Risk assessment due to natural radioactivity of stone dust and crushed stone Commercialized in construction stores in the state of Rio de Janeiro.

A systematic study of the distribution of the Naturally Occurring Radioactivity in stone dust and crushed stone, has been carried out with an objective of establishing reliable baseline data on the radiation level and hence to evaluate hazard indices approach and the production of radioactive heat (RHP) due to radiation exposure to the workers and to the inhabitants of the studied area. Twenty-six samples have been collected from different locations in the State of Rio de Janeiro (Brazil). To calculate the specific activity, gamma ray spectrometry and a detector of High Purity Germanium (HPGe; Canberra, 30% relative efficiency) was used. The activity concentration of 238U, 226Ra 232Th and 40K ranged from 29.3 ± 18.6 to 206.8 ± 21.5 Bq kg-1, 30.3 ± 1.0 to 134.3 ± 1.8, 27.9 ± 0.7 to 86.2 ± 0.9 Bq kg-1, and 734.9 ± 35.1 to 1204.8 ± 53.5 Bq kg-1, respectively. The mean values of the Iex, Iin, Iγ, Iα, AUI, IRP112Rn, IPA, IPI and IYu indices were 0.68 ± 0.09, 0.92 ± 0.12, 0.93 ± 0.12, 0.43 ± 0.07, 0.88 ± 0.20, 1.25 ± 0.21, 0.34 ± 0.05, 0.75 ± 0.10, 0.63 ± 0.08 and 34. ± 6.31, respectively. The average radioactive heat production (RHP) of 2.01 ± 0.28 µ Wm-3 was above the values found in the literature, which may contribute to the heat flow in the study area because the raw materials that make up the samples showed a high value of environmental radioactivity. The Brazilian Hazard Index to assess the radiological risk of crushed stone and stone dust was created and the average value was 0.74 ± 0.10, a value below 1, which means only moderate control over the use of these materials, with no indication of restriction to the its use.

Factors Associated with the Lifestyle of Pediatric Healthcare Professionals during the COVID-19 Pandemic.

The objective of this study was to analyze the association between sociodemographic and occupational variables with the lifestyle of health professionals in pediatric units during the COVID-19 pandemic. A cross-sectional study was conducted with 407 health professionals working in four pediatric health units in the State of Bahia, northeast Brazil. The Fantastic Lifestyle Questionnaire and a questionnaire with sociodemographic and employment variables self-applied via Google Forms were used. The final binary logistic regression models revealed significant associations between those who received 3 to 5 minimum wages, without a marital relationship and with more than one employment relationship. Data suggest that these sociodemographic and occupational profiles are more exposed to risky lifestyle behaviors. The findings of this study demonstrated the need for greater attention to the health of health professionals in the pediatric field, as well as the promotion of initiatives that seek to value the work of these professionals and reduce the damage caused to their lifestyle, especially in a pandemic scenario.

Association between burnout syndrome and obesity: A cross-sectional population-based study.

BACKGROUND: Burnout Syndrome (BS) is a response of organism against long-lasting exposure to occupational stressors. Those affected usually have comorbidities, as well as cardiovascular and metabolic problems. OBJECTIVE: Estimating the association between BS and obesity in primary health care nurses of in the state of Bahia, Brazil. METHODS: Population-analytical, cross-confirmatory, integrated and multicenter study, conducted with a random sample of primary health care nursing professionals in 43 municipalities from 07 mesoregions of Bahia, Brazil. This study was funded by the Brazilian Board for Scientific and Technological Development. The independent variable (BS) was evaluated by using the Maslach Burnout Inventory (MBI) scale, and the dependent one (obesity) was based on the Body Mass Index (BMI)≥30. Effect modification and confounding factors were verified by crude, stratified, and multivariate analysis. RESULTS: The prevalence of BS and obesity was 17.7% and 12.7%, respectively. BS was statistically associated with obesity, even after adjustment (RPa: 1.85; CI 95% 1.11-3.06) per gender, age, physical activity, healthy eating, satisfaction with occupation, another job, night shift, primary health care (PHC) time, and working conditions. Effect-modifying variables were not identified. CONCLUSIONS: The specialized literature points out a path to the association identified here. New studies on the subject are relevant and should have more robust methodologies so that the path of causality is better clarified. In addition, occupational health programs become an alternative to control stress and, therefore, its complications, such as burnout and other health aggravations.

Anxiety and dyslipidemia among primary health care professionals: A Cross-sectional study.

BACKGROUND: Cross-sectional studies point out important evidence between anxiety and dyslipdemic disorders in health workers. OBJECTIVE: Our main objective was to estimate the association between anxiety and dyslipidemia in Primary Health Care (PHC) nursing professionals in Feira de Santana, Bahia, Brazil. METHODS: A confirmatory cross-sectional study involving 376 PHC nursing professionals. Data collection occurred through the application of a questionnaire containing sociodemographic, labor and lifestyle issues, and the Beck Inventory for anxiety; to evaluate the lipid profile, the HDL-c, LDL-c, and triglycerides markers were evaluated. Descriptive, bivariate analysis and Logistic Regression were performed. RESULTS: The estimated prevalence of moderate/severe anxiety corresponded to 26.1% and dyslipidemia was 54.8%, with a statistically significant association between both of variables stratified by physical activity (PR = 2.69; 95% CI = 1.87-3.85) and (PR = 1.87; 95% CI = 1.53-2.28). CONCLUSIONS: There is a positive association between anxiety and dyslipidemia in Primary Health Care nursing professionals.

Development of a non-invasive method for monitoring variations in salt concentrations of seawater using nuclear technique and Monte Carlo simulation.

In the oil production industry, water is used as a fluid injected into the well to raise the oil when the well is depressurized. Water thus produced presents variations in the concentrations of dissolved salts, as there is a mixture of different types of water, related to its origin (such as connate water, sea water). Because it is reused in oil production, water needs to be monitored to maintain the standard suitable for its use as it can be hypersaline, contributing to the encrustation of pipes and contamination of underground water reservoirs. In this study, a noninvasive method was developed to determine the salt concentration in seawater. The method uses a detection system that contains a NaI(Tl) detector, a241Am source, and a sample holder to measure the mass attenuation coefficient of saltwater samples. For validation, the same setup was also simulated using the MCNPX code. Saltwater samples with different concentrations of NaCl and KBr were used as a proxy for seawater. The mass attenuation coefficients for the simulation exhibited the smallest relative errors (up to 6.2%), and the experimental ones exhibited the highest relative errors (up to 25%) when compared with theoretical values.

Clinical listening, Mental Health Professionals and Speech-Language Pathology: experience in the Child and Adolescent Psychosocial Care Center (CAPSij).

PURPOSE: The speech therapy practice in mental health is questioned by the challenge of producing shared care strategies to, above all, expand the conditions and the communicational repertoire, the discursive and social circulation of people with mental suffering. Objective of this study was to identify the perception of clinical listening in professionals of Child and Adolescent Psychosocial Care Center (CAPSij), specifying the role of speech therapy in the care and listening of patientes. METHODS: This is a participatory and dialogical research. A discussion group was used to collect data. RESULTS: were grouped in the following categories: listening conception; listening and working process; listening effects; speech therapy and clinical listening. These professionals think of clinical listening as a central device for mental health care. The clinical listening favors reflection on the bio psychic dynamics of healthcare. It was observed contributions of speech therapy in intra and interinstitutional scopes, in the clinical-therapeutic work of the health professionals, patients and relatives. The speech therapist's skills and knowledge about organic aspects of child development in the opinion of professionals enhance clinical listening. CONCLUSION: It was concluded that without teamwork, care in CAPSij would not happen in a qualified way under the public health policies: Psychosocial Care Network (PSCN) and Unified Health System (SUS) frameworks. The clinical listening is a condition of possibility of the care offered by the professionals.

Narcisismo e desamparo: algumas considerações sobre as relações interpessoais na atualidade / Narcissisme et détresse: quelques considérations sur les relations interpersonnelles aujourd'hui / Narcisismo y desamparo: algunas consideraciones sobre las relaciones interpersonales en la actualidad / Narcissism and helplessness: some considerations about interpersonal relationships today

Resumo Este ensaio objetiva problematizar o fenômeno do narcisismo na atualidade, partindo da hipótese de que as relações interpessoais se configuram pelo desamparo em sua dimensão traumática, e não como abertura à alteridade. Isso se daria assim porque, no atual cenário social, as relações humanas tendem a não oferecer apoio e suporte alteritário para a transformação e o desenvolvimento do sujeito, pois o coloca diante de três ameaças desagregadoras: o vazio solitário, a invasão do outro e a impotência. Na ausência de relações de amparo, o outro aparece como ameaça diante da qual o narcisismo advém como possibilidade de defesa e prevalece em sua forma de narcisismo regenerador.

Résumé Cet essai problématise le phénomène du narcissisme aujourd'hui, en supposant que les relations interpersonnelles sont configurées par la détresse dans sa dimension traumatique et pas comme une ouverture à l'altérité. Cela se produirait parce que dans le scénario social actuel, les relations humaines tendent à ne pas offrir de soutien et de support d'altérité pour la transformation et le développement du sujet, en le plaçant devant trois menaces de désagrégation : le vide solitaire, l'invasion de l'autre et l'impuissance. En l'absence de relations de soutien, l'autre apparaît en tant qu'une menace devant laquelle le narcissisme surgit comme une possibilité de défense et prévaut dans sa forme de narcissisme régénérateur.

Resumen Este ensayo pretende problematizar el fenómeno del narcisismo en la actualidad partiendo de la hipótesis de que las relaciones interpersonales no se configuran por la apertura a la alteridad, sino por el desamparo en su dimensión traumática. Esto se debe a las relaciones humanas, que el escenario social actual tienden a no ofrecer ayuda y apoyo a la alteridad para la transformación y el desarrollo del sujeto, pues lo coloca ante tres amenazas desagregadoras: el vacío solitario, la invasión del otro y la impotencia. En la ausencia de relaciones de amparo, el otro aparece como amenaza ante la que el narcisismo adviene como posibilidad de defensa y prevalece en su forma de narcisismo regenerativo.

Abstract This essay aims to discuss the phenomenon of narcissism today, starting from the hypothesis that interpersonal relationships are configured by helplessness in its traumatic dimension, and not as an opening to alterity. This would be so because, in the current social scenario, human relationships tend to lack help and alteritarian support for subjects' transformation and development, posing three disruptive threats to them: lonely emptiness, invasion of the other and impotence. In the absence of supportive relationships, the other appears as a threat against which narcissism emerges as a possibility of defense, prevailing in the form of regenerating narcissism.

Qualidade físico-química de polpas de fruta de goiaba e manga comercializadas no Gama-DF / Physico-chemical quality of guava and mango fruit pulps sold in Gama-DF

As polpas de fruta congeladas são uma boa opção de aproveitamento das frutas, uma vez que eleva a sua vida útil. O objetivo deste trabalho foi avaliar a qualidade de polpas de fruta comercializadas no Gama-DF. Foram selecionadas quatro marcas comerciais de polpas de fruta congeladas (A, B, C e D) dos sabores goiaba e manga. Avaliou-se o pH, teor de umidade, sólidos totais e açúcares totais determinados baseando-se nos métodos descritos pelo Instituto Adolfo Lutz. Todas as marcas apresentaram teor de umidade e de açúcar total condizentes com a legislação. No entanto, os resultados de pH obtidos para as marcas A, B e C apresentaram valores em discordância com os Padrões de Identidade e Qualidade regulamentados, para pelo menos um dos sabores de polpa de fruta. Adicionalmente, os valores do teor de sólidos totais das marcas comerciais B e C do sabor goiaba e B e D do sabor manga apresentaram discrepância em relação aos valores preconizados pela legislação. Assim, verificou-se que todas as marcas apresentaram, pelo menos, um parâmetro em desacordo com a legislação. Conclui-se que é necessário a adoção de boas práticas de fabricação e padronização das matérias-primas no processo de fabricação de polpas de fruta.(AU)

The frozen fruit pulps are a good option for the utilization of fruits, since they increase their useful life. The objective of this work was to evaluate the quality of fruit pulps sold in Gama-DF. Four commercial brands of frozen fruit pulps (A, B, C and D) of the guava and mango flavors were selected. The pH, water content, total solids and total sugars were determined based on the methods described by Adolfo Lutz Institute. All brands had moisture and total sugar content in line with the legislation. However, the pH results obtained for brands A, B and C showed values in disagreement with the regulated Identity and Quality Standards, for at least one of the fruit pulp flavors. Additionally, the values of the total solids content of the trademarks B and C of the guava flavor and B and D of the mango flavor presented discrepancy in relation to the values recommended by the legislation. Thus, it was found that all the pulps had at least one parameter without compliance with the legislation. The conclusion is that is necessary to adopt good manufacturing practices and standardization of raw materials in the fruit pulp manufacturing process.(AU)

Qualidade físico-química de polpas de fruta de goiaba e manga comercializadas no Gama-DF / Physico-chemical quality of guava and mango fruit pulps sold in Gama-DF

As polpas de fruta congeladas são uma boa opção de aproveitamento das frutas, uma vez que eleva a sua vida útil. O objetivo deste trabalho foi avaliar a qualidade de polpas de fruta comercializadas no Gama-DF. Foram selecionadas quatro marcas comerciais de polpas de fruta congeladas (A, B, C e D) dos sabores goiaba e manga. Avaliou-se o pH, teor de umidade, sólidos totais e açúcares totais determinados baseando-se nos métodos descritos pelo Instituto Adolfo Lutz. Todas as marcas apresentaram teor de umidade e de açúcar total condizentes com a legislação. No entanto, os resultados de pH obtidos para as marcas A, B e C apresentaram valores em discordância com os Padrões de Identidade e Qualidade regulamentados, para pelo menos um dos sabores de polpa de fruta. Adicionalmente, os valores do teor de sólidos totais das marcas comerciais B e C do sabor goiaba e B e D do sabor manga apresentaram discrepância em relação aos valores preconizados pela legislação. Assim, verificou-se que todas as marcas apresentaram, pelo menos, um parâmetro em desacordo com a legislação. Conclui-se que é necessário a adoção de boas práticas de fabricação e padronização das matérias-primas no processo de fabricação de polpas de fruta.

The frozen fruit pulps are a good option for the utilization of fruits, since they increase their useful life. The objective of this work was to evaluate the quality of fruit pulps sold in Gama-DF. Four commercial brands of frozen fruit pulps (A, B, C and D) of the guava and mango flavors were selected. The pH, water content, total solids and total sugars were determined based on the methods described by Adolfo Lutz Institute. All brands had moisture and total sugar content in line with the legislation. However, the pH results obtained for brands A, B and C showed values in disagreement with the regulated Identity and Quality Standards, for at least one of the fruit pulp flavors. Additionally, the values of the total solids content of the trademarks B and C of the guava flavor and B and D of the mango flavor presented discrepancy in relation to the values recommended by the legislation. Thus, it was found that all the pulps had at least one parameter without compliance with the legislation. The conclusion is that is necessary to adopt good manufacturing practices and standardization of raw materials in the fruit pulp manufacturing process.

Qualidade físico-química de polpas de fruta de goiaba e manga comercializadas no Gama-DF / MICROBIOLOGICAL ANALYSIS OF COMMERCIALIZED FRUIT SALADS IN THE MUNICIPALITY OF POUSO ALEGRE - MG

O presente estudo teve como objetivo avaliar a qualidade microbiológica de saladas de frutas comercializadas em Pouso Alegre ­ MG, verificando se estas atendem aos padrões microbiológicos para enumeração de coliformes totais e coliformes termotolerantes estabelecidos pela RDC Nº 12 de 2001. As amostras pertenciam a vinte estabelecimentos comerciais diferentes e foram adquiridas no período de agosto a setembro de 2019 no comércio local. As amostras foram diluídas 1/10, 1/100 e 1/1000. Uma alíquota de 1 mL de cada diluição foi inoculada pela técnica pour plate utilizando o meio Agar Vermelho Violeta Bile. As placas foram incubadas em temperatura de 35ºC por 24-48 horas e após esse período as colônias, quando presentes, foram contadas e identificadas. Das 20 amostras analisadas em nenhuma houve crescimento de coliforme termotolerantes sendo este resultado satisfatório, porém, em 75% das amostras houve presença de coliformes totais. Apesar de em todas as amostras encontrarem-se dentro dos padrões microbiológicos vigentes para coliformes termotolerantes, os elevados valores encontrados de coliformes totais evidenciam que o produto pode fornecer risco ao consumidor

The present study aimed to evaluate the microbiological quality of fruit salads sold in Pouso Alegre ­ MG, verifying if they meet the microbiological standards for enumeration of total coliforms and thermotolerant coliforms established by RDC No. 12 of 2001.The samples belonged to twenty different commercial establishments and were acquired from August to September 2019 in local trade. The samples were diluted 1/10, 1/100 and 1/1000. A 1 mL aliquot of each dilution was inoculated using the pour plate technique using Agar Red Violet Bile. The plates were incubated at a temperature of 35ºC for 24-48 hours and after this period the colonies when present, were counted and identified. Of the 20 samples analyzed in none, there was growth of thermotolerant coliform, this result being satisfactory, however, in 75% of the samples there was the presence of total coliforms. Although in all samples they are within the current microbiological standards for thermotolerant coliforms, the high values found for total coliforms show that the product can provide risk to the consumer

Daseinsanálise e psicanálise: caracterização de como se dá esse debate na atualidade / Daseinsanalysis and psychoanalysis: description of how this debate takes place today

Este estudo objetiva retomar o diálogo efetuado entre a tradição da ontologia hermenêutica heideggeriana e a psicanálise freudiana, a fim de caracterizar como ele tem sido realizado na atualidade. Apesar de existirem muitos argumentos que questionam a possibilidade de articulação entre esses dois campos, eles não encerram consensualmente essa discussão e exigem ser atualizados. No cenário mais recente, algumas pesquisas têm acenado para o estabelecimento de pontos de conexões entre elas, sem, contudo, desconsiderarem a especificidade dos campos teóricos em questão. Essa forma de interlocução parece o grande desafio aos pesquisadores na atualidade.

This study aims to exam the dialogue between Heidegger´s hermeneutic ontology and Freud´s psychoanalysis theoretical traditions, in order to describe how it has been carried out currently. Despite having a lot of arguments which question the possibility of integration between both fields, they do not enclose consensually this debate and require an updating. In the recent scenario, some researches go towards the establishment of connection points among them, without, however, disregarding the specificity of the involved theoretical fields. This way of consideration of the matter seems to be the great challenge for researchers nowadays.

Atuação de fonoaudiólogos em Centros de Convivência e Cooperativa (CECCO): trajetórias e desafios da formação profissional / Speech therapists practice in Coexistence and Cooperative Center (CECCO): trajectories and challenges of professional qualification / Terapeutas del habla que actúan en Centros de Convivencia y Cooperativas (CECCO): trayectorias y desafíos de la formación profesional

Os fonoaudiólogos têm, de modo crescente, integrado equipes de Centros de Atenção Psicossocial e de Centro de Convivência e Cooperativa (CECCO) e serviços que integram a Rede de Atenção Psicossocial (RAPS). Os paradigmas adotados pelo Sistema Único de Saúde (SUS) e pela Política de Atenção Psicossocial desafiam os cursos de graduação em Fonoaudiologia a promoverem mudanças na formação profissional da área. Objetivo: conhecer as trajetórias e singularidades de fonoaudiólogos que trabalhavam em CECCO em São Paulo e a partir de seus relatos tecer reflexões que possam contribuir para a formação profissional. Método: entrevista semidirigida realizada com 8 fonoaudiólogos com experiência ou vínculo no serviço, gravada e transcrita. Foi aplicada a análise de conteúdo. Resultados: O tempo de atuação dos profissionais em CECCO variou entre 1 ano e 6 meses a 17 anos. Sobre a formação continuada, seis sujeitos referiram pós-graduação lato sensu, dois em stricto sensu, sendo que seis mencionaram a realização de educação permanente. As principais ações desenvolvidas são oficinas e práticas integrativas e complementares em saúde. Como principais mudanças em suas práticas destacaram a concepção ampliada de saúde, o trabalho interdisciplinar e o uso de conhecimentos específicos da Fonoaudiologia no desenvolvimento de atividades de promoção da saúde e sociabilidade. Enfatizaram que durante a formação profissional os estudantes devem conhecer políticas públicas de atenção psicossocial, desenvolver competência para utilizar recursos da cultura, arte e esporte para a promoção da saúde, inclusão social, socialização dos usuários e saber trabalhar em redes de saúde e intersetoriais. Conclusão: A pesquisa mostra que a formação dos fonoaudiólogos, além dos aspectos específicos da área destinados à assistência em saúde, deve englobar outras dimensões do cuidado integral, bem como experiências com o trabalho interdisciplinar e intersetorial.

Speech therapists are increasingly integrating teams of Psychosocial Care Centers and the Co-operative Living Center (CECCO) and services that integrate the Psychosocial Care Network (RAPS). The paradigms adopted by the Unified Health System (SUS) and the Psychosocial Care Policy challenge undergraduate courses in speech therapy to promote changes in the professional education of the area. Objective: to know the trajectories and singularities of speech therapists who work in CECCO in the city of São Paulo and to systematize from their reports reflections that may contribute to the formation of future speech therapists. Method: recorded and transcribed semi-directed interview with 8 speech therapists with experience or connection with CECCO. Content analysis was applied. Results: The working time in CECCO of the interviewees ranged from 1 year and 6 months to 17 years. Regarding further education, six interviewees reported post lato sensu, two stricto sensu and six continuing education. The main actions developed are integrative and complementary health workshops and practices. The main changes in their practices include the broader conception of health, interdisciplinary teamwork and the use of specific knowledge of speech therapy in the development of activities. They consider that during vocational training students should be aware of public psychosocial care policies, develop competence to use resources from culture, art, sport and health for health promotion, social inclusion, socialization of users and for work in health networks. Conclusion: The research shows the importance of undergraduate courses in providing students with knowledge about mental health politics and health promotion, as well as competencies and skills for interdisciplinary work and with group devices that through art, leisure and work enhance integral health care.

Los logopedas están integrando cada vez más equipos de Centros de Atención Psicosocial y el Centro de Vida Cooperativa (CECCO) y servicios que integran la Red de Atención Psicosocial (RAPS). Los paradigmas adoptados por el Sistema Único de Salud (SUS) y la Política de Atención Psicosocial desafían los cursos de pregrado en logopedia para promover cambios en la educación profesional del área. Objetivo: conocer las trayectorias y singularidades de los logopedas que trabajaron en CECCO en São Paulo y, a partir de sus informes, tejer reflexiones que pueden contribuir a la capacitación profesional. Método: entrevista semi-dirigida realizada con 8 audiólogos con experiencia o vínculo en el servicio registrado y transcrito. Se aplicó el análisis de contenido. Resultados: El tiempo de trabajo de los profesionales en CECCO osciló entre 1 año y 6 meses a 17 años. Con respecto a la educación continua, seis sujetos informaron estudios de posgrado lato sensu, dos en stricto sensu y seis mencionaron educación continua. Las principales acciones desarrolladas son talleres y prácticas integrales y complementarias de salud. Los principales cambios en sus prácticas destacaron la concepción más amplia de la salud, el trabajo interdisciplinario y el uso del conocimiento específico de la terapia del habla en el desarrollo de la promoción de la salud y las actividades sociales. Enfatizaron que durante la capacitación profesional, los estudiantes deben conocer las políticas públicas de atención psicosocial, desarrollar competencias para utilizar los recursos de la cultura, el arte y el deporte para la promoción de la salud, la inclusión social, la socialización de los usuarios y saber cómo trabajar en redes de salud e intersectoriales. Conclusión: La investigación muestra que la capacitación de los terapeutas del habla más allá de los aspectos específicos del área destinada a la atención médica, debe abarcar otras dimensiones de la atención integral, así como las experiencias con el trabajo interdisciplinario e intersectorial.

Speech-language-hearing therapy and clinical listening in a mental health team: perception of parents of children with autism spectrum disorder / Fonoaudiologia e escuta clínica em equipe de saúde mental: percepção de pais de crianças com transtorno do espectro do autismo

ABSTRACT Purpose: to analyze the effects of clinical listening in the discourse of parents of children with autism about the speech-language-hearing work in the team of a Children and Youth Psychosocial Attention Center (Centro de Atenção Psicossocial Infanto-Juvenil). Methods: a descriptive case study research with nine parents of children with autism. Results: the parents recognize, in the therapeutic experience with the speech-language-hearing therapist, changes in the quality of communication and relationship with their children, becoming more linguistically open and interesting figures to their children, because they understand the communication dynamics and feel ready to develop it. The parents incorporated the idea that it is through a shared playing that their children develop both subjectively and cognitively. They realize that the change and interaction with and between their children, as proposed by the speech-language-hearing therapy, generate care and enlarge the social repertoire of communication. Conclusion: speech-language-hearing therapy was considered as belonging and fundamental to the field of mental health in the work with children with autism, which reinforces the listening offered to the parents by the team.

RESUMO Objetivo: analisar efeitos da escuta clínica no discurso parental de crianças com autismo sobre o trabalho fonoaudiológico em equipe de um Centro de Atenção Psicossocial Infanto-juvenil. Métodos: pesquisa descritiva, estudo de caso com nove pais de crianças com autismo. Resultados: os pais reconhecem, na experiência terapêutica com o fonoaudiólogo, modificações na qualidade da comunicação e da relação com seus filhos, tornam-se figuras linguisticamente mais abertas e interessantes aos filhos porque compreendem os dinamismos da comunicação e sentem-se aptos a trabalha-la. Os pais incorporaram a ideia de que é pelo brincar compartilhado que suas crianças se desenvolvem subjetiva e cognitivamente. Percebem que a troca e a interação com e entre as crianças, propostas pela Fonoaudiologia, são produtoras de cuidado e ampliam os repertórios sociais de comunicação. Conclusão: a Fonoaudiologia foi considerada pertencente e fundamental ao campo da saúde mental no trabalho com crianças com autismo, o que reitera a escuta oferecida aos pais pela equipe.

How We Treat Recurrent Glioblastoma Today and Current Evidence.

PURPOSE OF REVIEW: Recurrent glioblastoma (rGBM) has no standard treatment. Despite a better molecular knowledge, few therapies have brought changes in clinical practice so far. Here we will review the current data evaluating the re-radiation, re-resection, bevacizumab, and cytotoxic chemotherapy agents in this setting. We will also discuss the advances of immunotherapy and the possible benefit of this treatment for patients with rGBM. RECENT FINDINGS: Next-generation sequencing is increasingly utilized in the clinical practice of neuro-oncologists, bringing gene mutations as targets for therapies. As in other solid tumors, immunotherapy has been also extensively studied in rGBM, with interesting results in phase I and II trials. The most promising therapies in the horizon are combinations including immune checkpoint inhibitors, virotherapy, vaccines, and monoclonal antibodies. Although re-radiation, re-resection, bevacizumab, and chemotherapy are still the most widely used therapies for treating rGBM, the clinical benefit from these treatments is still not well established. Preliminary results of studies with immune checkpoint inhibitors were disappointing, but virotherapy emerges as more promising immunotherapy in rGBM, especially in combination with other strategies. In addition to the gain in overall survival, the improvement in the quality of life of these patients is also expected.

Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study.

This research aims at evaluating prevalence and factors associated with metabolic syndrome (MS) in primary health care (PHC) nursing professionals. A multicenter, population-based and cross-sectional study was conducted in a team-tested sample of 1125 PHC nurses in the state of Bahia, Brazil. Sociodemographic, labor, lifestyle and human biology variables were investigated by mean of anamnesis. MS was evaluated according to the criteria of the first Brazilian Guideline for Metabolic Syndrome, which fully adopts the criteria of the National Cholesterol Education Program's Adult Treatment Panel III. MS-associated factors were tested by using robust Poisson Regression. The prevalence of MS found was 24.4%; low High Density Lipoprotein (HDL) cholesterol was the most prevalent component of the syndrome. In the multivariate analysis, physical inactivity (PR = 1.25, 95% CI = 1.02-1.53), alcohol use (PR = 1.84, 95% CI = 1.22-2.77), acanthosis nigricans (PR = 3.23, 95% CI = 2.65-3.92), burnout syndrome (PR = 1.45, 95% CI = 1.17-1.81), (PR = 1.37, 95% CI = 1.12-1.69), working as a nursing technician (PR = 1.43, 95% CI = 1.14-1.80), were associated to MS. It was found that the prevalence of MS was high, which evidences the need for interventions in the PHC environment, improvement of working conditions, monitoring of worker safety and health, diet programs and physical activity.

Efeito da realidade virtual na intensidade de tontura e qualidade de vida de idosos com hipofunção vestibular unilateral / Effect of virtual reality on intensity of dizziness and quality of life in elderly living with unilateral vestibular hypofunction

Este estudo teve por objetivo verificar a eficácia da realidade virtual na intensidade de tontura e qualidade de vida de idosos com hipofunção vestibular unilateral. A amostra foi constituída por 12 indivíduos com idade média de 70,16 ± 6,86 anos, de ambos os gêneros, referindo sintoma de tontura por dois meses e apresentaram positividade para hipofunção vestibular unilateral. Foram excluídos do estudo pacientes que apresentaram positividade para VPPB. Para avaliação da qualidade de vida foi utilizado o Dizziness Handicap Inventory - versão brasileira, para a avaliação do sintoma de tontura foi utilizado a Escala Visual Analógica (EVA). Os participantes foram avaliados e divididos em dois grupos, grupo A - exercícios vestibulares convencionais - e grupo B - tratamento com realidade virtual através do Xbox 360 Kinect® da Microsoft. Ao término da última sessão, foi realizada a reavaliação. Para a análise dos dados foi utilizado estatística descritiva, os testes de Wilcoxon para a variável EVA e T de Student para as o DHI de ambos os grupos. O nível de significância foi de 5%. Ao término do programa, apenas o grupo B mostrou diferença significativa nos quesitos avaliados. Conclui-se que a realidade virtual é adequada no tratamento de idosos com hipofunção vestibular unilateral. (AU)

This study aimed to verify the efficacy of virtual reality on intensity of dizziness and quality of life in elderly with unilateral vestibular hypofunction. The sample consisted of 12 individuals with a mean age of 70.16 years (± 6.86) of both genders, who reported dizziness symptoms for at least two months and presented positivity for unilateral vestibular hypofunction. Patients who were positive for BPPV were excluded. The Dizziness Handicap Inventory - Brazilian version was used to evaluate quality of life, and Visual Analog Scale (VAE) was used for evaluation of dizziness symptoms. Participants were assessed and then divided into two groups; in group A the intervention was performed through conventional vestibular exercises; and group B underwent a treatment with use of virtual reality through the Xbox 360 Kinect® of Microsoft. At the end of last session, the revaluation was carried out. For data analysis, descriptive statistics were used, and Wilcoxon, Student's T and Shapiro-Wilk tests were used to compare variables of groups A and B. The level of significance was 5%. At the end of the program, only group B showed a significant difference in the evaluated items, we concluded that virtual reality is an adequate to treatment of elderly patients with unilateral vestibular hypo function. (AU)

Systemic dissemination of glioblastoma: literature review.

INTRODUCTION: Glioblastoma (GBM) is the most frequent primary malignant tumor from the central nervous system in adults. However, the presence of systemic metastasis is an extremely rare event. The objective of this study was to review the literature, evaluating the possible biological mechanisms related to the occurrence of systemic metastasis in patients diagnosed with GBM. RESULTS: The mechanisms that may be related to GBM systemic dissemination are the blood-brain barrier breach, often seen in GBM cases, by the tumor itself or by surgical procedures, gaining access to blood and lymphatic vessels, associated with the acquisition of mesenchymal features of invasiveness, resistance to the immune mechanisms of defense and hostile environment through quiescence. CONCLUSIONS: Tumor cells must overcome many obstacles until the development of systemic metastasis. The physiologic mechanisms are not completely clear. Although not fully understood, the pathophysiological understanding of the mechanisms that may be associated with the systemic spread is salutary for a global understanding of the disease. In addition, this knowledge may be used as a basis for a therapy to be performed in patients diagnosed with GBM distant metastasis.

Systemic dissemination of glioblastoma: literature review

SUMMARY INTRODUCTION: Glioblastoma (GBM) is the most frequent primary malignant tumor from the central nervous system in adults. However, the presence of systemic metastasis is an extremely rare event. The objective of this study was to review the literature, evaluating the possible biological mechanisms related to the occurrence of systemic metastasis in patients diagnosed with GBM. RESULTS: The mechanisms that may be related to GBM systemic dissemination are the blood-brain barrier breach, often seen in GBM cases, by the tumor itself or by surgical procedures, gaining access to blood and lymphatic vessels, associated with the acquisition of mesenchymal features of invasiveness, resistance to the immune mechanisms of defense and hostile environment through quiescence. CONCLUSIONS: Tumor cells must overcome many obstacles until the development of systemic metastasis. The physiologic mechanisms are not completely clear. Although not fully understood, the pathophysiological understanding of the mechanisms that may be associated with the systemic spread is salutary for a global understanding of the disease. In addition, this knowledge may be used as a basis for a therapy to be performed in patients diagnosed with GBM distant metastasis.

RESUMO INTRODUÇÃO: Glioblastoma (GBM) é o tumor maligno mais comum do sistema nervoso central em adultos. Entretanto, metástase a distância de GBM é um evento extremamente raro. O presente estudo teve o objetivo de realizar uma revisão da literatura para avaliar os possíveis mecanismos biológicos relacionados com a ocorrência de metástase a distância de pacientes com diagnóstico de GBM. RESULTADOS: Os mecanismos que podem estar relacionados com a capacidade de disseminação sistêmica do GBM são a quebra de barreira hematoencefálica (BHE) frequentemente vista em GBM, seja pela doença, seja por procedimentos cirúrgicos, dando acesso aos vasos sanguíneos e linfáticos, associada à aquisição de características mesenquimais de invasividade, resistência aos mecanismos de defesa do sistema imunológico e adaptação a hostilidades dos meios distantes por meio de quiescência. CONCLUSÕES: As células tumorais necessitam vencer diversos obstáculos até a formação de uma metástase distante. Apesar de não totalmente esclarecido, o entendimento fisiopatológico dos mecanismos pelos quais podem estar associados à disseminação sistêmica do GBM é salutar para a compreensão global da doença. Além disso, esse conhecimento pode servir de base para a terapia a ser empregada diante do paciente com diagnóstico de GBM com metástase a distância.

Padronização da técnica cirúrgica de fenolização de matriz ungueal para onicocriptose / Standardization of the nail matrix phenolization surgical technique for treating onychocryptosis

A onicocriptose é afecção bastante comum em adolescentes e adultos jovens. Muitos tratamentos já foram descritos, conservadores e clínicos. Descrevemos a padronização da técnica de cirurgia de onicocriptose com fenol 88% realizada desde 2009 no ambulatório de dermatologia ligado a um serviço universitário.

Onychocryptosis is a common condition in adolescents and young adults. Many conservative and clinical treatments have already been described. The authors of the present paper describe the standardization of the onychocryptosis surgical technique using 88% phenol, which is performed at a university hospital's dermatology outpatient clinic since 2009.

Revista Distúrbios da Comunicação: análise dos artigos publicados nos últimos cinco anos / Communication Disorders Journal: analysis of articles published in the last five years / Revista de Trastornos de la Comunicación: análisis de los artículos publicados en los últimos cinco años

A revista Distúrbios da Comunicação (DIC) realizou sua primeira publicação em 1986. Atualmente, está disponibilizada on-line, inserida na base de Literatura Latina Americana e do Caribe em Ciências da Saúde (LILACS) e classificada como B2 na área 21 da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Objetivo: analisar a publicação científica especificamente na categoria de artigos originais, nos últimos cinco anos da Revista Distúrbios da Comunicação, segundo a instituição de ensino, temática, tipo de pesquisa e descritores. Método: trata-se de estudo retrospectivo e exploratório. Foi realizado levantamento das publicações na modalidade artigo científico dos últimos cinco anos, considerando número da revista, volume, título, resumo, área temática, tipo de pesquisa (revisão de literatura, estudo observacional ou de intervenção), número de centros de pesquisa envolvidos e descritores. Resultados: foram avaliados 250 artigos e desses 19,2% das publicações pertencem às Pontifícias Universidades Católicas (São Paulo, Rio Grande do Sul e de Campinas), vindo a seguir a Universidade Federal de Santa Maria ­ UFSM (18,8%). Linguagem é a principal temática abordada (38,8%), 69,6% são estudos observacionais e entre os 250 primeiros descritores selecionados. 13.6% do primeiro descritor foi Fonoaudiologia e 8.8% foi Voz. Conclusão: Os dados evidenciaram que a revista DIC tem conseguido ampliar sua abrangência com participação expressiva de instituições de ensino de diferentes regiões do Brasil. Destaca-se a prevalência de artigos de linguagem e de estudos observacionais. A pesquisa constatou o uso generalizado e, portanto, equivocado do descritor Fonoaudiologia.

The magazine "Disorders of Communication" was first published in 1986. It is now available online, inserted in the Latin American and Caribbean Literature database in Health Sciences (LILACS) and classified as B2 in area 21 of the Coordination of Improvement of Higher Level Personnel (CAPES). Objective: to analyze the scientific publication specifically in the category of original articles, in the last five years of the Journal of Communication Disorders according to the educational institution, thematic, type of research and descriptors. Method: This is a retrospective and exploratory study. It was carried out a survey of the publications in the scientific article of the last five years, considering number of the journal, volume, title, abstract, and subject area, type of research (literature review, observational or intervention study), number of research centers involved and descriptors. Results: 250 articles were evaluated and 19.2% of the publications belonged to the Pontifical Catholic Universities, including in that category those of São Paulo, Rio Grande do Sul and Campinas, followed by the Federal University of Santa Maria - UFSM (18, 8%). Language is the main subject addressed (38.8%), is present in 69.6% observational studies and among the top 250 selected descriptors, followed by 13.6% on Speech-Language Hearing Sciences and 8.8% on Voice. Conclusion: The data showed that the journal DIC has managed to expand its scope with a significant participation of educational institutions from different regions of Brazil. The prevalence of language articles and observational studies is highlighted. Suggestion: The research found the misuse of the descriptor Speech Language Pathology and Audiology.

La revista Disturbios de la Comunicación (DIC) realizó su primera publicación en 1986. Actualmente, está disponible on-line, insertada en la base de Literatura Latina Americana y del Caribe en Ciencias de la Salud (LILACS) y clasificada como B2 en el área 21 de la Coordinación de Perfeccionamiento de Personal de Nivel Superior (CAPES). Objetivo: analizar la publicación científica específicamente en la categoría de artículos originales, en los últimos cinco años de la Revista Disturbios de la Comunicación, según la institución de enseñanza, temática, tipo de investigación y descriptores. Método: se trata de un estudio retrospectivo y exploratorio. Se realizó una recoleta de las publicaciones en la modalidad artículo científico de los últimos cinco años, considerando número de la revista, volumen, título, resumen, y área temática, tipo de investigación (revisión de literatura, estudio observacional o de intervención), número de centros de investigación involucrados y descriptores. Resultados: fueron evaluados 250 artículos. De ellos, 19,2% pertenecen a las Pontifícias Universidades Católicas (São Paulo, Rio Grande do Sul y Campinas), en seguida viene la Universidad Federal de Santa Maria-UFSM (18,8%). El lenguaje es la principal temática abordada (38,8%) y 69,6% son estudios observacionales. Entre los 250 primeros descriptores seleccionados, en 13.6% el primero fue Fonoaudiología y en 8.8% fue Voz. Conclusión: Los datos evidenciaron que la revista DIC está logrando ampliar su alcance con participación expresiva de instituciones de enseñanza de diferentes regiones de Brasil. Se destaca la prevalencia de artículos de lenguaje y de estudios observacionales. La investigación constató el uso generalizado y, por lo tanto, equivocado, del descriptor Fonoaudiología.