Psychometric properties of the Alberta Infant Motor Scale and culturally adapted or translated versions when used for infant populations internationally: A systematic review.

AIM: To systematically review the psychometric properties of the Alberta Infant Motor Scale (AIMS) when used for infant populations internationally, defined as infants not living in Canada, where the normative sample was established. METHOD: Seven databases were searched for studies that informed the psychometric properties of the AIMS and culturally adapted or translated versions in non-Canadian infant cohorts. RESULTS: Forty-nine studies reported results from 11 663 infants representing 22 countries. Country-specific versions of the AIMS are available for Brazilian, Polish, Serbian, Spanish, and Thai infant cohorts. Country-specific norms were introduced for Brazilian, Dutch, Polish, and Thai cohorts. The original Canadian norms were appropriate for Brazilian, Greek, and Turkish cohorts. Across countries, the validity, reliability, and responsiveness of the AIMS was generally sufficient, except for predictive validity. Sufficient structural validity was found in one study, responsiveness in one study, discriminant validity in four of four studies, concurrent validity in 14 of 16 studies, reliability in 26 of 26 studies, and predictive validity in only eight of 13 studies. INTERPRETATION: The use of the AIMS with validated versions and norms is recommended. The AIMS or country-specific versions should be used with caution if norms have not been validated within the specific cultural context.

Descrição de recursos educacionais: ações para corrigir e facilitar a submissão no ARES

Trata-se de um capitulo do livro "Experiências exitosas da Rede UNA-SUS". Aborda os principais problemas relacionados à descrição de recursos educacionais no Acervo de Recursos Educacionais em Saúde (ARES), bem como as ações realizadas para minimizar e corrigir erros cometidos na submissão. O processo de submissão, especialmente a descrição dos recursos, é detalhado. Os problemas, de natureza diversa, são analisados e, então, são propostas soluções que envolvem: mudanças de processo, alteração de metadados, capacitação, revisão da documentação do repositório, implementação de novas tecnologias, entre outras. São feitas considerações que destacam a importância da qualidade da descrição para a busca e recuperação da informação. Com isso, concluiu-se que são necessárias a manutenção de algumas ações já implementadas e o desenvolvimento de outras, adequadas aos novos contextos.

Cross-cultural validity of standardized motor development screening and assessment tools: a systematic review.

AIM: To investigate whether standardized motor development screening and assessment tools that are used to evaluate motor abilities of children aged 0 to 2 years are valid in cultures other than those in which the normative sample was established. METHOD: This was a systematic review in which six databases were searched. Studies were selected based on inclusion/exclusion criteria and appraised for evidence level and quality. Study variables were extracted. RESULTS: Twenty-three studies representing six motor development screening and assessment tools in 16 cultural contexts met the inclusion criteria: Alberta Infant Motor Scale (n=7), Ages and Stages Questionnaire, 3rd edition (n=2), Bayley Scales of Infant and Toddler Development, 3rd edition (n=8), Denver Developmental Screening Test, 2nd edition (n=4), Harris Infant Neuromotor Test (n=1), and Peabody Developmental Motor Scales, 2nd edition (n=1). Thirteen studies found significant differences between the cultural context and normative sample. Two studies established reliability and/or validity of standardized motor development assessments in high-risk infants from different cultural contexts. Five studies established new population norms. Eight studies described the cross-cultural adaptation of a standardized motor development assessment. INTERPRETATION: Standardized motor development assessments have limited validity in cultures other than that in which the normative sample was established. Their use can result in under- or over-referral for services.

Euterpe edulis Extract but Not Oil Enhances Antioxidant Defenses and Protects against Nonalcoholic Fatty Liver Disease Induced by a High-Fat Diet in Rats.

We investigated the effects of E. edulis bioproducts (lyophilized pulp [LEE], defatted lyophilized pulp [LDEE], and oil [EO]) on nonalcoholic fatty liver disease (NAFLD) induced by a high-fat diet (HFD) in rats. All products were chemically analyzed. In vivo, 42 rats were equally randomized into seven groups receiving standard diet, HFD alone or combined with EO, LEE, or LDEE. After NAFLD induction, LEE, LDEE, or EO was added to the animals' diet for 4 weeks. LEE was rich in polyunsaturated fatty acids. From LEE degreasing, LDEE presented higher levels of anthocyanins and antioxidant capacity in vitro. Dietary intake of LEE and especially LDEE, but not EO, attenuated diet-induced NAFLD, reducing inflammatory infiltrate, steatosis, and lipid peroxidation in liver tissue. Although both E. edulis bioproducts were not hepatotoxic, only LDEE presented sufficient benefits to treat NAFLD in rats, possibly by its low lipid content and high amount of phenols and anthocyanins.

Raiva humana / Human rabies

JUSTIFICATIVA E OBJETIVOS: A raiva humana é extremamente relevante do ponto de vista clínico e de saúde pública, por se tratar de moléstia fatal em aproximadamente 100,0% dos casos, embora haja relatos de cura após a instalação dos sinais e sintomas, um dos quais no Brasil, em 2008. O objetivo do presente estudo foi apresentar uma atualização sobre a raiva humana em seus aspectos epidemiológicos, clínicos e terapêuticos, destacando o Protocolo Recife, a fim de subsidiar médicos generalistas com informações úteis ao atendimento clínico de qualidade. CONTEÚDO: Após um período variável de incubação, iniciam-se os pródromos da doença (manifestações inespecíficas). A progressão da enfermidade é acompanhada de grave ansiedade, excitação e agitação psicomotora, evoluindo para manifestações relacionadas à disfunção do tronco cerebral. O tratamento é usualmente baseado nas medidas de apoio das complicações da infecção. CONCLUSÃO: A raiva humana permanece como significativo problema de saúde no Brasil, principalmente por ser uma doença - do ponto de vista clínico, diagnóstico e profilático - ainda pouco conhecida pelos médicos generalistas. Dessa forma, ações de educação continuada constituem um importante elemento para abordagem correta dos pacientes sob o risco de desenvolver a enfermidade.

BACKGROUND AND OBJECTIVES: The human rabies is extremely important for the internal medicine and public health, becauseis a fatal disease in nearly 100% of cases, although there are some reports of healing after the installation of signs and symptoms, one of which in Brazil in 2008, resulting Recife Protocol for treatmentof disease. The aim of this study is to present an update on the human rabies in their epidemiological, clinical and therapeutic aspects, highlighting the Recife Protocol, in order to subsidize generalpractitioners with useful information for clinical care quality. CONTENTS: After a variable period of incubation, begins the prodroms disease (nonspecific). The disease progression is accompanied by severe anxiety, arousal, and psychomotor agitation, progressing to complications due to dysfunction of the brainstem. The treatment is usually based on measures of support from complications of the infection. CONCLUSION: Human rabies remains a significant health problem in Brazil, mainly because it is a disease - the clinicalpoint of view, diagnosis and prophylaxis - that still not wellknown by general practitioners. Thus, actions of continuing education are an important element to appropriate approach for the individuals at risk of developing the disease.

O PET-Saúde como ferramenta estratégica de implantação de um curso de medicina em uma universidade pública: relato de uma experiência / The PET-Saúde as a strategic tool for implementing a course in medicine at a public university: a case report

Como parte do seu projeto de expansão, a Universidade Federal de Viçosa criou um curso de graduação em Medicina que, pautado nas Diretrizes Curriculares Nacionais, busca a inserção precoce dos estudantes na rede de Atenção Básica. A integração da escola ao serviço público, assim como a preocupação com a formação de recursos humanos com senso de responsabilidade social, compromisso com a cidadania e aptos a atender às necessidades concretas da população e operacionalizar o Sistema Único de Saúde estiveram no centro do processo de criação desse curso. A abertura do curso foi autorizada pelo Ministério da Educação e, concomitantemente, foi aprovada a criação de um grupo do Programa de Educação pelo Trabalho para a Saúde (PET-Saúde). Nesse cenário de múltiplos desafios que representa a criação de um novo curso de Medicina em uma universidade pública tradicional, pautado nas DCNs e a partir de um currículo integrado, (re)pensar as experiências iniciais vivenciadas pelos atores sociais protagonistas do PET-Saúde/UFV é o propósito deste relato de experiência.

As part of its expansion plan, the Federal University in Viçosa created its School Of Medicine. Based on the Brazilian National Curriculum guidelines, the course seeks early integration of students into the primary care network. Central concerns in creating the course included integration of the school with public healthcare services and training of human resources with a sense of social responsibility, commitment to citizenship, and skills for serving the population's needs and operationalizing the Unified National Health System. The school was accredited by the Ministry of Education, with simultaneous approval for a project under the Educational Program for Health Work (PET-Saúde). This case report analyzes the multiple challenges of creating a new school of medicine in a traditional public university, based on the National Curriculum guidelines and an integrated curriculum, (re)thinking the initial experiences of the protagonists in the Educational Program for Health Work (PET-Saúde/UFV).

[Elaboration and evaluation of a candidate to the DNA vaccine using synthetic genes derived from the peptídeo SBm7462 against the carrapato Rhiphicephalus (Boophilus) microplus]. / Elaboração E avaliação de um candidato à vacina de DNA, utilizando-se genes sintéticos derivados do peptídeo SBm7462contra o carrapato Rhiphicephalus (Boophilus) microplus.

Rhiphicephalus (Boophilus) microplus is one of the most important arthropods in veterinary medicine due economic losses and health problems caused in cattle production. The vaccination represents optimum method evaluated with effective cost to prevent economic losses and to increase the duration and quality of life of the production animals. A synthetic peptide, SBm 7462, derived from Bm86, has been shown great results in control of ticks. The construction and synthesis of one nucleotide sequence based on this peptide might be useful for design a DNA vaccine that has many advances than peptide vaccine. A gene, called seq1, was constructed with a three repetition of nucleotide sequence of SBm 7462. It was cloned into a pCIneo vector expression in mammals and injected in BALB/c mouse. When mice were inoculated with the expression cassette they did not response in ELISA. They elevated antibody titles only when vaccinated with the synthetic peptide SBm7462®. And, the best titles of immunoglobulins were seen when the SBm7462® was administered subcutaneously.

Orientações para gestão de direitos autorais

O documento gestão de direitos autorais é um passo a passo que explicita alguns processos e instrumentos que podem ser utilizados para a correta gestão dos direitos autorais no âmbito da UNA-SUS, visando garantir a integridade e a atribuição de autoria à obra, além de viabilizar o acesso aberto e a reutilização de recursos educacionais produzidos pelas Instituições de Ensino Superior. Dessa forma, a correta gestão desses direitos garante a disponibilização e preservação dos recursos educacionais no repositório da UNA-SUS, o ARES, e a integridade da documentação necessária para que esses direitos sejam resguardados e respeitados