de sua avaliação, assim, o estudo contribui para embasar a escolha do melhor instrumento para cada necessidade.

ABSTRACT Objective: to evaluate the safety of a topical formulation containing chamomile microparticles coated with chitosan in the skin of healthy participants. Method: phase I blind, controlled, non-randomized, single-dose clinical trial with control for skin, base formulation, and formulation with microparticles. The variables analyzed were irritation and hydration by the Wilcoxon and Kruskall-Wallis tests. Results: the study started with 35 participants with a mean age of 26.3 years. Of these, 30 (85.71%) were female, 29 (82.90%) were white skinned and 32 (91.40%) had no previous pathologies. One participant was removed from the study reporting erythema at the site of application, and four other participants for not attending the last evaluation. In the 30 participants who completed the study, the tested formulation did not cause erythema, peeling, burning, pruritus or pain; there was an improvement in cutaneous hydration in the site of application of the formulation with microparticles. In the evaluation of the barrier function, there was an increase in transepidermal water loss in all sites. Conclusion: the formulation with chamomile microparticles is safe for topical use, not causing irritation and improving skin hydration over four weeks of use. Its effects on barrier function need further investigation. No. RBR-3h78kz in the Brazilian Registry of Clinical Trials (ReBEC).

O compositor italiano Carlo Gesualdo dedicou parte considerável de sua obra ao gênero do madrigal italiano. Em seus seis livros que contém, juntos, 125 madrigais, temos como principal fonte de informações expressivas a intrínseca relação entre a concepção musical e o significado dos textos. Mesmo sendo uma característica comum ao período, na obra de Gesualdo esta relação apresenta elementos peculiares, como o crescente processo de manipulação textual efetuado pelo compositor. Ao longo da obra, Gesualdo passa a alterar cada vez mais estes textos a ponto de assumir para si a escrita dos poemas nos últimos livros. Comparando estas alterações que o compositor efetuava nos primeiros livros com os textos finais atribuídos a ele, foi possível estabelecer um conjunto de características que indicam suas predileções, aqui chamadas de ideal poético. Observando este processo de amadurecimento de sua escrita, nos deparamos com o madrigal Luci serene e chiare, que por sua posição central e características únicas, torna-se um importante parâmetro para a caracterização deste ideal. A partir destes pressupostos, este artigo descreveu as quatro principais características do ideal poético de Carlo Gesualdo utilizando este madrigal como referência, o que possibilitou comprovar a existência destas predileções, bem como sua relevante aproximação com o poema do madrigal Luci serene e chiare.

Resumo:A escrita musical do compositor Carlo Gesualdo transforma-se ao longo de seus seis livros de madrigais. Enquanto nos aspectos que integram os dois primeiros livros encontramos principalmente características da tradição polifônica do Renascimento, nos madrigais dos terceiro e quarto livros predomina o experimentalismo harmônico, ao passo que nos dois últimos há maior ocorrência dos procedimentos tipicamente associados ao compositor maduro - a escrita cromática e dissonante. O principal elemento que faz a ligação desta escrita ao longo das três fases é a relação entre a música e o texto. Observando o tratamento que o compositor fez em relação a dois termos recorrentes nos madrigais - as palavras amor e morte -, em obras de diferentes fases, foi possível constatar o estreitamento desta relação textual da música, bem como suas implicações no resultado sonoro final. Na primeira fase, Gesualdo utilizava os procedimentos mais comuns na escrita musical para ressaltar estes termos, como a escrita contrapontística, contrastando com a escrita homofônica. Nas fases seguintes, ele passou a procurar elementos musicais mais sofisticados que permitissem explorar diferentes sonoridades. Por meio deste processo, o compositor destacou, de forma mais contundente, palavras e narrações dos poemas, recorrendo principalmente a resultantes harmônicas incomuns e a falsas relações melódicas. A análise do uso destes termos ao longo da obra demonstrou o aprofundamento da expressividade e o amadurecimento dos procedimentos musicais utilizados pelo compositor.

The article focuses on the study of the mechanism of metaphorization of flower vocabulary in the Russian and Italian languages. The denominations of flowers are motivated by semantic and word-formative processes: the inner form of these phytonyms may be pronounced or unclear. In certain cases the process of semantic derivation does not stop and develops a system of flower metaphors. The article analyzes the correlation between the original meaning of phytonymic denominations and their later one as formed in the metaphoric process: the metaphor may develop meanings already present in the first denomination, or it may rely on other features. The choice of the bases of methaphorization is important to understand the specificity of different metaphoric pictures of the world.

Introduction: The Acquired Immunodeficiency Syndrome (AIDS) is an infectious disease that causes extensive damage to the population. Objective: To evaluate the epidemiological profile of AIDS in adults in the state of Bahia. Methods: An exploratory and ecological study of time series was conducted with data provided by the Departamento de Informática do Sistema Único de Saúde (DATASUS) from 1984 to 2013. Results: 24,213 cases of AIDS were diagnosed in adults with informed sex. Of this total, 15,261 (63%) were male, but there was a trend of epidemic growth in the female population over time, with a decrease in the sex ratio. The number of registered cases increased from 1990 to 1995 for both sexes. As for the exposure category, a change in the patient profile was revealed during the diagnostic periods. However, there was a predominance of sexual transmission, corresponding to 53.8% (13,017) of the cases diagnosed during the whole period with reported exposure category. Of the total cases, 8,918 (36.8%) corresponded to the heterosexual transmission via. Conclusion: The demonstration of the heterosexualization and feminization phenomena of the AIDS epidemic in Bahia shows the need for controlling measures such as educational campaigns including prevention, diagnosis and assistance to stop the epidemic. It is worth mentioning the need to improve epidemiological surveillance actions due to the large number of ignored information and the need for information qualification that allows the generation of more accurate data. However, the data obtained allow us to know the profile of the epidemic and its specificity.

National surveys are relevant for the study of sleep epidemiology since they can provide specific data about sleep in large dimension with important implications for the health system. Thus, the aim of this study was to investigate the prevalence of sleep complaints among the Brazilian population using a randomized cluster sample according to region and socioeconomic class. For this, a 3-stage sampling technique was used to randomly select Brazilian subjects of both genders older than 16 years. A total of 2017 subjects, from 132 different cities, were selected to estimate prevalence in the Brazilian population with a sampling error of ±2%. Questions about sleep complaints were administered face-to-face by Instituto Datafolha interviewers on April 10 and 16, 2012. Data were expanded using a weighted variable. The results showed that 76% of the study population suffers from at least 1 sleep complaint, indicating that approximately 108 million Brazilians may be affected by sleep disorders. On average, each subject had 1.9 sleep problems with the most common complaints being light and insufficient sleep, snoring, moving a lot during sleep, and insomnia, which usually occurred more than 3 times per week. Low income was associated with higher number of sleep complaints only in Northeast and Southeast regions. In conclusion, this study showed a high prevalence of sleep complaints in a sample of the Brazilian population, suggesting that sleep disorders may be markedly frequent in the Brazilian population with a possible correlation with the socioeconomic situation of the interviewed subjects.