Assédio moral em estudantes trabalhadores e sua relação com o bem-estar no trabalho / Mobbing in student workers and their relationship to well-being at work

Este trabalho tem o intuito de investigar o assédio moral e as possíveis relações com o bem-estar . Foram aplicados o Questionário Biosocio demográfico e Laboral, o Questionário de Atos Negativos - QAN e as Medidas de Bem-estar no Trabalho em 457 acadêmicos de graduação. Os resultados mostraram que há relação entre o assédio moral e as medidas de bem-estar no trabalho(p<0,05), indicando que a presença da violência psicológica causa uma diminuição no bem-estar laboral.Na análise de regressão linear, alguns atos negativos no trabalho foram preditores de duas dimensões das medidas de bem estar no trabalho. Estes resultados sugerem que a ocorrência de assédio moral está associada a menor satisfação e comprometimento no trabalho

Prevalence of child malnutrition at a university hospital using the World Health Organization criteria and bioelectrical impedance data

Malnutrition constitutes a major public health concern worldwide and serves as an indicator of hospitalized patients’ prognosis. Although various methods with which to conduct nutritional assessments exist, large hospitals seldom employ them to diagnose malnutrition. The aim of this study was to understand the prevalence of child malnutrition at the University Hospital of the Ribeirão Preto Medical School, University of São, Brazil. A cross-sectional descriptive study was conducted to compare the nutritional status of 292 hospitalized children with that of a healthy control group (n=234). Information regarding patients’ weight, height, and bioelectrical impedance (i.e., bioelectrical impedance vector analysis) was obtained, and the phase angle was calculated. Using the World Health Organization (WHO) criteria, 35.27% of the patients presented with malnutrition; specifically, 16.10% had undernutrition and 19.17% were overweight. Classification according to the bioelectrical impedance results of nutritional status was more sensitive than the WHO criteria: of the 55.45% of patients with malnutrition, 51.25% exhibited undernutrition and 4.20% were overweight. After applying the WHO criteria in the unpaired control group (n=234), we observed that 100.00% of the subjects were eutrophic; however, 23.34% of the controls were malnourished according to impedance analysis. The phase angle was significantly lower in the hospitalized group than in the control group (P<0.05). Therefore, this study suggests that a protocol to obtain patients’ weight and height must be followed, and bioimpedance data must be examined upon hospital admission of all children.

Lesões cervicais e infecção pelo papilomavirus humano no sistema prisional da cidade de São Paulo, Brasil / Cervical lesions and human papillomavirus infection in women at a prisional system in São Paulo city, Brazil

A relação entre o câncer cervical e a infecção pelo Papilomavírus Humano (HPV) está bem estabelecida. Múltiplos parceiros e múltiplas práticas sexuais são os fatores de risco associados à infecção pelo HPV. Existe uma grande probabilidade em que as mulheres internas em presídios tenham uma maior suscetibilidade de adquirir a infecção genital. A avaliação de alterações celulares, pelo exame de Papanicolaou, e identificação molecular de DNA-HPV de alto risco são utilizadas para a detecção e prevenção do câncer cervical. Quatrocentas e nove amostras cervicais de mulheres internas, nopresídio feminino da cidade de São Paulo, com idade entre 18 e 60 anos, foram analisadas, em 2006. Os achados celulares foram classificados com base no Sistema Bethesda (2001). O DNA-HPV foi identificado pelo PCR convencional, empregando os primersuniversais MY09/11, e os tipos identificados por PCR/RFLP, utilizando enzimas de restrição. Vinte e sete (6,60%) dos 409 esfregaços das internas do sistema penal revelaramLesões Escamosas Intraepiteliais de Baixo Grau (LSIL), 3 (11,11%) mostram alterações compatíveis com Lesões Escamosas Intraepiteliais de Alto Grau (HSIL), 5 (18,53%) exibiram Atipias Escamosas de Significado Indeterminado (ASC-US), 1 (3,70%) mostrou Células Glandulares Atípicas (CGA) e 1 (3,70%) revelou Carcinoma de Células Escamosas. DNA-HPV de alto risco foi identificado em 12 (44,43%) amostras (HPV 16, 18, 31, 33, 34, 39 e 61). Oito (29,62%) amostras revelaram infecção por HPV de baixo risco (HPV 6b). O presente estudo detectou uma alta prevalência de LSIL e HSIL associada à presença de DNA-HPV de alto risco, nas mulheres internas no sistema prisional.

The association between cervical cancer and Human PapillomavirusInfection (HPV) has been determinated. Multiple partners andmultiple sexual practices are risk factors associated with HPVinfection. There is a high probability that women resident in prisionscould be more susceptible to acquire genital HPV infection. Thescreening of cellular changes by pap-smear and the molecularidentification of high risk DNA-HPV is usefull for the detection andprevention of cervical cancer. Four hundred nine samples of cervicalsmear from women resident in a prisional system in São Paulo,between 18 to 60 years old were analyzed in 2006. The cellularresults were reported according to the Bethesda System Terminology,2001. The DNA-HPV detection was made by Conventional PCR usingConsensus Primers MY 09/11 and the HPV types were identify byPCR-RFLP using restriction endonuclease enzymes.Twenty seven(6,60%) out of 409 pap-smears samples showed pre malignant lesion.Seventeen (62,96%) out of these 27 samples revealed Low Squamous Intraepitheal Lesion (LSIL), 3 (11,11%) showed changessuggestive of High Squamous Intraepithelial Lesion (HSIL), 5(18,53%) samples presented Atypical Squamous Cells ofUndetermined Significance (ASC-US), 1 (3,70%) sample had AtypicalGlandular Cells (AGC), and 1 (3,70%) sample showed CervicalSquamous Carcinoma. High Risk DNA-HPV was identified in 12(44,43%) (HPV 16, 18, 31, 33, 34, 39 and 61). Eight (29,62%) samplesrevealed the low risk for neoplasic lesion subtype HPV-6b. Thepresent study reveal a high prevalence of LSIL and HSIL associatedwith the presence of High-risk DNA-HPV in women resident in aprisional system.

Preditores da Síndrome de Burnout em trabalhadores da saúde no contexto hospitalar / Predictors of Burnout Syndrome among healthcare workers in hospitals

Esta pesquisa buscou identificar preditores sócios demográficos e laborais das dimensões de Burnout em 182 trabalhadores da saúde no contexto hospitalar. Foi utilizado um questionário, o Maslach Burnout Inventory e a Escala de Avaliação do Contexto do Trabalho. Na análise dos dados empregou--se a análise de regressão múltipla. Considerar a profissão estressante foi a variável de maior poder explicativo para as dimensões de Exaustão Emocional e baixa Realização Profissional. Como variáveis preditoras da Despersonalização destacaram-se condições negativas de trabalho, estresse no atendimento ao paciente e sexo masculino. O perfil de risco para Burnout foi constituído de profissionais com maior escolaridade; tempo de profissão; que percebem profissão, condições de trabalho, escala de trabalho, tipo e quantidade de pacientes como fatores estressantes

This research aims at identifying sociodemographic and laboral predictors of burnout syndrome in 182 health workers in the hospital setting. It uses a questionnaire, Maslach Burnout Inventory, and a working context scale. In the analysis of the data a multiple regression analysis was employed. Interviewees' considering their profession as stressful was the most revealing variable with regards to the Emotional Exhaustion dimension and the low level of Professional Efficacy. As predictor variables to Cynicism the research points to negative working environments, stress upon dealing with male patients. The risk profile for burnout syndrome includes higher schooled professionals, old-timers and those who perceive their job, work scale, type and quantity of patients as stressing factors

Plantas medicinais utilizadas na Comunidade Santo Antônio, Currais, Sul do Piauí: um enfoque etnobotânico / Medicinal plants used in the Community Santo Antônio, city of Currais, Southern Piauí, Brazil: an ethnobotanical approach

O trabalho objetivou a realização de inventário sobre as plantas medicinais utilizadas pelos membros da Comunidade Rural de Santo Antônio, Currais, Piauí, e dessa forma analisar o valor de uso e a riqueza de espécies conhecidas. Foram mencionadas 121 espécies pelos 32 entrevistados. As famílias mais representativas foram Fabaceae, Arecaceae e Anacardiaceae. A espécie com maior valor de uso foi a imburana [Amburana cearensis (Allemao) A. C. Sm]. Não houve diferenças significativas quanto ao conhecimento entre gêneros, assim como a renda e escolaridade. No entanto, a idade influenciou significativamente no conhecimento sobre plantas úteis. A riqueza da flora piauiense, marcada por apresentar áreas de transição entre caatinga e cerrado na região sul, oferece uma oportunidade ímpar para o desenvolvimento de pesquisas abrangendo o escopo da biodiversidade vegetal e do conhecimento tradicional associado

The study aimed toflist the medicinal plants used by members of the Rural Community of Santo Antonio, in the city of Currais, state of Piauí, Brazil, in order to assess the value of use and richness of the species known locally. Approximately 121 species were mentioned by 32 respondents. The most representative families were Fabaceae, Arecaceae and Anacardiaceae. The species with the highest use wa:[Amburana cearensis (Allemão) A. C. S]. There were no significant differences between genders in terms of knowledge, as well as income and education. However, the age significantly influenced knowledge about useful plants. The richness of the Piauí flora, marked by presenting areas of transition between the Brazilian Caatinga and Cerrado in the south, offers a unique opportunity for the development of research covering the scope of plant biodiversity and associated traditional knowledge

Morphology and vascularization of the gastric compartments in three-toed sloth (Bradypus torquatus Illiger, 1811) / Morfología y vascularización de los compartimentos gástricos en osos perezosos de tres dedos (Bradypus torquatus Illiger, 1811)

The macroscopic anatomy and vascularization of the stomach compartments of Bradypus torquatus were examined in five animals from the University of São Paulo College of Veterinary Medicine and Zootechny collection. The method included aqueous perfusion of the arterial network, colored latex injection, fixation in formaldehyde (10 percent) and preservation in Laskovisk solution. Dissections were performed under mesoscopic light and photo documentations were performed for description and data analysis. In these animals, the largest abdominal organ was the stomach, which internally presented the cardiac, fundic and prepyloric regions, subdivided in six compartments (cardiac right, middle and left; fundic; pre-pyloric I and II). The stomach was irrigated by the left gastric and celiac arteries, which are ventral visceral branches of the abdominal aorta. These arteries emerged in the retroperitoneal region and reached the viscera through the mesogastric region, distributed in the large and small stomach curvatures, in the spleen and the pancreas. The primary collateral branches of the left gastric artery are directed to the large stomach curvature, and the celiac artery irrigated the spleen, the pancreas and the small stomach curvature. The vascular pattern differed in some aspects from that observed in the other multi-cavity stomachs of recent vertebrates.

Fue descrita la anatomía macroscópica y vascularización de los compartimientos del estómago en 5 Bradypus torquatus, animales pertenecientes al acervo de la Facultad de Medicina Veterinaria y Zootecnia de la Universidad de São Paulo - Brazil. El método incluyó: perfusión acuosa de la red arterial, inyección de látex coloreado, fijación en formaldehido (10 por ciento) y conservación en solución de Laskovisk. Para la descripción y análisis de los datos se realizaron disecciones bajo mesoscopía de luz y archivos fotográficos. Los animales presentaron el estómago como la víscera abdominal más abundante, que posee internamente las regiones: cardiaca, fúndica y pre-pilórica, subdivididas en seis compartimientos (cardiaco, derecho, medio e izquierdo; fúndico; pre-pilórico I y II). Estaba irrigado por las arterias gástricas izquierda y celiaca, que son ramas viscerales ventrales de la parte abdominal de la aorta. Estas arterias emergían en el retroperitoneo y a tráves del mesogastrio alcazaban las vísceras distribuyéndose en la gran y pequeña curvatura del estómago, bazo y páncreas. Las ramas colaterales primarias de la arteria gástrica izquierda estaban destinadas a la gran curvatura del estómago y los de la arteria celíaca irrigaban el bazo, páncreas y pequeña curvatura del estómago. El estándar vascular del Bradypus torquatus más conocido como oso perezoso de tres dedos demostró ser diferente, en algunos aspectos, al de otros estómagos pluricavitarios en vertebrados.

Body composition measures of obese adolescents by the deuterium oxide dilution method and by bioelectrical impedance

The objectives of the present study were to describe and compare the body composition variables determined by bioelectrical impedance (BIA) and the deuterium dilution method (DDM), to identify possible correlations and agreement between the two methods, and to construct a linear regression model including anthropometric measures. Obese adolescents were evaluated by anthropometric measures, and body composition was assessed by BIA and DDM. Forty obese adolescents were included in the study. Comparison of the mean values for the following variables: fat body mass (FM; kg), fat-free mass (FFM; kg), and total body water (TBW; percent) determined by DDM and by BIA revealed significant differences. BIA overestimated FFM and TBW and underestimated FM. When compared with data provided by DDM, the BIA data presented a significant correlation with FFM (r = 0.89; P < 0.001), FM (r = 0.93; P < 0.001) and TBW (r = 0.62; P < 0.001). The Bland-Altman plot showed no agreement for FFM, FM or TBW between data provided by BIA and DDM. The linear regression models proposed in our study with respect to FFM, FM, and TBW were well adjusted. FFM obtained by DDM = 0.842 x FFM obtained by BIA. FM obtained by DDM = 0.855 x FM obtained by BIA + 0.152 x weight (kg). TBW obtained by DDM = 0.813 x TBW obtained by BIA. The body composition results of obese adolescents determined by DDM can be predicted by using the measures provided by BIA through a regression equation.

Efeitos genéticos e não-genéticos sobre o intervalo de parto em fêmeas suínas no Sudeste do Brasil / Genetic and environmental effects on the farrowing interval in sows in the southeastern region of Brazil

The effect of environmental and genetic effects on the farrowing interval in Dalland (C-40) sows in the Southeast of Brazil was studied. Data consisting of 1,013 farrowing intervals recorded in two herds were analyzed, using a model that included the sire and the dam as random effects and the year of farrowing, the herd and the farrowing season as fixed effects, plus the covariables sow's age at farrowing, litter size at birth, lactation length and weaning-estrus interval. For the farrowing interval first only, variance components were estimated by REML, with an animal model that included, as fixed effect, a contemporary group and, as random effects, the additive genetic variance and the error. The mean farrowing interval was 140.9+5.7 days, with a 4.0 percent coefficient of variation. Variance analysis showed no effect of either year, season of farrowing or herd on the farrowing interval. The sire effect was not important for the farrowing interval, but the dam represented an important source of variation. The total number of piglets born and the sow's age at farrowing had no influence on the farrowing interval. The length of lactation exerted an influence on the farrowing interval, accounting for 19.4 percent of the total variation of this trait. Likewise, the linear regression of the weaning-estrus interval in relation to the farrowing interval was highly significant, accounting for 51.7 percent of the total variation. The heritability estimate was 0.00, suggesting that no genetic gain can be obtained by selection for a shorter farrowing interval.

Efeitos genéticos e ambientais sobre a idade à primeira concepção de fêmeas suínas / Estimates of genetic and environmental effects on age at first conception of gilts

The genetic and environmental factors that affect age at first conception (AFC) of gilts were evaluated, using 466 observations of Dalland animals (C-40). The software program MTDFREML was used to assess the genetic parameters on an animal model that included as fixed effect, contemporary group and, as random effects, the additive genetic, the common litter and the error. Mean value of AFC was 241.12±25.9 days, with CV of 8.5 percent. Variance analysis showed that year (P<0.01), season (P<0.01) and herd effects (P<0.01) were important sources of variation of AFC. The throat effect (P=0.34) was not important for the AFC, but the mother of the gilts (P<0.01) was an important source of variation. The heritability estimate was 0.44±0.14 that this trait would yield genetic gain as a response to the selection.

Plasma amino acids in pregnancy, placental intervillous space and preterm newborn infants

Plasma amino acid levels have never been studied in the placental intervillous space of preterm gestations. Our objective was to determine the possible relationship between plasma amino acids of maternal venous blood (M), of the placental intervillous space (PIVS) and of the umbilical vein (UV) of preterm newborn infants. Plasma amino acid levels were analyzed by ion-exchange chromatography in M from 14 parturients and in the PIVS and UV of their preterm newborn infants. Mean gestational age was 34 ± 2 weeks, weight = 1827 ± 510 g, and all newborns were considered adequate for gestational age. The mean Apgar score was 8 and 9 at the first and fifth minutes. Plasma amino acid values were significantly lower in M than in PIVS (166 percent), except for aminobutyric acid. On average, plasma amino acid levels were significantly higher in UV than in M (107 percent) and were closer to PIVS than to M values, except for cystine and aminobutyric acid (P < 0.05). Comparison of the mean plasma amino acid concentrations in the UV of preterm to those of term newborn infants previously studied by our group showed no significant difference, except for proline (P < 0.05), preterm > term. These data suggest that the mechanisms of active amino acid transport are centralized in the syncytiotrophoblast, with their passage to the fetus being an active bidirectional process with asymmetric efflux. PIVS could be a reserve amino acid space for the protection of the fetal compartment from inadequate maternal amino acid variations.

Linking immunity and hematopoiesis by bone marrow T cell activity

Two different levels of control for bone marrow hematopoiesis are believed to exist. On the one hand, normal blood cell distribution is believed to be maintained in healthy subjects by an "innate" hematopoietic activity, i.e., a basal intrinsic bone marrow activity. On the other hand, an "adaptive" hematopoietic state develops in response to stress-induced stimulation. This adaptive hematopoiesis targets specific lineage amplification depending on the nature of the stimuli. Unexpectedly, recent data have shown that what we call "normal hematopoiesis" is a stress-induced state maintained by activated bone marrow CD4+ T cells. This T cell population includes a large number of recently stimulated cells in normal mice whose priming requires the presence of the cognate antigens. In the absence of CD4+ T cells or their cognate antigens, hematopoiesis is maintained at low levels. In this review, we summarize current knowledge on T cell biology, which could explain how CD4+ T cells can help hematopoiesis, how they are primed in mice that were not intentionally immunized, and what maintains them activated in the bone marrow.

Determinantes dietéticos da ingestão alimentar e efeito na regulação do peso corporal / Dietetic determinants on food intake and effects in body weight regulation

Obesity is a multifactorial pathology currently considered one of the main public health problems. Its prevalence is increasing dramatically in the last decades, reaching huge rates in Brazil and many other countries. Regardless of the factors associated with genetic predisposition, this pathology is often associated with abnormal food intake, and also with high consumption of caloric foods and sedentary habits. Thus, obesity is the result of an imbalance between food intake and energy expenditure. One of the greatest research interests in nutrition has currently been the dietetic determinants that may exert an influence on the process of food intake, as well as the role of foods on physiological, physical and chemical factors most related to the processes of satiation and satiety. Based on these aspects, this paper analyzes several research works to gain a better insight of the dietetic factors affecting food intake and body weight regulation.

Comparative morphology of Astraea latispina (Philippi, 1844) and Astraea olfersii (Philippi, 1846) (Mollusca, Gastropoda, Turbinidae)

The present study examines comparatively the soft parts of turbinids Astraea latispina and Astraea olfersii. The characters of soft parts of these species, in agreement with Trochoidea organization, allow a differencial diagnosis on the cefalic lappets, appendix of eye-stalk, hypobranchial glands, jaws, radulae, and stomach spiral caecum, which information will be helpful in taxonomic studies

Comparative morphology of Astraea latispina (Philippi, 1844) and Astraea olfersii (Philippi, 1846) (Mollusca, Gastropoda, Turbinidae)

The present study examines comparatively the soft parts of turbinids Astraea latispina and Astraea olfersii. The characters of soft parts of these species, in agreement with Trochoidea organization, allow a differencial diagnosis on the cefalic lappets, appendix of eye-stalk, hypobranchial glands, jaws, radulae, and stomach spiral caecum, which information will be helpful in taxonomic studies.

O presente estudo trata do exame comparativo das partes moles dos turbinídeos Astraea latispina e Astraea olfersii. Os caracteres das partes moles dessas espécies, concordantes com a organização dos Trochoidea, proporcionaram diagnose diferencial quanto aos lóbulos cefálicos, apêndice do pedúnculo ocular, glândulas hipobranquiais, mandíbulas, rádulas e ceco espiral do estômago, fornecendo um número maior de dados que poderão auxiliar em estudos taxonômicos.

Retardo do crescimento em crianças com reação intradérmica positiva para leishmaniose: resultados preliminares / Growth retardation in children with positive intradermic reaction for leishmaniasis: preliminary results

The objective of this study was to compare growth retardation frequency, and 24-h food intake data of children with or without positive Montenegro (leishmanin) test, examined in Porteirinha town, Brazil. Daily nutrient intake was determined by 24-h food intake recall and the anthropometric data were compared to the standard values from WHO. Montenegro-positive (n = 9) and Montenegro-negative (n = 17) groups showed similar age (5.5 +/- 1.9 vs 6.7 +/- 2.3y), and energy (1,456.8 +/- 314.8 vs 1,316.2 +/- 223.8kcal) and protein (50.4 +/- 16.7 vs 49.9 +/- 13.9g) daily consumption, respectively. Montenegro-positive children had higher percentage of stunting than their Montenegro-negative counterparts (44.4 vs 5.9), suggesting that previous Leishmania sp infection had negative impact on children's nutritional status.

O objetivo deste trabalho foi comparar a ingestão alimentar habitual e a freqüência de retardo do crescimento de crianças com reação intradérmica positiva para leishmaniose (Montenegro-positivas), com um grupo Montenegro-negativo. A ingestão alimentar habitual foi avaliada pelo recordatório de 24 horas e o retardo do crescimento definido segundo critérios da OMS. Crianças Montenegro-positivo (n = 9) e Montenegro-negativo (n = 17) ingeriam, respectivamente, quantidades similares de energia (1456,8 ± 314,8 vs 1316,2 ± 223,8kcal/dia) e proteínas (50,4 ± 16,7 vs 49,9 ± 13,9g/dia). Déficit de altura foi mais comum em crianças Montenegro-positivas (44,4 vs 5,9). Estes dados sugerem que a infecção prévia pela Leishmania sp afeta desfavoravelmente o estado nutricional de crianças vivendo em área endêmica.

Informe sobre o sistema de limpeza urbana em Santo Domingo, Republica Dominicana, 11-29 de janeiro 1986

Da seguimiento al programa de cooperacion técnica prestado por OPS al Ayuntamiento del Distrito Nacional con el objetivo de mejorar el servicio de limpieza urbana de Santo Domingo. Analiza el proyecto final de nivelación del terreno en Guaricano, así como la operación de nuevas nivelaciones en Cansino y Guaricano, dentro de técnicas sanitarias más adecuadas y en condiciones óptimas de operación. Además, evalúa una planta de reciclaje de desperdicios sólidos en fase de construccion. Finalmente, discute con un especialista en control de roedores los procedimientos a seguir para la manipulación de residuos sólidos urbanos con miras a minimizar la propagación de vectores

Substituiçäo do rádio distal pelo perônio proximal em tumor de células gigantes / Replacement of the distal end of the radius by the proximal fibula in giant cell tumor

Apresenta-se experiência no tratamento do tumor de células gigantes da porçäo distal do rádio mediante ressecçäo em bloco e substituiçäo deste pelo perônuio proximal, mostra-se a técnica utilizada e analisam-se os resultados em 5 pacientes com seguimento mínimo de 7 meses e máximo de 18 anos