Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction.

OBJECTIVE: To understand Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction. METHOD: Cross-sectional multi-methodological research, composed of quantitative and qualitative steps, independently and sequentially. Data collected remotely, through a questionnaire and focus group, analyzed using descriptive statistics and thematic analysis by Braun and Clarke, respectively. The project was approved under Opinion 22691119.0.0000.0030. RESULTS: A total of 145 nurses participated in the study in the quantitative step and 20 in the qualitative step, working in Primary Health Care in Brazil. Of the 93.1% nurses who reported having already cared for people with Urinary Tract Dysfunction, only 54.4% provided guidance, mainly for training the pelvic floor muscles. CONCLUSION: Even though they have legal support and access to demand, nurses do not have the knowledge to offer conservative treatment for Lower Urinary Tract Dysfunction. Despite this, they were motivated to do so as long as they received specific training.

Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction / Papel de la enfermera de Atención Primaria de Salud en el tratamiento de la Disfunción del Tracto Urinario Inferior / Atuação do enfermeiro da Atenção Primária à Saúde no tratamento da Disfunção do Trato Urinário Inferior

ABSTRACT Objective: To understand Primary Health Care nurses' role in treating Lower Urinary Tract Dysfunction. Method: Cross-sectional multi-methodological research, composed of quantitative and qualitative steps, independently and sequentially. Data collected remotely, through a questionnaire and focus group, analyzed using descriptive statistics and thematic analysis by Braun and Clarke, respectively. The project was approved under Opinion 22691119.0.0000.0030. Results: A total of 145 nurses participated in the study in the quantitative step and 20 in the qualitative step, working in Primary Health Care in Brazil. Of the 93.1% nurses who reported having already cared for people with Urinary Tract Dysfunction, only 54.4% provided guidance, mainly for training the pelvic floor muscles. Conclusion: Even though they have legal support and access to demand, nurses do not have the knowledge to offer conservative treatment for Lower Urinary Tract Dysfunction. Despite this, they were motivated to do so as long as they received specific training.

RESUMEN Objetivo: Comprender el papel del enfermero de Atención Primaria de Salud en el tratamiento de la Disfunción del Tracto Urinario Inferior. Método: Investigación transversal multimetodológica, compuesta por etapas cuantitativas y cualitativas, de forma independiente y secuencial. Datos recopilados de forma remota, a través de un cuestionario y un grupo focal, analizados mediante estadística descriptiva y análisis temático de Braun y Clarke, respectivamente. El proyecto fue aprobado bajo Opinión 22691119.0.0000.0030. Resultados: Participaron del estudio 145 enfermeros en la etapa cuantitativa y 20 en la cualitativa, actuando en la Atención Primaria de Salud en Brasil. Del 93,1% de los enfermeros que afirmaron haber atendido ya a personas con Disfunción del Tracto Urinario, sólo el 54,4% brindó orientación, principalmente para el entrenamiento de los músculos del suelo pélvico. Conclusión: Incluso con apoyo legal y acceso a la demanda, los enfermeros no tienen el conocimiento para ofrecer tratamiento conservador para la Disfunción del Tracto Urinario Inferior. Pese a ello, estaban motivados para hacerlo siempre que recibieran una formación específica.

RESUMO Objetivo: Compreender a atuação dos enfermeiros da Atenção Primaria à Saúde no tratamento da Disfunção do Trato Urinário Inferior. Método: Pesquisa transversal multi-metodológica, composta por etapas quantitativa e qualitativa, de forma independente e sequencial. Dados coletados de forma remota, por meio de questionário e grupo focal, analisados por estatística descritiva e análise temática de Braun e Clarke, respectivamente. O projeto foi aprovado sob Parecer no. 22691119.0.0000.0030. Resultados: Participaram do estudo 145 enfermeiros na etapa quantitativa e 20 na qualitativa, atuantes na Atenção Primária à Saúde do Brasil. Dos 93,1% enfermeiros que referiram já terem atendido pessoas com Disfunção do Trato Urinário, apenas 54,4% prestaram orientações, sendo principalmente para treinamento da musculatura do assoalho pélvico. Conclusão: Mesmo possuindo respaldo legal e acesso à demanda, os enfermeiros não têm conhecimento para oferecer tratamento conservador para Disfunção do Trato Urinário Inferior. Apesar disso, mostraram-se motivados para tal atuação desde que recebam capacitação específica.

Proposta de protocolo clínico para tratamento conservador da incontinência urinária de urgência / Proposal for a clinical protocol for the conservative treatment of urge urinary incontinence / Propuesta de protocolo clínico para el tratamiento conservador de la incontinencia urinaria de urgencia

Objetivo:Apresentar proposta de protocolo clínico para tratamento conservador da incontinência urinária de urgência (IUU). Método: Relato de experiência fundamentado nas evidências científicas existentes e na experiência clínica dos autores que realizam consultas de enfermagem a pessoas com IUU, delineada conforme proposição do Ministério da Saúde para elaboração de protocolos clínicos. Resultados: Foi proposto um protocolo clínico com diagnóstico e intervenções de enfermagem baseados na North American Nursing Diagnosis Association (NANDA) e na Nursing Interventions Classifications, com etapas sistematizadas em verificar presença de fatores relacionados ou condições associadas ao diagnóstico, sendo eles: assoalho pélvico hiperativo, ansiedade, constipação, infecção urinária, baixa ingestão hídrica, comportamento sanitário inadequado, diabetes mellitus, prolapso de órgão pélvico, alto consumo de potenciais irritantes vesicais e persistência de sintomas. Logo após, as ações que devem ser implementadas pelo enfermeiro são descritas de forma detalhada. Conclusão: Considera-se que o fluxo e o detalhamento das ações apresentadas possam ser adotados pelos enfermeiros de forma a identificarem e tratarem pessoas com IUU, minimizando assim a prevalência do problema e fomentando a qualidade de vida dessas pessoas.

Objective: To present a proposal for a clinical protocol for the conservative treatment of urge urinary incontinence. Method: Experience report based on existing scientific evidence and clinical experience of authors who perform nursing consultations for people with urge urinary incontinence, outlined in accordance with the Brazilian Ministry of Health's proposal for the elaboration of clinical protocols. Results: A clinical protocol was proposed with nursing diagnosis and interventions based on the North American Nursing Diagnosis Association (NANDA) and Nursing Interventions Classifications (NIC), with systematized steps to verify the presence of related factors or conditions associated with the diagnosis, namely: hyperactive pelvic floor, anxiety, constipation, urinary tract infection, low fluid intake, inadequate sanitary behavior, diabetes mellitus, pelvic organ prolapse, high consumption of potential bladder irritants and persistence of symptoms. Soon after, the actions that should be implemented by the nurse were described in detail. Conclusion: It is considered that the flow and detailing of the actions presented can be adopted by nurses in order to identify and treat people with urge urinary incontinence, thus minimizing the prevalence of the problem and promoting the quality of life of these people.

Objetivo:Presentar una propuesta de protocolo clínico para el tratamiento conservador de la incontinencia urinaria de urgencia. Método: Relato de experiencia basado en evidencia científica existente y experiencia clínica de autores que realizan consultas de enfermería a personas con incontinencia urinaria de urgencia, perfilado de acuerdo con la propuesta del Ministerio de Salud para la elaboración de protocolos clínicos. Resultados: Se propuso un protocolo clínico con Diagnósticos e Intervenciones de Enfermería basado en las Clasificaciones de Intervenciones de Enfermería y Diagnósticos de Enfermería de América del Norte, con pasos sistematizados para verificar la presencia de factores relacionados o condiciones asociadas al diagnóstico, a saber: piso pélvico hiperactivo , ansiedad, estreñimiento, infección del tracto urinario, baja ingesta de líquidos, conducta sanitaria inadecuada, diabetes mellitus, prolapso de órganos pélvicos, alto consumo de potenciales irritantes vesicales y persistencia de los síntomas. Posteriormente, se describieron en detalle las acciones que debe implementar la enfermera. Conclusión: Se considera que la fluidez y el detalle de las acciones presentadas pueden ser adoptadas por los enfermeros para identificar y tratar a las personas con incontinencia urinaria de urgencia, minimizando así la prevalencia del problema y promoviendo la calidad de vida de esas personas.DESCRIPTORES:Estomaterapia. Incontinencia urinaria. Enfermería.

Evaluating the impacts of Payment for Ecosystem Services (water supplies) in an agricultural system of the Brazilian Cerrado.

In this study, we investigated the effects of the Payment for Ecosystem Services (PES) in an agrisystem located in the Brazilian Midwest. This PES benefits the owners of rural properties that encompass springs that feed the Abóbora River microbasin which supplies water for consumption in the city of Rio Verde, Goiás. We evaluated the percentage of native vegetation cover around the springs of the watercourses and also estimated its change over time (2005, 2011 and 2017). The vegetation cover of the Areas of Permanent Preservation (APP) increased by 2.24% on average, seven years after the implantation of the PES. There was little difference in the change of vegetation cover maintained over the study years (2005, 2011, and 2017), however, the vegetation cover increased for 17 springs, decreased for 11 springs, and was completely degraded for other two. To improve the performance of this PES, we recommend (1) expanding the program to include the APPs surrounding the springs, together with the legal reserves of each property, (2) implementing measures to ensure that properties are environmentally adequate, (3) including the properties in the Brazilian Rural Environment Register (CAR), and (4) obtaining environmental licensing for the activities undertaken within the Abóbora River basin.

Antiproliferative Effect of Inorganic and Organic Selenium Compounds in Breast Cell Lines.

Triple-negative breast cancer (TNBC) is an aggressive, fast-growing tumor that is more likely to spread to distant organs. Among women diagnosed with breast cancer, the prevalence of TNBC is 20%, and treatment is currently limited to chemotherapy. Selenium (Se), an essential micronutrient, has been explored as an antiproliferative agent. Therefore, this study aimed to evaluate the effects of exposure to organic (selenomethionine, ebselen, and diphenyl diselenide) and inorganic (sodium selenate and sodium selenite) Se molecules in different breast cell lines. The compounds were tested at 1, 10, 50, and 100 µM for 48 h in the non-tumor breast cell line (MCF-10A) and TNBC derivatives cell lines (BT-549 and MDA-MB-231). The effects of Se on cell viability, apoptotic and necrotic processes, colony formation, and cell migration were analyzed. Exposure to selenomethionine and selenate did not alter the evaluated parameters. However, selenomethionine had the highest selectivity index (SI). The exposure to the highest doses of selenite, ebselen, and diphenyl diselenide resulted in antiproliferative and antimetastatic effects. Selenite had a high SI to the BT cell line; however, the SI of ebselen and diphenyl diselenide was low in both tumoral cell lines. In conclusion, the Se compounds had different effects on the breast cell lines, and additional tests are needed to reveal the antiproliferative effects of Se compounds.

Perfil sociodemográfico, de saúde e hábitos de vida de idosos na Atenção Primária à Saúde / Sociodemographic profile, health and life habits of older adults in Primary Health Care / Hábitos sociodemográficos, de salud y de estilo de vida del adulto mayor en Atención Primaria de Salud

O envelhecimento populacional é considerado uma importante conquista da humanidade, no entanto, tem representado um desafio para os países em desenvolvimento, como o Brasil. Assim, conhecer o perfil da população idosa é relevante para o desenvolvimento de ações específicas e para nortear políticas de saúde. Este estudo teve como objetivo caracterizar o perfil sociodemográfico, os hábitos de vida e os aspectos de saúde dos idosos cadastrados em unidades básicas de saúde de um município localizado no interior do Nordeste. Para isso, foi realizada uma pesquisa epidemiológica, observacional e transversal, no ano de 2018. Foram avaliados 109 idosos, a maioria do sexo feminino (77,1%), faixa etária de 65 a 69 anos (45,9%), casados (47,7%), brancos (46,8%), com ensino fundamental incompleto (64,2%). Com relação aos hábitos de vida, a maior parte relatou não fumar (92,7%), não beber álcool (91,7%) e ter comportamento sedentário (60,6%). Quanto às condições de saúde, a maioria apresentou comorbidades (57,8%), sem sintomatologia depressiva (80,7%), além de relatar satisfação com os serviços de saúde. Assim, conclui-se que os resultados obtidos neste estudo podem contribuir para nortear possíveis ações a serem realizadas na Atenção Primária à Saúde e auxiliar no desenvolvimento das políticas de saúde voltadas para a população idosa.

Population aging is an important achievement of humanity; however, it has represented a challenge for developing countries, such as Brazil. Thus, knowing the profile of the aging population is relevant for developing specific actions and guiding health policies. This epidemiological, observational, and cross-sectional study, conducted in 2018, sought to characterize the sociodemographic profile, life habits and health aspects of older adults registered in basic health units in a Northeastern municipality. Total sample evaluated consisted of 109 older adults, mostly female (77.1%), age range 65 to 69 years old (45.9%), married (47.7%), white (46.8%), with incomplete primary education (64.2%). Regarding lifestyle habits, most reported not smoking (92.7%), not drinking alcohol (91.7%), and having sedentary behavior (60.6%). As for health conditions, most participants had comorbidities (57.8%), no depressive symptoms (80.7%), and reported satisfaction with health services. In conclusion, the results obtained in this study can contribute to guide possible Primary Health Care actions and assist in developing health policies aimed at older adults.

El envejecimiento de la población es considerado como un logro importante de la humanidad, sin embargo, ha representado un desafío para los países en desarrollo, como Brasil. Así, conocer el perfil de la población anciana es importante para el desarrollo de acciones específicas y para orientar las políticas de salud. Este estudio tuvo como objetivo caracterizar el perfil sociodemográfico, los hábitos de vida y los aspectos de salud de los ancianos registrados en unidades básicas de salud de un municipio ubicado en el interior del Nordeste (Brasil). Para ello, se realizó una encuesta epidemiológica, observacional y transversal en 2018. Se evaluaron a 109 adultos mayores, la mayoría del sexo femenino (77,1%), con edad entre 65 y 69 años (45,9%), casados ??(47,7%), blancos (46,8%) y con primaria incompleta (64,2%). En cuanto a los hábitos de vida, la mayoría refirió no fumar (92,7%), no consumir alcohol (91,7%) y tener una conducta sedentaria (60,6%). Respecto a las condiciones de salud, la mayoría tenía comorbilidades (57,8%) y sin síntomas depresivos (80,7%); además, reportaron satisfacción con los servicios de salud. Por lo tanto, se concluye que los resultados obtenidos en este estudio pueden contribuir a orientar posibles acciones futuras en la Atención Primaria de Salud y a auxiliar en el desarrollo de políticas de salud dirigidas a la población anciana.

Dimiristoylphosphatidylcholine/genistein molecular interactions: A physico-chemical approach to anti-glioma drug delivery systems.

Regarding free genistein small delivery to the central nervous system, physico-chemical parameters of dimiristoylphosphatidylcholine liposome-loaded genistein were investigated, as well as its in vitro activity against the DPPH radical and glioma cells. Data obtained by UV-vis spectroscopy, Fourier Transform Infrared Spectroscopy, Nuclear Magnetic Resonance, Differential Scanning Calorimetry and Dynamic Light Scattering were used to characterize the liposomal system with respect to motion restriction, hydration degree, trans-gauche isomerization and phase state. In vitro antitumoral effects were monitored through conting and viability assays. Genistein hydroxyl group and lipid hydrogen bonds may have important role in dimiristoylphosphatidylcholine phosphate and choline motion restriction. Genistein-induced choline restriction may be also related to a decrease in the group rotation rate. Genistein: dimiristoylphosphatidylcholine system showed higher molecular package at the acyl chains region compaired to empty liposomes, and it may be related to a decrease in gauche bonds quantity and system size. Lipid acyl chain length seems to influence different genistein effects on membranes, due to the presence of gauche conformers. Genistein: dimiristoylphosphatidylcholine liposome was more efficient as DPPH reducting system than the free-Gen. Liposomal system, at genistein 100 µM, was so efficient as the correspondent free-form genistein, probably showing higher stability to cross the blood-brain barrier. Genistein and the lipid did not show an additive activity against glioma cells. Antioxidant and anti-glioma genistein-loaded liposome potential may be related to the isoflavone location and its restriction effect in the lipid molecular motion. Anti-glioma activity may also be related to a decrease of system size and trans-gauche isomerization.

Sophrology versus resistance training for treatment of women with fibromyalgia: A randomized controlled trial.

INTRODUCTION: Physical training has been recommended to improve overall well-being in patients with fibromyalgia. Body relaxation exercises also seem to have some beneficial effect, however there is no consensus regarding this modality. OBJECTIVE: Comparing the effectiveness of sophrology and resistance training in improving the pain of women with fibromyalgia. METHOD: A randomized controlled clinical trial with a blind evaluator. Sixty (60) women with a medical diagnosis of fibromyalgia were randomized and included in two groups: sophrology group (SG) who participated in a relaxation program based on sophrology (n = 30), and resistance group (RG) (n = 30) who participated in a resistance training program for biceps, pectoral, triceps, knee extensors, trapezius, knee flexors, hip abductors. Both groups were treated twice a week for 12 weeks and reevaluated every 4 weeks. The assessment instruments used were the Visual Analog Scale for Pain (VAS), the one-repetition maximum test (1 RM), the overall quality of life (SF-36), the 6-min walk test (6MWT), the Timed Up and Go test (TUG) and the Fibromyalgia Impact Questionnaire (FIQ). RESULTS: We found that the RG presented statistically significant decreases in pain (VAS) during the evaluations (p < 0.05) and increased strength of the evaluated muscles (p < 0.05). A statistically significant decrease in pain (p < 0.05) was observed in the SG compared to T0, with no significant differences in muscle strength. Differences between groups were observed, with better indices only for 6MWT and functional capacity domain of the SF36 for the RG (p < 0.05). CONCLUSION: No differences in pain were found between the groups. Resistance training was more effective than sophrology in improving strength and functional capacity of women with fibromyalgia.

Modulation of auxin signalling through DIAGETROPICA and ENTIRE differentially affects tomato plant growth via changes in photosynthetic and mitochondrial metabolism.

Auxin modulates a range of plant developmental processes including embryogenesis, organogenesis, and shoot and root development. Recent studies have shown that plant hormones also strongly influence metabolic networks, which results in altered growth phenotypes. Modulating auxin signalling pathways may therefore provide an opportunity to alter crop performance. Here, we performed a detailed physiological and metabolic characterization of tomato (Solanum lycopersicum) mutants with either increased (entire) or reduced (diageotropica-dgt) auxin signalling to investigate the consequences of altered auxin signalling on photosynthesis, water use, and primary metabolism. We show that reduced auxin sensitivity in dgt led to anatomical and physiological modifications, including altered stomatal distribution along the leaf blade and reduced stomatal conductance, resulting in clear reductions in both photosynthesis and water loss in detached leaves. By contrast, plants with higher auxin sensitivity (entire) increased the photosynthetic capacity, as deduced by higher Vcmax and Jmax coupled with reduced stomatal limitation. Remarkably, our results demonstrate that auxin-sensitive mutants (dgt) are characterized by impairments in the usage of starch that led to lower growth, most likely associated with decreased respiration. Collectively, our findings suggest that mutations in different components of the auxin signalling pathway specifically modulate photosynthetic and respiratory processes.

Evaluation of the functionality and mobility of community-dwelling older adults in primary health care / Avaliação da funcionalidade e mobilidade de idosos comunitários na atenção primária à saúde

Abstract Objective : To evaluate the functional capacity and mobility of older adults treated in primary health care and the association between adverse outcomes (functional dependence and reduced mobility) and sociodemographic and health conditions. Method : A cross-sectional and analytical epidemiological study was carried out in the municipal region of Caicó, Rio Grande do Norte, Brazil. Sociodemographic variables, presence of comorbidities, practice of physical activity, functional capacity (Lawton Scale) and mobility (Timed Up and Go Test) were investigated. Data analysis was performed using descriptive statistics, followed by bivariate analysis to investigate association variables and multivariate analysis (logistic regression). Results : Among the 109 elderly people evaluated, 29.4% were dependent in instrumental activities of daily living (IADL) and 67.9% had reduced mobility. The present study found a significant association between dependence in IADL and age equal to or greater than 75 years; while not practicing physical activity remained a factor of association with reduced mobility, regardless of sex, age and presence of co-morbidities. Conclusion : The findings emphasize the importance of the practice of physical activity, which was associated with better mobility, the construction of spaces of health promotion and disease prevention to encourage active aging for older adults, as well as a multi and interprofessional approach to comprehensive health care for older adults, with the use of functionality assessment tools.

Resumo Objetivo : Avaliar a capacidade funcional e a mobilidade de idosos atendidos na atenção primária à saúde e a associação de desfechos adversos (dependência funcional e mobilidade reduzida) com aspectos sociodemográficos e condições de saúde. Método : Estudo epidemiológico de caráter transversal e analítico, realizado no município de Caicó, Rio Grande do Norte, Brasil. Foram investigadas variáveis sociodemográficas, presença de comorbidades, prática de atividade física, capacidade funcional (Escala de Lawton) e mobilidade (Time Up and Go Test). Para análise dos dados foi empregada a estatística descritiva seguida de análise bivariada para investigar variáveis de associação e análise multivariada (regressão logística). Resultados : Dentre os 109 idosos avaliados, 29,4% apresentaram dependência para realização das atividades instrumentais da vida diária (AIVD) e 67,9% tiveram mobilidade reduzida. O presente estudo constatou associação significativa entre dependência para realizar as AIVD e idade igual ou superior a 75 anos; e não praticar atividade física manteve-se como fator de associação com a mobilidade reduzida, independente do sexo, da idade e da presença de comorbidades. Conclusão : Enfatiza-se a relevância da prática de atividade física que está associada a melhor mobilidade, da construção de espaços de promoção e prevenção para incentivo ao envelhecimento ativo, além da abordagem multi e interprofissional para a atenção integral à saúde da pessoa idosa, com o uso de instrumentos para avaliação da funcionalidade.

Synthesis and antitumoral activity of novel analogues monastrol-fatty acids against glioma cells.

Monastrol is a small cell-permeable heterocyclic molecule that is recognized as an inhibitor of mitotic kinesin Eg5. Heterocyclic-fatty acid derivatives are a new class of compounds with a broad range of biological activities. This work describes a comparative study of the in vitro antitumoral activity of a series of new long-chain monastrol analogues against rat glioblastoma cells. The novel analogues C6-substituted monastrol and oxo-monastrol were synthesized via Biginelli multicomponent condensation of fatty ß-ketoester in good yields using a simple approach catalyzed by nontoxic and free-metal sulfamic acid. Following synthesis, their in vitro antitumoral activities were investigated. Notably, all analogues tested were active against rat glioblastoma cells. Superior activity was observed by analogues derived from palmitic and stearic fatty acid chains; these compounds were the most potent molecules, showing 13-fold higher potency than monastrol with IC50 values of 5.11 and 6.85 µM, respectively. These compounds could provide promising new lead derivatives for more potent antitumor drugs.

Synthesis and evaluation of diethylethylamine-chitosan for gene delivery: composition effects on the in vitro transfection efficiency.

Chitosan has been indicated as a safe and promising polycation vector for gene delivery. However its low transfection efficiency has been a challenging obstacle for its application. To address this limitation, we synthesized chitosan derivatives which had increasing amounts of diethylethylamine groups (DEAE) attached to the chitosan main chain. The plasmid DNA VR1412 (pDNA), encoding the ß-galactosidase (ß-gal) reporter gene was used to prepare nanoparticles with the chitosan derivatives, and the transfection studies were performed with HeLa cells. By means of dynamic light scattering and zeta potential measurements, it was shown that diethylethylamine-chitosan derivatives (DEAE(x)-CH) were able to condense DNA into small particles having a surface charge depending on the polymer/DNA ratio (N/P ratio). Nanoparticles prepared with derivatives containing 15 and 25% of DEAE groups (DEAE(15)-CH and DEAE(25)-CH) exhibited transfection efficiencies ten times higher than that observed with deacetylated chitosan (CH). For derivatives with higher degrees of substitution (DS), transfection efficiency decreased. The most effective carriers showed low cytotoxicity and good transfection activities at low charge ratios (N/P). Vectors with low DS were easily degraded in the presence of lysozyme at physiological conditions in vitro and the nontoxicity displayed by these vectors opens up new opportunities in the design of DEAE-chitosan-based nanoparticles for gene delivery.

O que os bichos nos ensinam: a construção do caso clínico em um Centro de Atenção Psicossocial infanto-juvenil / What the animals teach us: the construction of the clinical case in a psychosocial care center for children and teenagers

O presente artigo tem como finalidade apresentar um relato de experiência a partir da prática desenvolvida pelo projeto de extensão “Tecendo a Rede: uma proposta de formação no campo da saúde mental a partir da articulação entre universidade,serviço e comunidade” em um Centro de Atenção Psicossocial infanto-juvenil (CAPSi).Por meio deste relato, discutiremos acerca do papel e das conseqüências do discurso psiquiátrico contemporâneo no tratamento de crianças na rede de serviços de saúde mental, ademais, apresentaremos a metodologia de construção do caso clínico,realçando as possibilidades que essa abre para que surja o singular do sujeito, que em sua maioria, é encoberto pelo enquadre nosológico. Nos encontros para construção do caso clínico de Davi, foi possível verificar uma mudança em alguns profissionais da equipe do serviço, na medida em que passaram a tratar os sintomas da criança de forma distinta da preconizada pelo Manual Diagnóstico e Estatístico das Pertubações Mentais(DSM-IV). Desse modo, os sintomas deixam de ser entendidos apenas como signo de disfuncionalidade, abrindo espaço para reflexão sobre a construção subjetiva de Davi para se sustentar numa rede simbólica.(AU)

This article aims to present an experience report from the practice developed by the extension project "Weaving the Web: a proposal for training in the field of mental health from the relationship between university and community service" into a Psychosocial Care Center for children and teenagers (CAPSi). Through this report, we discuss about the role and consequences of contemporary psychiatric discourse in the treatment of children in the network of mental health services, further more we are going to show how the methodology of construction of the case clinical opens possibilities for appearance of the subject, often hidden by the nosology. In the meetings for the construction of a clinical case of David we can see a change in some of the professional service team as it began to treat the symptoms of children in different ways advocated by the diagnostic and statistical manual of mental disorders (DSMIV). Thus, the symptoms fail to be understood only as a sign of dysfunction, opening space for reflection on the subjective construction of David to hold a symbolic network.(AU)

Crescimento alométrico dos componentes da carcaça de cordeiros Texel × Ile de France confinados do desmame aos 35kg de peso vivo / Allometric growth of the carcass components of feedlot Texel × Ile de France crossbred lambs from weaning to 35kg live weight

Foi avaliado o crescimento alométrico de ossos, músculos e gordura, e das regiões da carcaça de cordeiros Texel × Ile de France, terminados em confinamento. Vinte cordeiros, machos não-castrados, foram desmamados aos 42 dias de idade (15,9 ± 2,1kg de peso vivo) e confinados em baias individuais recebendo alimentação ad libitum. Destes, cinco foram abatidos 10 dias após o desmame e, os remanescentes, aos 25, 30 ou 35kg de peso vivo. Para determinação do crescimento alométrico dos cortes e tecidos foi utilizada a equação exponencial Y = aXb, transformada logaritmicamente em um modelo linear. Observou-se crescimento precoce (b = 0,89) da paleta, ao passo que a perna, a costela e o pescoço apresentaram crescimento isogônico (b = 1,00, 1,03 e 1,11, respectivamente), ou seja, equivalente ao da carcaça. O aumento do peso da carcaça implicou em redução da taxa de crescimento de ossos e músculos (b = 0,60 e 0,92, respectivamente) e aumento da taxa de crescimento da gordura (b = 1,78). O crescimento muscular foi diferenciado nas distintas regiões da carcaça, sendo isogônico na paleta (b = 0,98) e na perna (b = 0,99) e precoce na costela (b = 0,90) e no pescoço (b = 0,79). Recomenda-se que o abate de cordeiros Texel × Ile de France seja realizado com, no máximo, 30kg de peso vivo.

Allometric growth of bone, muscle and fat, as well as of the carcass cuts of feedlot Texel × Ile de France crossbred lambs was evaluated. Twenty non-castrated male lambs weaned at 42 days of age (15.9 ± 2.1kg live weight) were housed in individual stalls and fed ad libitum. Five lambs were slaughtered ten days after weaning, and the remaining were randomly assigned to one of three slaughter weights: 25, 30 and 35kg live weight. To determine allometric growth of individual cuts and tissues, exponential equation Y = aXb was logarithmically transformed and used. Shoulder presented early maturity (b = 0.89), whereas allometric growth of leg, rib and neck were isogonics (b = 1.00, 1.03 e 1.11, respectively), i.e., similar to the carcass. Increased carcass weight resulted in decreased rate of bone and muscle growth (b = 0.60 and 0.92, respectively), and increased rate of fat growth (b = 1.78). Muscle growth was different among carcass cuts, being isogonics in shoulder (b = 0.98) and leg (b = 0.99), and early in rib (b = 0.90) and neck (b = 0.79). Maximum slaughter weight of Texel × Ile de France crossbred lambs is recommended to be 30kg live weight.

Carcass traits of feedlot crossbred lambs slaughtered at different live weights / Características da carcaça de cordeiros cruzados, confinados e abatidos em diferentes pesos

Carcass traits of twenty Texel x Ile de France crossbred lambs slaughtered after weaning (52 days of age), or at 25, 30 and 35kg live weight were evaluated. Lambs were placed in individual stalls (1.5m²) and fed ad libitum with a diet composed of sorghum silage (Sorghum bicolor (L.) Moench) and a concentrate mix (ground corn, soybean meal, calcium carbonate and salt). Commercial dressing percentage was related quadratically with slaughter weight, being highest in lambs slaughtered after weaning. Real dressing percentage increased linearly. Shoulder proportion decreased with slaughter weight, whereas leg, rib and neck proportions remained constant. Carcass fat was positively correlated to the slaughter weight. Slaughter of feedlot Texel x Ile de France crossbred lambs can be recommended at 28kg live weight.

Foram avaliadas as características da carcaça de cordeiros Texel x Ile de France abatidos após o desmame (52 dias de idade) ou aos 25, 30 e 35kg de peso vivo. Utilizaram-se 20 cordeiros, confinados em baias individuais (1,5m²) e alimentados ad libitum com dieta composta por silagem de sorgo (Sorghum bicolor (L.) Moench) e mistura concentrada (grão de milho triturado, farelo de soja, calcário calcítico e sal comum). O rendimento de carcaça comercial relacionou-se quadraticamente ao peso de abate, sendo máximo para os animais abatidos após o desmame. O rendimento de carcaça real elevou-se linearmente. Foi observado decréscimo linear da proporção de paleta à medida que se elevou o peso de abate, ao passo que as proporções de perna, costela e pescoço permaneceram constantes. A proporção total de gordura da carcaça foi positivamente correlacionada ao peso de abate. Recomenda-se que o abate de cordeiros Texel x Ile de France confinados seja realizado aos 28kg de peso vivo.