A produção do conhecimento interdisciplinar é pauta central deste trabalho, que traz os desafios da sociedade contemporânea como pano de fundo para um debate sobre a importância do pensamento crítico ...e da educação socioambiental para a formação de um profissional mais completo em contraposição a muitos dos desejos concretos da organização social vigente. Esta comunicação científica desdobra-se dos trabalhos desenvolvidos no GEDGS (Grupo de Estudos em Democracia e Gestão Social) da UNESP a partir da tese e textos de defesa de linha de pesquisa para a obtenção do título de livre-docente em Gestão e Educação Ambiental do Prof. Dr. Nelson Russo de Moraes, na FCE/UNESP, em setembro de 2019. Conclui em defesa de que, independentemente da área de formação, é importante a instrumentalização do pensamento crítico e o amadurecimento de um olhar socioambiental sobre diferentes grupamentos humanos.
PALAVRAS-CHAVE: Educação socioambiental. Gestão social. Formação crítica.
ABSTRACT
The production of interdisciplinary knowledge is the central theme of this work, which brings the challenges of contemporary society as a background for a debate on the importance of critical thinking and socio-environmental education for the formation of a more complete professional in opposition to many of the concrete desires. of the current social organization. This scientific communication unfolds from the works developed at UNESP's GEDGS (Study Group on Democracy and Social Management) from the thesis and texts of defense of the research line to obtain the title of professor in Environmental Management and Education of PhD Nelson Russo de Moraes, FCE / UNESP, September 2019. Concludes in defense that, regardless of the area of formation, the instrumentalization of critical thinking and the maturation of a socio-environmental perspective on different human groups is important.
KEYWORDS: Social and environmental education. Social management. Critical formation.
Online auctions have challenged many assumptions and results from the traditional economic auction theory. Observed bidder behavior in online auctions often deviates from equilibrium strategies ...postulated by economic theory. In this research, we consider an online auction as an information system that provides a long-duration, information-rich, dynamic application environment in which users (bidders) interact with the system in a feedback loop, in what we term reactivity. Bidders react to the observed conditions of the auction and events triggered by actions of other bidders. In this work we propose a new characterization model with the purpose of isolating the segments of the auction in which users react to the auction conditions and events. Through this model, it is possible to enrich the auction characterization. Despite the existence of other bidding characterization models, none of them is enough for understanding the factors that characterize and explain the auction dynamics. We present results which demonstrate the advantages of applying our methodology. The final objective is to gain an understanding of what drives the dynamics of online auctions, the role of reactivity in the auction dynamics, and how the outcome of the auction is affected by the particular dynamics of the system.
In 2005, the combined pulmonary fibrosis and emphysema (CPFE) was first defined as a distinct entity, which comprised centrilobular or paraseptal emphysema in the upper pulmonary lobes, and fibrosis ...in the lower lobes accompanied by reduced diffused capacity of the lungs for carbon monoxide (DLCO). Recently, the fibrosis associated with the connective tissue disease was also included in the diagnosis of CPFE, although the exposure to tobacco, coal, welding, agrochemical compounds, and tire manufacturing are the most frequent causative agents. This entity characteristically presents reduced DLCO with preserved lung volumes and severe pulmonary hypertension, which is not observed in emphysema and fibrosis alone. We present the case of a 63-year-old woman with a history of heavy tobacco smoking abuse, who developed progressive dyspnea, severe pulmonary hypertension, and
over a 2-year period. She attended the emergency facility several times complaining of worsening dyspnea that was treated as decompensate chronic obstructive pulmonary disease (COPD). The imaging examination showed paraseptal emphysema in the upper pulmonary lobes and fibrosis in the middle and lower lobes. The echo Doppler cardiogram revealed the dilation of the right cardiac chambers and pulmonary hypertension, which was confirmed by pulmonary trunk artery pressure measurement by catheterization. During this period, she was progressively restricted to the minimal activities of daily life and dependent on caregivers. She was brought to the hospital neurologically obtunded, presenting anasarca, and respiratory failure, which led her to death. The autopsy showed signs of pulmonary hypertension and findings of fibrosis and emphysema in the histological examination of the lungs. The authors highlight the importance of the recognition of this entity in case of COPD associated with severe pulmonary hypertension of unknown cause.
Exercise echocardiography (EE) is an established method to diagnose coronary artery disease (CAD). Chronotropic incompetence (CI) during the EE may be a marker of myocardial ischemia. The purpose of ...this investigation was to evaluate the additive value of CI during EE in CAD diagnosis.
Between 2000 and 2006, 4042 patients (1900 men with a mean age of 56 +/- 11 years) were evaluated by EE. Based on the heart rate (HR) reached during the exercise test, the subjects were divided into two groups: G1 group - 490 patients who failed to achieve 85% of the maximal age-predicted HR, and G2 group - 3552 patients who were able to achieve 85% of the maximal age-predicted HR. Clinical characteristics, left ventricular wall motion abnormalities - wall motion score index (WMSI) - and coronary angiography (CA) were the parameters compared between the two groups.
The left ventricular wall motion abnormalities were more frequent in G1 group than in G2 group (54% versus 26%; P < 0.00001). WMSI was higher in G1 group than in G2 group, both at rest (1.06 +/- 0.17 versus 1.02 +/- 0.09; P < 0.0001) and after exercise (1.12 +/- 0.23 versus 1.04 +/- 0.21; P < 0.0001). In G1 group, 82% of the patients with positive EE for myocardial ischemia presented obstructive coronary, compared to 71% (P = 0.03) in G2 group.
CI is associated with a higher frequency of myocardial ischemia during EE, reinforcing the concept that CI is a marker of the severity of myocardial ischemia.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
To evaluate the clinical outcome of composite restorations performed in primary molars after 18 months and the morphology of the dentin/resin interface.
41 primary molars from children aged 4-9 years ...were restored with Scotchbond Multi-Purpose Plus adhesive system and Z100 resin-based composite. The restorations were evaluated at baseline, 6, 12 and 18 months using the USPHS method for direct clinical analysis. Plaster models were made at each evaluation period for indirect evaluation. For the morphologic analysis of the dentin/resin interface, seven exfoliated teeth were sectioned longitudinally in a mesio/distal direction and observed in the electro scanning electron microscope.
100% (n = 40) of the restorations evaluated at 6 months were scored as Alpha for anatomical form, color matching, secondary caries, color alteration, and marginal degradation. At 12 months, 96.4% (n = 28) of the restorations received Alpha score and 3.4% Charlie score. At 18 months, all restorations evaluated (27/27) received Alpha score. 23 restorations were indirectly evaluated at 6, 12 and 18 months postoperatively. No significant wear or fractures were observed in any of the restorations. In the evaluation of the dentin/resin interface, the formation of a consistent hybrid layer was observed and the restorations were well adapted to the dentin at 18 months postoperatively.
Resumo Grupos falantes de línguas da família Tupi-Guarani estavam espalhados por vastas regiões da América do Sul na época da chegada dos europeus. Durante décadas, especulou-se sobre o processo de ...dispersão desses grupos por um território tão grande. Neste artigo indica-se que o estudo da história dos grupos falantes de línguas tupi-guarani da Amazônia Oriental, produtores de cerâmica da Subtradição Tupinambá da Amazônia, é uma peça fundamental para a compreensão de fenômenos de mobilidade e da complexidade interna dos Tupi-Guarani.
Abstract Tupi-Guarani speaking groups were spread over vast regions of South America when the Europeans arrived. Speculation about the process of dispersion of these groups has been ongoing for decades. In this paper we point out that studying the history of the Tupi-Guarani groups from Eastern Amazonia, producers of pottery related to the Amazonian Tupinambá Subtradition, is fundamental to the comprehension of the mobility and internal complexity of the Tupi-Guarani.
Trauma vascular na Amazônia: atualizando o desafio Góes Junior, Adenauer Marinho de Oliveira; Simões Neto, Joaquim Fernando Albuquerque; Abib, Simone de Campos Vieira ...
Revista do Colégio Brasileiro de Cirurgiões,
10/2018, Letnik:
45, Številka:
4
Journal Article
Recenzirano
RESUMO Objetivo: avaliar dados epidemiológicos dos pacientes operados por trauma vascular em hospital de referência para traumatismos vasculares do Estado do Pará, determinar as variáveis que ...aumentam o risco de óbito e fazer uma análise comparativa com os resultados previamente publicados pela mesma instituição. Métodos: estudo retrospectivo analítico realizado através da coleta de dados de pacientes operados por lesões vasculares, entre março de 2013 e março de 2017. Foram analisados dados demográficos e epidemiológicos, como o mecanismo e topografia da lesão, distância entre o local do trauma e o hospital, tipo de tratamento e complicações. Foi feito ainda o estudo de uma matriz de correlação com regressão logística entre as variáveis e a ocorrência de óbito. Resultados: foram estudados 288 pacientes, com 430 lesões; 92,7% era do sexo masculino, 49,7% entre 25 e 49 anos de idade; 47,2% das lesões foi ocasionada por projéteis de arma de fogo; 47,2% das lesões situava-se nos membros superiores, 42,7% nos membros inferiores, 8% em região cervical, 3,1% torácicas e 0,7% abdominais; 52,8% dos pacientes teve hospitalização por sete dias ou menos. Amputação foi necessária em 6,9% e a mortalidade foi 7,93%. Conclusão: distâncias superiores a 200km foram associadas à internação prolongada e maior probabilidade de amputação de membros. Foi encontrada correlação significativa entre a ocorrência de óbito e o fato de haver lesão arterial, lesão vascular na topografia cervical e lesão vascular na topografia torácica.
ABSTRACT Objective: to evaluate the epidemiological data of patients operated on due to vascular trauma at a referral hospital in Pará state, to determine the variables that increase the risk of death, and to make a comparative analysis with the results previously published by the same institution. Methods: an analytical retrospective study was performed through data collection from patients operated due to vascular injuries, between March 2013 and March 2017. Demographic and epidemiological data, such as the mechanism and topography of the lesion, distance between the trauma site and the hospital, and type of treatment and complications, were analyzed. Multivariate analysis and logistic regression studies were performed, to evaluate significant dependence between some variables and death occurrence. Results: two hundred and eighty eight patients with 430 lesions were studied; 92.7% were male, 49.7% were between 25 and 49 years old; 47.2% of all injuries were caused by firearm projectiles; 47.2% of the lesions were located in the upper limbs, 42.7% in the lower limbs, 8% in the cervical region, 3.1% in the thoracic region, and 0.7% in the abdominal region; 52.8% of the patients were hospitalized for seven days or less. Amputation was required in 6.9% of patients and there was mortality in 7.93% of the cases. Conclusion: distances greater than 200km were associated with prolonged hospitalization and greater probability of limb amputation. Significant correlation between death occurrence and arterial injury, vascular injury in the cervical region, and vascular injury in the thoracic region was found.
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