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Sample records for brazilian case examined

  1. The Dilemma of Influenza Vaccine Recommendations when Applied to the Tropics: The Brazilian Case Examined Under Alternative Scenarios

    PubMed Central

    de Mello, Wyller Alencar; de Paiva, Terezinha Maria; Ishida, Maria Akiko; Benega, Margarete Aparecida; dos Santos, Mirleide Cordeiro; Viboud, Cécile; Miller, Mark A.; Alonso, Wladimir J.

    2009-01-01

    Since 1999 the World Health Organization issues annually an additional influenza vaccine composition recommendation. This initiative aimed to extend to the Southern Hemisphere (SH) the benefits—previously enjoyed only by the Northern Hemisphere (NH)—of a vaccine recommendation issued as close as possible to the moment just before the onset of the influenza epidemic season. A short time between the issue of the recommendation and vaccine delivery is needed to maximize the chances of correct matching between putative circulating strains and one of the three strains present in the vaccine composition. Here we compare the effectiveness of the SH influenza vaccination adopted in Brazil with hypothetical alternative scenarios defined by different timings of vaccine delivery and/or composition. Scores were based on the temporal overlap between vaccine-induced protection and circulating strains. Viral data were obtained between 1999 and 2007 from constant surveillance and strain characterization in two Brazilian cities: Belém, located at the Equatorial region, and São Paulo, at the limit between the tropical and subtropical regions. Our results show that, among currently feasible options, the best strategy for Brazil would be to adopt the NH composition and timing, as in such case protection would increase from 30% to 65% (p<.01) if past data can be used as a prediction of the future. The influenza season starts in Brazil (and in the equator virtually ends) well before the SH winter, making the current delivery of the SH vaccination in April too late to be effective. Since Brazil encompasses a large area of the Southern Hemisphere, our results point to the possibility of these conclusions being similarly valid for other tropical regions. PMID:19352506

  2. "Tupy or not Tupy?" Examining Hybridity in Contemporary Brazilian Art

    ERIC Educational Resources Information Center

    Bastos, Flavia M. C.

    2006-01-01

    Updating the 1920s notion of Anthropophagy developed to symbolize through cannibalistic ritual the process of cultural assimilation that influences art, this article examines issues of naming, describing, and representing contemporary Brazilian art. In the first part of the article, the work of four contemporary Brazilian artists recently…

  3. Emotion and Language Politics: The Brazilian Case

    ERIC Educational Resources Information Center

    Rajagopalan, Kanavillil

    2004-01-01

    The objective of this paper is to make a case for the claim that exclusive focus on the rational has only helped isolate linguists and prevented them from having a say on important political issues relating to language. One important feature of the ordinary person's view of and involvement with language is that emotions play an important role in…

  4. Universality, correlations, and rankings in the Brazilian universities national admission examinations

    NASA Astrophysics Data System (ADS)

    da Silva, Roberto; Lamb, Luis C.; Barbosa, Marcia C.

    2016-09-01

    We analyze the scores obtained by students who have taken the ENEM examination, The Brazilian High School National Examination which is used in the admission process at Brazilian universities. The average high schools scores from different disciplines are compared through the Pearson correlation coefficient. The results show a very large correlation between the performance in the different school subjects. Even though the students' scores in the ENEM form a Gaussian due to the standardization, we show that the high schools' scores form a bimodal distribution that cannot be used to evaluate and compare students performance over time. We also show that this high schools distribution reflects the correlation between school performance and the economic level (based on the average family income) of the students. The ENEM scores are compared with a Brazilian non standardized exam, the entrance examination from the Universidade Federal do Rio Grande do Sul. The analysis of the performance of the same individuals in both tests shows that the two tests not only select different abilities, but also lead to the admission of different sets of individuals. Our results indicate that standardized tests might be an interesting tool to compare performance of individuals over the years, but not of institutions.

  5. Delivering Online Examinations: A Case Study

    ERIC Educational Resources Information Center

    Howarth, Jason; Messing, John; Altas, Irfan

    2004-01-01

    This paper represents a brief case study of delivering online examinations to a worldwide audience. These examinations are delivered in partnership with a commercial online testing company as part of the Industry Master's degree at Charles Sturt University (CSU). The Industry Master's degree is an academic program for students currently employed…

  6. The challenges for solid waste management in accordance with Agenda 21: a Brazilian case review.

    PubMed

    Chaves, Gisele de Lorena Diniz; dos Santos, Jorge Luiz; Rocha, Sandra Mara Santana

    2014-09-01

    This paper aims to evaluate the suitability of the Brazilian solid waste policy (BSWP) with global Agenda 21 and the challenges of implementing the BSWP in municipalities. For this, a review of the principles that guided the creation of this policy was performed to demonstrate that international pressures were important in determining its effectiveness. The contradictory relationship between the satisfactory legal framework that established the Brazilian waste management policy and its weakened implementation in the municipalities is also examined . To illustrate the difficulties faced at the local level, a case study involving municipalities that compose the state of Espírito Santowe was undertaken. In this state, the municipalities signed terms of environmental commitment with supervisory agencies who undertook, within a pre-established schedule, to implement a set of actions to shape the proper management of solid waste, adapted to the requirements of national policy and the guidelines of Agenda 21. Finally, the various difficulties in meeting the requirements are discussed. It is necessary and urgent that Brazil finds a way to coordinate the mechanisms of an innovative and well formulated legal instrument to ensure the successful implementation of solid waste management at the local level to achieve the environmental, economic and social objectives. PMID:25023985

  7. Work for sustainability: Case studies of Brazilian companies.

    PubMed

    Bolis, Ivan; Brunoro, Claudio M; Sznelwar, Laerte I

    2016-11-01

    The introduction of strategic corporate sustainability policies is expected to result in the improvement of several issues in companies. One of these issues is work, which should involve greater well-being for workers. Within the context of production engineering, this research connects sustainability and work-related issues, the latter seen in light of the discipline of ergonomics. Based on case studies conducted at four companies considered sustainability benchmarks, we examined how the introduction of the theme of sustainability has influenced work-related issues. The elements analyzed here were the corporate sustainability strategy, organizational practices for deploying the strategy, and the work design phase. The last element is the moment in which work is prescribed in the organization. The results show that, despite the announcement of the inclusion of changes in work, there is not any explicit evidence confirming that such changes are considered as a requirement for corporate sustainability projects. PMID:26477892

  8. Managing Communication among Geographically Distributed Teams: A Brazilian Case

    NASA Astrophysics Data System (ADS)

    Almeida, Ana Carina M.; de Farias Junior, Ivaldir H.; de S. Carneiro, Pedro Jorge

    The growing demand for qualified professionals is making software companies opt for distributed software development (DSD). At the project conception, communication and synchronization of information are critical factors for success. However problems such as time-zone difference between teams, culture, language and different development processes among sites could difficult the communication among teams. In this way, the main goal of this paper is to describe the solution adopted by a Brazilian team to improve communication in a multisite project environment. The purposed solution was based on the best practices described in the literature, and the communication plan was created based on the infrastructure needed by the project. The outcome of this work is to minimize the impact of communication issues in multisite projects, increasing productivity, good understanding and avoiding rework on code and document writing.

  9. Emergency planning for hazardous industrial areas: a Brazilian case study.

    PubMed

    de Souza, A B

    2000-08-01

    One of the characteristics of modern industrial development is the emergence of a new typology of accidents whose effects can be spread, in space as well as in time, well beyond the borders of the installations where they occur, sometimes impacting the local population and the environment in a catastrophic fashion. This is the result of a number of factors that have changed the risk profile of modern industrial activities. For a number of reasons, the developing countries have proved to be more vulnerable to industrial disasters. Three of the most catastrophic industrial accidents--Bhopal, San Juan de Ixhuatepec, and Cubatão--occurred in developing countries, claiming thousands of lives. During the 1970s and 1980s the higher degree of public visibility of industrial hazards as a result of serious accidents, led to the creation, especially in the more industrialized countries, of regulations for greater control over industrial activities, either by means of new laws or by updating existing legislation. Some of these regulations were designed to improve the response to accidents with potential impacts outside the industrial sites. This article attempts to describe the current status and identify the shortcomings of off-site emergency planning for hazardous industrial areas in Brazil. The most important problems are the lack of specific legislation and the absence of awareness and active participation of public authorities. The experience of an off-site emergency planning process for a Brazilian industrial area is presented. This experience illustrates how difficult it is to prepare and implement emergency planning processes in an industrializing country. PMID:11051072

  10. Production flush of Agaricus blazei on Brazilian casing layers

    PubMed Central

    Colauto, Nelson Barros; da Silveira, Adriano Reis; da Eira, Augusto Ferreira; Linde, Giani Andrea

    2011-01-01

    This study aimed to verify the biological efficiency and production flushes of Agaricus blazei strains on different casing layers during 90 cultivation days. Four casing layers were used: mixture of subsoil and charcoal (VCS), lime schist (LSC), São Paulo peat (SPP) and Santa Catarina peat (SCP); and two genetically distant A. blazei strains. The fungus was grown in composted substratum and, after total colonization, a pasteurized casing layer was added over the substratum, and fructification was induced. Mushrooms were picked up daily when the basidiocarp veil was stretched, but before the lamella were exposed. The biological efficiency (BE) was determined by the fresh basidiocarp mass divided by the substratum dry mass, expressed in percentage. The production flushes were also determined over time production. The BE and production flushes during 90 days were affected by the strains as well as by the casing layers. The ABL26 and LSC produced the best BE of 60.4%. Although VCS is the most used casing layer in Brazil, it is inferior to other casing layers, for all strains, throughout cultivation time. The strain, not the casing layer, is responsible for eventual variations of the average mushroom mass. In average, circa 50% of the mushroom production occurs around the first month, 30% in the second month, and 20% in third month. The casing layer water management depends on the casing layer type and the strain. Production flush responds better to water reposition, mainly with ABL26, and better porosity to LSC and SCP casing layers. PMID:24031673

  11. Scedosporium apiospermum eumycetoma successfully treated with oral voriconazole: report of a case and review of the Brazilian reports on scedosporiosis.

    PubMed

    Oliveira, Flávio de Mattos; Unis, Gisela; Hochhegger, Bruno; Severo, Luiz Carlos

    2013-01-01

    We describe a case of white-grain eumycetoma caused by Scedosporium apiospermum in an immunocompetent host that was successfully treated with oral voriconazole, and we review the Brazilian reports on scedosporiosis. PMID:23563766

  12. Scales of Political Action and Social Movements in Education: The Case of the Brazilian Black Movement and Law 10.639

    ERIC Educational Resources Information Center

    dos Santos, Renato Emerson Nascimento; Soeterik, Inti Maya

    2016-01-01

    This paper examines social coordination by the Brazilian Black Movement in the area of Brazilian education. It explains how these developments relate to the construction of race-based public education policies in the country. Focus goes to the process of creation and implementation of law 10.639 in Brazilian Basic education. Using the concept…

  13. External Evaluation of Education and Teacher Work: The Brazilian Case

    ERIC Educational Resources Information Center

    Rothen, José Carlos; da Cunha Malheiros Santana, Andréia

    2015-01-01

    This article aims to discuss whether external evaluations are instruments to ensure increased quality of public school education. It is part of a research that investigated how evaluation results and the resulting indices were used in two schools in the state of São Paulo (Brazil). The methodology adopted was the case study, using different…

  14. Amyotrophic lateral sclerosis in Brazil: Case series and review of the Brazilian literature.

    PubMed

    Prado, Laura de Godoy Rousseff; Bicalho, Isabella Carolina Santos; Vidigal-Lopes, Mauro; Ferreira, Carla Juliana Araújo; Mageste Barbosa, Luiz Sérgio; Gomez, Rodrigo Santiago; De Souza, Leonardo Cruz; Teixeira, Antônio Lúcio

    2016-01-01

    Our objective was to systematically analyse the first series of cases of amyotrophic lateral sclerosis (ALS) in Minas Gerais and to review the Brazilian literature about clinical studies in ALS. This was a cross-sectional and descriptive study of a consecutive series of patients with probable or defined sporadic ALS according to the Awaji criteria, followed at two referral centres of Belo Horizonte (South-east Brazil). Patients underwent full clinical assessment. Comparisons of patient subgroups according to disease duration and initial presentation were performed. A systematic review was performed about Brazilian clinical studies in ALS. Results showed that of the 61 enrolled patients the male/female ratio was 1.6:1. The mean age at onset of symptoms was 54.9 years (SD ± 11.4). Mean age at diagnosis was 56.3 years (SD ± 11.1). Regarding the initial form of presentation, 43 cases (70.5%) were spinal, 12 cases (19.7%) were generalized and six cases (9.8%) were bulbar. Eight studies were found in the systematic review. In conclusion, the profile of our sample was similar to other national and international series, except for fewer cases of bulbar ALS in our series. There are few clinical studies of ALS in Brazil. The national data of prevalence and incidence are still uncertain. PMID:26854959

  15. Severity of Scorpion Stings in the Western Brazilian Amazon: A Case-Control Study

    PubMed Central

    Queiroz, Amanda M.; Sampaio, Vanderson S.; Mendonça, Iran; Fé, Nelson F.; Sachett, Jacqueline; Ferreira, Luiz Carlos L.; Feitosa, Esaú; Wen, Fan Hui; Lacerda, Marcus; Monteiro, Wuelton

    2015-01-01

    Background Scorpion stings are a major public health problem in Brazil, with an increasing number of registered cases every year. Affecting mostly vulnerable populations, the phenomenon is not well described and is considered a neglected disease. In Brazil, the use of anti-venom formulations is provided free of charge. The associate scorpion sting case is subject to compulsory reporting. This paper describes the epidemiology and identifies factors associated with severity of scorpions stings in the state of Amazonas, in the Western Brazilian Amazon. Methodology/Principal Findings This study included all cases of scorpion stings in the state of Amazonas reported to the Brazilian Diseases Surveillance System from January 1, 2007 to December 31, 2014. A case-control study was conducted to identify factors associated with scorpions sting severity. A total of 2,120 cases were reported during this period. The mean incidence rate in the Amazonas was 7.6 per 100,000 inhabitants/year. Scorpion stings showed a large spatial distribution in the state and represent a potential occupational health problem for rural populations. There was a positive correlation between the absolute number of cases and the altimetric river levels in the Central (p<0.001; Rs = 0.479 linear) and Southwest (p = 0.032; linear Rs = 0.261) regions of the state. Cases were mostly classified as mild (68.6%), followed by moderate (26.8%), and severe (4.6%). The overall lethality rate was 0.3%. Lethality rate among children ≤10 years was 1.3%. Age <10 years [OR = 2.58 (95%CI = 1.47–4.55; p = 0.001)], stings occurring in the rural area [OR = 1.97 (95%CI = 1.18–3.29; p = 0.033) and in the South region of the state [OR = 1.85 (95%CI = 1.17–2.93; p = 0.008)] were independently associated with the risk of developing severity. Conclusions/Significance Scorpion stings show an extensive distribution in the Western Brazilian Amazon threatening especially rural populations, children ≤10 in particular. Thus

  16. Techno-economic analysis for brewer's spent grains use on a biorefinery concept: the Brazilian case.

    PubMed

    Mussatto, Solange I; Moncada, Jonathan; Roberto, Inês C; Cardona, Carlos A

    2013-11-01

    A techno-economic analysis for use of brewer's spent grains (BSG) on a biorefinery concept for the Brazilian case is presented. Four scenarios based on different levels of heat and mass integration for the production of xylitol, lactic acid, activated carbon and phenolic acids are shown. A simulation procedure using the software Aspen Plus and experimental yields was used. Such procedure served as basis for the techno-economic and environmental assessment according to the Brazilian conditions. Full mass integration on water and full energy integration was the configuration with the best economic and environmental performance. For this case, the obtained economic margin was 62.25%, the potential environmental impact was 0.012 PEI/kg products, and the carbon footprint of the processing stage represented 0.96 kg CO2-e/kg of BSG. This result served as basis to draw recommendations on the technological, economic and environmental feasibility for implementation of such type of biorefinery in Brazil. PMID:24055973

  17. Companion Cases in a Large Urban Medical Examiner's Office.

    PubMed

    Hlavaty, Leigh; Njiwaji, Chantel; Sung, LokMan

    2015-12-01

    Companion death cases, as defined in this study, include 2 or more deaths that occur at the same location or 1 death at a specific location combined with 1 or more individuals transported from that same location to a hospital where death was pronounced within 1 hour of arrival. These types of cases can have multiple causes and manners of death. The Wayne County Medical Examiner's Office conducted a retrospective study of companion death cases that came into the office from mid 2007 to the end of 2014. The purpose of the study was to identify and examine patterns of companion death cases in a large urban area that would assist future companion death case investigations. Three hundred fifty deaths were found to be companion cases, including 135 pairs (2 connected deaths in the same location), 20 trios, and 5 quartets. Approximately 49% of companion case deaths were homicides. Approximately 30% of companion case deaths were traumatic accidental deaths. Around 14% of companion case deaths that were from the same scene location had different manners of death, including suicide, homicide, natural, and indeterminate. The remainder of companion death cases were either drug related or natural. Through this study, we have identified a pattern to these companion death cases and have concluded that it is important to conduct a thorough medicolegal death investigation of such cases to establish and elucidate the true circumstances surrounding these deaths. PMID:26332646

  18. Diversification of Bromelioideae (Bromeliaceae) in the Brazilian Atlantic rainforest: A case study in Aechmea subgenus Ortgiesia.

    PubMed

    Goetze, Márcia; Schulte, Katharina; Palma-Silva, Clarisse; Zanella, Camila M; Büttow, Miriam V; Capra, Fernanda; Bered, Fernanda

    2016-05-01

    Aechmea subgenus Ortgiesia comprises ca. 20 species distributed in Brazil, Argentina, Paraguay, and Uruguay, with a center of diversity in the Brazilian Atlantic rainforest. We examined interspecific relationships of Ortgiesia based on Amplified Fragment Length Polymorphisms (AFLP). Ninety-six accessions belonging to 14 species of Ortgiesia were sampled, and genotyped with 11 AFLP primer combinations. The neighbor joining (NJ) tree depicted two main genetic groups within Aechmea subgenus Ortgiesia, and four subgroups. The NJ tree showed short internal branches, indicating an overall shallow genetic divergence among Ortgiesia species as expected for the recently radiated subfamily Bromelioideae. Our results suggest that hybridization and/or incomplete lineage sorting may have hampered the reconstruction of interspecific relationships in Aechmea subgenus Ortgiesia. The mapping of petal color (yellow, blue, pink, or white), inflorescence type (simple or compound), and inflorescence shape (ellipsoid, subcylindric, cylindric, or pyramidal) against the NJ tree indicated that these characters are of limited taxonomic use in Aechmea subgenus Ortgiesia due to homoplasy. An analysis of the current distribution of Ortgiesia identified the southern region of the Brazilian Atlantic rainforest, between latitudes of 26° and 27°S, as the center of diversity for the subgenus. PMID:26957015

  19. Discussion on the Criterion for the Safety Certification Basis Compilation - Brazilian Space Program Case

    NASA Astrophysics Data System (ADS)

    Niwa, M.; Alves, N. C.; Caetano, A. O.; Andrade, N. S. O.

    2012-01-01

    The recent advent of the commercial launch and re- entry activities, for promoting the expansion of human access to space for tourism and hypersonic travel, in the already complex ambience of the global space activities, brought additional difficulties over the development of a harmonized framework of international safety rules. In the present work, with the purpose of providing some complementary elements for global safety rule development, the certification-related activities conducted in the Brazilian space program are depicted and discussed, focusing mainly on the criterion for certification basis compilation. The results suggest that the composition of a certification basis with the preferential use of internationally-recognized standards, as is the case of ISO standards, can be a first step toward the development of an international safety regulation for commercial space activities.

  20. Strategies for reducing carbon emissions on the tropical rain forest: The case of the Brazilian Amazon

    SciTech Connect

    Freitas, M.A.V. de; Rosa, L.P.

    1995-11-01

    Forests systems are renewable resources that can be used by present generations and that should be available to future generations if they are exploited on a sustainable basis. The tropical forest is still an immense and unknown field. The issues are: What means a sustainable basis in the tropical rain forests? What are the means of harmonising an economic development with an environmental equilibrium in tropical regions? One way to meet this requirement is to analyse the potentially {open_quotes}no regrets{close_quotes} options on which it is possible to agree upon despite controversies about what will be the true long run costs and benefits of various courses of actions. In the case of the Brazilian Amazon, in the last thirty years, the use of biomass and land has increased rapidly. Therefore, environmental and social problems have emerged with some intensity and have had repercussions on local and global scales. In relation to the recent global environmental changes, the Brazilian Amazon is considered as a key region for biodiversity conservation and preserving a carbon sink. In this paper, the main methodological option is to conceive a set of {open_quotes}no-regret{close_quotes} options, related with the land uses and biomass valorisation, which are analysed through the same framework. The options considered here are: decrease of the great cattle ranching and of the predatory timber extraction; the increase of forest management (harvest of timber and nontimber extractive products) and forest plantations in the degraded lands. The aims to focus on three elements: job creation, technico-economic adequation and environmental impacts, with special regards concerning the limitation of the atmospheric emissions of greenhouse gases (carbon flow).

  1. [Clinical forensic examination findings in assault cases among adolescents].

    PubMed

    Bode-Jänisch, Stefanie; Buddeke, Florian; Schulz, Yvonne; Fieguth, Armin

    2010-01-01

    Child and youth criminality has risen markedly over the past 25 years and causes increasing concern to the general public. The clinical forensic examination cases of youth violence victims examined at the Institute of Legal Medicine of the Hanover Medical School and its Oldenburg Branch between 1999 and 2008 were retrospectively analyzed. In all, 55 adolescents (37 females, 18 males; median age 15.5 years) were examined. In most cases the suspect was a close (40.0%) or passing (23.6%) acquaintance. 16 assaults were committed by two or more adolescents jointly. Most of the juveniles were victims of sexual assaults (56.4%). In 15 victims of sexual offences (51.7%) diagnostic findings were obtained on the basis of anogenital injuries and/or the presence of sperm. In summary, the analysis shows that adolescents frequently become victims of sexual assault. In addition, youth violence is often committed in a group. PMID:21254705

  2. Interpretation of automotive light bulb examination results: an intriguing case.

    PubMed

    Stauffer, Eric

    2007-01-01

    During the examination of light bulbs from a vehicle involved in a road accident, the headlights did not reveal any evidence regarding whether they were energized or not. Additionally, a police officer turned the lights on after the accident to verify their functioning, thus damaging some of the evidence. By examining the vehicle, it was determined that the park lights could provide answers regarding the conditions of the headlights. After observations, it was concluded that the park lights and headlights were off at the time of the impact. This case report demonstrates how important it is to integrate the circumstances surrounding the case into the interpretation of the results. Nevertheless, it also demonstrates the necessity for examining both the vehicle and all light bulbs in order to reach the most pertinent and proper conclusion. PMID:17209923

  3. Elements and Degrees of SI: A Case Study of Nikkei Brazilian Immigrants in Japan

    ERIC Educational Resources Information Center

    Maeda, Hitomi

    2006-01-01

    This article provides an overview of the recent immigrant phenomenon in Japan and explains the complexity of the social integration (SI) of Nikkei Brazilians. Through the research, factors that explain the degree of social integration (SI) of Nikkei Brazilians are identified. Basic data include triangulated results from a survey of 80 people and…

  4. (Case studies examining energy policies and strategies for water resources development): Foreign trip report, May 7--13, 1989

    SciTech Connect

    Hildebrand, S.G.

    1989-05-24

    The traveler met with colleagues involved with Project 12.2 of the IHP of UNESCO to discuss and finalize case studies that are being prepared for a report entitled ''Case Studies Examining Energy Policies and Strategies for Water Resources Development.'' Draft case studies from the United States, Brazil, Norway, and Czechoslovakia were reviewed and discussed. The traveler was appointed editor of the final report. The traveler met with staff of the National Department of Water and Electrical Energy of the Ministry of Mines and Energy, the Secretary General of the Ministry of Mines and Energy, the Executive Secretary to the National Energy Commission of Brazil, and the newly created Brazilian Institute of the Environment. The traveler was briefed on the functions of these departments, and he briefed them on water resource activities conducted at ORNL. The traveler presented a seminar at Eletrobras (national electric utility) in Brazil on environmental research at ORNL.

  5. A nested case-control study of fatal work related injuries among Brazilian steel workers.

    PubMed Central

    Barreto, S M; Swerdlow, A J; Smith, P G; Higgins, C D

    1997-01-01

    OBJECTIVES: To estimate the relative risk of death from work related injury in a steelworks, associated with exposure to various occupational hazards, sociodemographic factors, and medical history. MATERIAL AND METHODS: The study was a nested case-control design. It was based on a cohort of men employed in the steel plant of USIMINAS, Brazil between January 1977 and August 1990, who were followed up to November 1992. The cases were defined as all workers in the cohort who died from injury in the study period and whose death had been notified to the Brazilian Ministry of Labour as being related to work. Four controls per case, matched to cases on year of birth, were randomly selected from among workers employed in the plant at the time of death of the matching case. Data on potential risk factors for occupational injury were extracted from company records; for the controls these data were abstracted for the period preceding the death of the matching case. RESULTS: There were 37 deaths related to work injuries during the study period. Four surviving workers were selected as controls for each case, but for eight the personnel records were incomplete, leaving 140 controls in all. Significantly increased risk of fatal injury related to work was associated with exposure to noise, heat, dust and fumes, gases and vapours, rotating shift work, being a manual worker, and working in the steel mill, coke ovens, blast furnaces, and energy and water supply areas. Risk of fatal injury related to work increased with intensity of exposure to noise (P (trend) = 0.004) and heat (P < 0.001), and increased greatly with a hazard score that combined information on noise, heat, dust, and gas exposure (P < 0.001). Number of years of schooling (P = 0.03) and salary level (P = 0.03) were both negatively associated with risk. In a multivariate analysis including all these significant factors, only hazard score and area of work remained associated with death from injury related to work. The

  6. Leprosy incidence, characterization of cases and correlation with household and cases variables of the Brazilian states in 2010*

    PubMed Central

    de Castro, Shamyr Sulyvan; Santos, Juliana Pereira Pontes; Abreu, Graziela Basílio; Oliveira, Vanessa Rossato; Fernandes, Luciane Fernanda Rodrigues Martinho

    2016-01-01

    BACKGROUND: Leprosy is millenary disease and still persists in several countries. OBJECTIVES: To estimate the incidence of leprosy in the Brazilian states and for the country in the year 2010; to describe the cases reported according to the studied variables; to verify the correlation between the overall incidence and the studied variables. METHODS: Ecological descriptive study, with population data from the 27 states, 2010. Information about reported cases were collected: gender, race, percentage of patients younger than 15 years old and living conditions. The analysis was performed using percentages, means, incidence rates and the Spearman correlation test. RESULTS: The states of Mato Grosso and Tocantins recorded the highest incidence rates; Rio Grande do Sul and Santa Catarina, the lowest; there was a higher incidence of leprosy among men; the incidence of leprosy increases proportionally with the nonwhites among the inhabitants; patients younger than 15 years; the average number of residents per household; and a decrease in coverage of water supply and presence of bathrooms. CONCLUSION: The incidence of leprosy is related to factors as gender, race and house conditions (p<0,05 for all). PMID:26982775

  7. Transformational change in healthcare: an examination of four case studies.

    PubMed

    Charlesworth, Kate; Jamieson, Maggie; Davey, Rachel; Butler, Colin D

    2016-04-01

    Objectives Healthcare leaders around the world are calling for radical, transformational change of our health and care systems. This will be a difficult and complex task. In this article, we examine case studies in which transformational change has been achieved, and seek to learn from these experiences. Methods We used the case study method to investigate examples of transformational change in healthcare. The case studies were identified from preliminary doctoral research into the transition towards future sustainable health and social care systems. Evidence was collected from multiple sources, key features of each case study were displayed in a matrix and thematic analysis was conducted. The results are presented in narrative form. Results Four case studies were selected: two from the US, one from Australia and one from the UK. The notable features are discussed for each case study. There were many common factors: a well communicated vision, innovative redesign, extensive consultation and engagement with staff and patients, performance management, automated information management and high-quality leadership. Conclusions Although there were some notable differences between the case studies, overall the characteristics of success were similar and collectively provide a blueprint for transformational change in healthcare. What is known about the topic? Healthcare leaders around the world are calling for radical redesign of our systems in order to meet the challenges of modern society. What does this paper add? There are some remarkable examples of transformational change in healthcare. The key factors in success are similar across the case studies. What are the implications for practitioners? Collectively, these key factors can guide future attempts at transformational change in healthcare. PMID:26188916

  8. Lipoprotein glomerulopathy: a case report of a rare disease in a Brazilian child.

    PubMed

    Pêgas, Karla Lais; Rohde, Roberta; Garcia, Clotilde Druck; Bittencourt, Viviane de Barros; Keitel, Elizete; Poloni, José Antonio Tesser; Cambruzzi, Eduardo

    2014-01-01

    Lipoprotein glomerulopathy (LPG) is a rare autosomal recessive glomerulopathy associated with the deposition of lipoprotein thrombi in the capillary lumina due to apoE gene mutations. Abnormal plasma lipoprotein profile and marked increase in serum apoliprotein E (apoE) are characteristic clinical data. The compromised patients can present nephrotic syndrome, hematuria, and progressive renal failure. Herein, the authors present the first described case of LPG in a Brazilian male patient, 11 years, who presented with a steroid-resistant nephrotic syndrome. Renal function was normal. Kidney biopsy showed markedly enlarged glomerulus, with dilated capillary loops and weak eosinophilic lipoprotein thrombi in the capillary lumina. Interstitium, tubules, arteries, and veins showed normal histologic aspect. Genotypic study for the apoE gene showed the presence of the alleles E3 and E4. The diagnosis of LPG was then performed. The patient received lipid-lowering treatment. After 2 years of follow-up, renal function is gradually decreasing, with persisting heavy proteinuria, despite a marked decrease in serum cholesterol and triglycerides levels. PMID:24676620

  9. Examining Racial Disproportionality in Child Protective Services Case Decisions.

    PubMed

    Font, Sarah A; Berger, Lawrence M; Slack, Kristen S

    2012-11-01

    Using a national sample of 1,461 child protective services (CPS) investigations in the United States, we examine differences between black and white families with regard to caseworker ratings of risk and harm to the child, as well as the probability that a case is substantiated for maltreatment. We employ difference-in-difference methods to identify whether gaps in outcomes for black and white families are equivalent when black and white CPS workers conduct the investigation, and Blinder-Oaxaca decomposition methods to identify the portion of the black-white difference in outcomes that is attributable to differences in case characteristics (risk factors) versus differences in associations between these characteristics and the outcomes by race (differential treatment). We find no differences in outcomes by child race after adjusting for case characteristics. At the same time, we find that relative to white caseworkers, black caseworkers are more likely to rate black children at subjectively higher risk of harm than white children and are also more likely to substantiate black families for maltreatment. The decomposition results suggest that-even after accounting for caseworker race-differences in outcomes for black and white children are primarily explained by differences in family and case circumstances rather than differential treatment. Thus, our analyses suggest that interventions addressing maltreatment-related risk factors that disproportionately affect black families may have greater utility for reducing racial disparities in CPS involvement than current emphases on cultural competence training. PMID:22984321

  10. Examining Racial Disproportionality in Child Protective Services Case Decisions

    PubMed Central

    Font, Sarah A.; Berger, Lawrence M.; Slack, Kristen S.

    2012-01-01

    Using a national sample of 1,461 child protective services (CPS) investigations in the United States, we examine differences between black and white families with regard to caseworker ratings of risk and harm to the child, as well as the probability that a case is substantiated for maltreatment. We employ difference-in-difference methods to identify whether gaps in outcomes for black and white families are equivalent when black and white CPS workers conduct the investigation, and Blinder-Oaxaca decomposition methods to identify the portion of the black-white difference in outcomes that is attributable to differences in case characteristics (risk factors) versus differences in associations between these characteristics and the outcomes by race (differential treatment). We find no differences in outcomes by child race after adjusting for case characteristics. At the same time, we find that relative to white caseworkers, black caseworkers are more likely to rate black children at subjectively higher risk of harm than white children and are also more likely to substantiate black families for maltreatment. The decomposition results suggest that—even after accounting for caseworker race—differences in outcomes for black and white children are primarily explained by differences in family and case circumstances rather than differential treatment. Thus, our analyses suggest that interventions addressing maltreatment-related risk factors that disproportionately affect black families may have greater utility for reducing racial disparities in CPS involvement than current emphases on cultural competence training. PMID:22984321

  11. An inconclusive digital audio authenticity examination: a unique case.

    PubMed

    Koenig, Bruce E; Lacey, Douglas S

    2012-01-01

    This case report sets forth an authenticity examination of 35 encrypted, proprietary-format digital audio files containing recorded telephone conversations between two codefendants in a criminal matter. The codefendant who recorded the conversations did so on a recording system he developed; additionally, he was both a forensic audio authenticity examiner, who had published and presented in the field, and was the head of a professional audio society's writing group for authenticity standards. The authors conducted the examination of the recordings following nine laboratory steps of the peer-reviewed and published 11-step digital audio authenticity protocol. Based considerably on the codefendant's direct involvement with the development of the encrypted audio format, his experience in the field of forensic audio authenticity analysis, and the ease with which the audio files could be accessed, converted, edited in the gap areas, and reconstructed in such a way that the processes were undetected, the authors concluded that the recordings could not be scientifically authenticated through accepted forensic practices. PMID:21854384

  12. Intelligent image capture of cartridge cases for firearms examiners

    NASA Astrophysics Data System (ADS)

    Jones, Brett C.; Guerci, Joseph R.

    1997-02-01

    The FBI's DRUGFIRETM system is a nationwide computerized networked image database of ballistic forensic evidence. This evidence includes images of cartridge cases and bullets obtained from both crime scenes and controlled test firings of seized weapons. Currently, the system is installed in over 80 forensic labs across the country and has enjoyed a high degree of success. In this paper, we discuss some of the issues and methods associated with providing a front-end semi-automated image capture system that simultaneously satisfies the often conflicting criteria of the many human examiners visual perception versus the criteria associated with optimizing autonomous digital image correlation. Specifically, we detail the proposed processing chain of an intelligent image capture system (IICS), involving a real- time capture 'assistant,' which assesses the quality of the image under test utilizing a custom designed neural network.

  13. Clear cell acanthoma of the areola and nipple: clinical, histopathological, and immunohistochemical features of two Brazilian cases*

    PubMed Central

    da Veiga, Rossana Ruth Garcia; Barros, Renata Silva; dos Santos, Josie Eiras Bisi; Abreu Junior, José Maria de Castro; Bittencourt, Maraya de Jesus Semblano; de Miranda, Mario Fernando Ribeiro

    2013-01-01

    Clear cell acanthoma or Degos' acanthoma is a distinct disease concerning its clinical, histopathological, and immunohistochemical features. Its pathologic nature - whether neoplastic or reactive - is still under dispute among researchers. The disease shows a chronic course and often presents with a single papulonodular lesion on the lower limbs of adults. However, cases with multiple lesions, sometimes occurring in an eruptive fashion, and with clear variation in the size and shape of the cutaneous lesions have been reported. So far, five cases in which the lesions were exclusively located in the nipple area have been reported, all in Korean women. Four of these cases mimicked eczema and one, a polypoid nodule. The aim of this article is to present clinical, histopathological, and immunohistochemical features of two additional cases in Brazilian women with similar nipple topography. PMID:23539008

  14. Sustainability and Local Knowledge: The Case of the Brazilian ESP Project 1980-2005

    ERIC Educational Resources Information Center

    Holmes, John; Celani, Maria Antonieta A.

    2006-01-01

    On the occasion of the 25th anniversary of the Brazilian ESP Project, this paper discusses why it has been able to sustain itself and develop over such a long period. The analysis focuses on two main areas of decision-making which led to this success: the structure of the project itself and the ESP methodology which was developed. Comparing the…

  15. Off-Farm Work among Rural Households: A Case Study in the Brazilian Amazon

    ERIC Educational Resources Information Center

    VanWey, Leah; Vithayathil, Trina

    2013-01-01

    This article analyzes off-farm work among subsistence-level farmers in the Santarem region of the Brazilian Amazon. We build on the literature on rural livelihoods in the Global South by exploring how the opportunity to work off the farm is embedded in social relationships. We additionally differentiate our analysis by type of off-farm work, and…

  16. [Programa de saúde: a case of book censorship during the Brazilian military dictatorship].

    PubMed

    Reimão, Sandra

    2013-11-30

    Some documents produced by the government during the Brazilian military dictatorship have been made available for reference, including censors' reports on television and radio programs, plays, films, songs, advertisements and printed matter. Of the 500 or so reports on books, there is one that vetoes Programa de saúde: projetos e temas de higiene e saúde, an educational work that proposed actions to help students understand their sanitary conditions and acquire knowledge about health and health-promoting habits in this area. The argument for vetoing it was that the information could fall into the hands of poorly trained teachers, who could distort its content, causing serious damage to Brazilian youth. In this report we see evidence of the obscurantist, elitist posture adopted by the Department of Censorship of Public Entertainment, which aimed to restrict the circulation of information and curb debate. PMID:24346208

  17. [Documents make a difference: the case of Brazilian domestic workers in Massachusetts, USA].

    PubMed

    Siqueira, C Eduardo; Soares, Gabriella Barreto; Araújo, Pedro Luiz de; Tracy, Maria Natalicia

    2016-07-21

    Brazilian immigrants in the United States experience various social, labor, and health challenges. This study aimed to analyze the profile of female Brazilian domestic workers in Massachusetts, USA, through a description of their working conditions and self-rated health. This was a cross-sectional study of 198 domestic workers in Massachusetts, recruited with "snowball" sampling. The instrument addressed participants' demographic characteristics, work conditions, and self-rated health. Data were analyzed with SPSS 21.0. Among the interviewees, 95.5% were women, 62.1% were 30 to 49 years of age, and 55.6% were undocumented. Documented and undocumented participants showed statistically significant differences in demographics, work conditions, and health. Irregular immigrant status appears to have a negative impact on domestic workers' living and health conditions. PMID:27462853

  18. Can we predict crashes? The case of the Brazilian stock market

    NASA Astrophysics Data System (ADS)

    Cajueiro, Daniel O.; Tabak, Benjamin M.; Werneck, Filipe K.

    2009-04-01

    In this study we analyze Brazilian stock prices to detect the development of bubbles and crashes in individual stocks using a log-periodic equation. We implement a genetic algorithm to calibrate the parameters of the model and we test the methodology for the most liquid stocks traded on the Brazilian Stock Market (Bovespa). In order to evaluate whether this approach is useful we employ nonparametric statistics and test whether returns after the predicted crash are negative and lower than returns before the crash. Empirical results are consistent with the prediction hypothesis, e.g., the method applied can be used to forecast the end of asset bubbles or large corrections in stock prices.

  19. Non-venomous snake bite and snake bite without envenoming in a Brazilian teaching hospital. Analysis of 91 cases.

    PubMed

    Silveria, P V; Nishioka, S de A

    1992-01-01

    A retrospective survey of 473 cases of snake bite admitted to a Brazilian teaching hospital from 1984 to 1990 revealed 91 cases of bite without envenoming and/or caused by non-venomous snakes. In 17 of these cases the snake was identified, and one patient was bitten by a snake-like reptile (Amphisbaena mertensii). In 43 cases diagnosis was made on clinical grounds (fang marks in the absence of signs of envenoming). The other 30 cases were of patients who complained of being bitten but who did not show any sign of envenoming or fang mark. Most cases occurred in men (66;73%), in the 10-19 years age group (26;29%), in the lower limbs (51/74;69%), between 6 A. M. and 2 P.M. (49;61%) and in the month of April (16;18%). One patient bitten by Philodryas olfersii developed severe local pain, swelling and redness at the site of the bite, with normal clotting time. The patient bitten by Drymarcon corais was misdiagnosed as being bitten by a snake of the genus Bothrops, was given the specific antivenom, and developed anaphylaxis. One patient bitten by Sibynomorphus mikanii presented prolonged clotting time, and was also given antivenom as a case of Bothrops bite. Correct identification of venomous snakes by physicians is necessary to provide correct treatment to victims of snake bite, avoiding unnecessary distress to the patient, and overprescription of antivenom, which may eventually cause severe untoward effects. PMID:1342117

  20. Examining End-of-Life Case Management: Systematic Review

    PubMed Central

    Thomas, Roger E.; Wilson, Donna M.; Birch, Stephen

    2014-01-01

    Case management was initiated in the 1970s to reduce care discontinuity. A literature review focused on end-of-life (EOL) case management identified 17 research articles, with content analysis revealing two themes: (a) seeking to determine or establish the value of EOL case management and (b) identifying ways to improve EOL case management. The evidence, although limited, suggests that EOL case management is helpful to dying individuals and their families. Research is needed to more clearly illustrate its usefulness or outcomes and the extent of need for it and actual availability. Among other benefits, EOL case management may help reduce hospital utilization, a major concern with the high cost of hospital-based care and the increased desire for home-based EOL care. PMID:24999433

  1. Examining Charging Agreement between Police and Prosecutors in Rape Cases

    ERIC Educational Resources Information Center

    Holleran, David; Beichner, Dawn; Spohn, Cassia

    2010-01-01

    Although prior research has contributed to understanding of the factors that influence sexual assault case processing, it has primarily been viewed through the prosecutorial lens. The authors assert that a prosecutor's charging decision involves not only a decision to file or reject the charge but, assuming that the case is not rejected, also a…

  2. Effect of the Brazilian Conditional Cash Transfer and Primary Health Care Programs on the New Case Detection Rate of Leprosy

    PubMed Central

    Nery, Joilda Silva; Pereira, Susan Martins; Rasella, Davide; Penna, Maria Lúcia Fernandes; Aquino, Rosana; Rodrigues, Laura Cunha; Barreto, Mauricio Lima; Penna, Gerson Oliveira

    2014-01-01

    Background Social determinants can affect the transmission of leprosy and its progression to disease. Not much is known about the effectiveness of welfare and primary health care policies on the reduction of leprosy occurrence. The aim of this study is to evaluate the impact of the Brazilian cash transfer (Bolsa Família Program-BFP) and primary health care (Family Health Program-FHP) programs on new case detection rate of leprosy. Methodology/Principal Findings We conducted the study with a mixed ecological design, a combination of an ecological multiple-group and time-trend design in the period 2004–2011 with the Brazilian municipalities as unit of analysis. The main independent variables were the BFP and FHP coverage at the municipal level and the outcome was new case detection rate of leprosy. Leprosy new cases, BFP and FHP coverage, population and other relevant socio-demographic covariates were obtained from national databases. We used fixed-effects negative binomial models for panel data adjusted for relevant socio-demographic covariates. A total of 1,358 municipalities were included in the analysis. In the studied period, while the municipal coverage of BFP and FHP increased, the new case detection rate of leprosy decreased. Leprosy new case detection rate was significantly reduced in municipalities with consolidated BFP coverage (Risk Ratio 0.79; 95% CI  = 0.74–0.83) and significantly increased in municipalities with FHP coverage in the medium (72–95%) (Risk Ratio 1.05; 95% CI  = 1.02–1.09) and higher coverage tertiles (>95%) (Risk Ratio 1.12; 95% CI  = 1.08–1.17). Conclusions At the same time the Family Health Program had been effective in increasing the new case detection rate of leprosy in Brazil, the Bolsa Família Program was associated with a reduction of the new case detection rate of leprosy that we propose reflects a reduction in leprosy incidence. PMID:25412418

  3. Cytogenetic studies of Brazilian pediatric myelodysplastic syndrome cases: challenges and difficulties in a large and emerging country

    PubMed Central

    Velloso, E.D.R.P.; Chauffaille, M.L.; Peliçario, L.M.; Tanizawa, R.S.S.; Toledo, S.R.C.; Gaiolla, R.D.; Lopes, L.F.

    2013-01-01

    Myelodysplastic syndromes (MDS) and juvenile myelomonocytic leukemia (JMML) are rare hematopoietic stem cell diseases affecting children. Cytogenetics plays an important role in the diagnosis of these diseases. We report here the experience of the Cytogenetic Subcommittee of the Brazilian Cooperative Group on Pediatric Myelodysplastic Syndromes (BCG-MDS-PED). We analyzed 168 cytogenetic studies performed in 23 different cytogenetic centers; 84 of these studies were performed in patients with confirmed MDS (primary MDS, secondary MDS, JMML, and acute myeloid leukemia/MDS+Down syndrome). Clonal abnormalities were found in 36.9% of the MDS cases and cytogenetic studies were important for the detection of constitutional diseases and for differential diagnosis with other myeloid neoplasms. These data show the importance of the Cooperative Group for continuing education in order to avoid a late or wrong diagnosis. PMID:23314345

  4. Uncomplicated malaria among pregnant women in the Brazilian Amazon: local barriers to prompt and effective case management.

    PubMed

    Luz, Tatiana Chama Borges; Suárez-Mutis, Martha Cecília; Miranda, Elaine Silva; Moritz, Angela Fernandes Esher; Freitas, Letícia Figueira; Brasil, Juliana de Castro; Osorio-de-Castro, Claudia Garcia Serpa

    2013-02-01

    Malaria in pregnancy is associated with increased risks of maternal anemia, spontaneous abortion, low birth weight, premature delivery and other adverse effects on health. In Brazil, disease transmission is highly concentrated in the multi-state region that constitutes the Brazilian Amazon (more than 99% of all cases). This study, conducted between the first bimesters of 2007 and 2008, aims to identify the local barriers to prompt and effective case management of malaria in pregnancy and was carried out in health facilities located in three endemic municipalities of the Brazilian Amazon (Manaus, Presidente Figueiredo and Porto Velho). The study design combined both qualitative and quantitative descriptive methods. The qualitative design involved semi-structured interviews with health personnel who routinely deal with malaria care. The quantitative design involved a review of medical records of pregnant women in the visited health facilities. Additionally, data were abstracted from SIVEP-Malaria Epidemiological Surveillance Information System (Brasil, 2007) and Primary Care Information System (SIAB) databases. Flaws were detected in diagnosis (only 6.8% of women tested for malaria) and treatment (for Plasmodium falciparum infections, only 44.8% of patients received recommended first-line therapy; 10.2% of prescription presented treatments were not found in national guideline and 7.3% of the prescriptions for Plasmodium vivax and 17.9% of the prescriptions for P. falciparum were not sanctioned by the official guidelines). Training (only 37.3% had had some training), knowledge and counseling were also sub-optimal. These results indicated the need to improve the health-worker performance through training. Close supervision and feedback on the health-worker performance are also needed. These findings also highlighted the need to put into practice a series of government recommendations that encourage close collaboration between the National Malaria Control Program and

  5. Women in the Maharaj libel case: a re-examination.

    PubMed

    Shodhan, A

    1997-01-01

    This article applies a gender perspective to the history of social reform efforts in mid-19th century Bombay to help illuminate the origins of Indian modernism. In the Maharaj Libel Case, two social reformers successfully defended a libel suit after they published charges of sexual misconduct against the religious priests of the Pushtimarga Vaishnava sect. The paper contextualizes the discussion with a brief review of the rise of British education in Bombay, a note that the social reformers considered the ideal woman to be a domestic helpmate, and a sketch of the history of the devotional religious sect that worships Krishna. The libel case attracted immense public attention, and the reformers based their defense on charges that the Maharajs (priests) were immoral and exploited female devotees sexually. The priests were described as ignorant and blind while the women were considered merely passive objects subordinate to males. No woman was called to give evidence, but evidence shows that the women willingly visited the priests for sexual acts. The reformers' solution to the problem was for the women they regarded as infantilized and/or degraded to be more firmly controlled by their male kin. The conclusion that the reformers were patriarchal and not concerned about the well-being of women is supported by three cases. The reformers ignored the two in which women brought charges against priests and only urged action in the case of a rape/murder by a priest. PMID:12321343

  6. Examining Effective Teaching via a Social Constructivist Pedagogy "Case Study"

    ERIC Educational Resources Information Center

    Wright, Steven; Grenier, Michelle

    2009-01-01

    As students engage in pre-service teacher (PT) activities, they take a number of courses that help prepare them to teach in schools. During that time, they must also form their own understanding of what teaching and learning means for them (Kroll, 2004). In many cases, this can conflict with their view of teaching as a command approach to…

  7. Can the DSM-5 differentiate between nonpathological possession and dissociative identity disorder? A case study from an Afro-Brazilian religion.

    PubMed

    Delmonte, Romara; Lucchetti, Giancarlo; Moreira-Almeida, Alexander; Farias, Miguel

    2016-01-01

    The aim of this article is to examine whether the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), are able to differentiate between nonpathological religious possession and dissociative identity disorder (DID). We use the case study of an individual who leads an Afro-Brazilian religious group (Umbanda), focusing on her personal development and possession experiences from early childhood to the present, spanning a period of more than 40 years, and examine these data following DSM-5 criteria for DID (300.14). Her experiences of possession can be broken into 2 distinct stages. In the 1st stage (childhood and early adulthood), she displayed intrusive thoughts and a lack of control over possession states, which were associated with a heightened state of anxiety, loneliness, amnesia, and family conflict (meeting all 5 criteria for DID). In the 2nd stage (late 20s up to the present), she regularly experienced possession states but felt in control of their onset and found them religiously meaningful. In this 2nd stage, she only fulfilled 3 criteria for DID. We question the accuracy of diagnosing this individual with DID in her earlier life and suggest that the DSM-5 criteria fail to address the ambiguity of affect surrounding possession experiences (positive at the individual level, negative at the interpersonal level) and lack a clearer acknowledgment of the prevalence of possession and other unusual experiences in general populations. PMID:26461039

  8. Examining sustainability in a hospital setting: Case of smoking cessation

    PubMed Central

    2011-01-01

    Background The Ottawa Model of Smoking Cessation (OMSC) is a hospital-based smoking cessation program that is expanding across Canada. While the short-term effectiveness of hospital cessation programs has been documented, less is known about long-term sustainability. The purpose of this exploratory study was to understand how hospitals using the OMSC were addressing sustainability and determine if there were critical factors or issues that should be addressed as the program expanded. Methods Six hospitals that differed on OMSC program activities (identify and document smokers, advise quitting, provide medication, and offer follow-up) were intentionally selected, and two key informants per hospital were interviewed using a semi-structured interview guide. Key informants were asked to reflect on the initial decision to implement the OMSC, the current implementation process, and perceived sustainability of the program. Qualitative analysis of the interview transcripts was conducted and themes related to problem definition, stakeholder influence, and program features emerged. Results Sustainability was operationalized as higher performance of OMSC activities than at baseline. Factors identified in the literature as important for sustainability, such as program design, differences in implementation, organizational characteristics, and the community environment did not explain differences in program sustainability. Instead, key informants identified factors that reflected the interaction between how the health problem was defined by stakeholders, how priorities and concerns were addressed, features of the program itself, and fit within the hospital context and resources as being influential to the sustainability of the program. Conclusions Applying a sustainability model to a hospital smoking cessation program allowed for an examination of how decisions made during implementation may impact sustainability. Examining these factors during implementation may provide insight

  9. Twentieth-century astronomical heritage: the case of the Brazilian National Observatory

    NASA Astrophysics Data System (ADS)

    Barboza, Christina Helena

    2015-08-01

    The National Observatory of Brazil was created in 1827. It was initially focused on the practical teaching of Astronomy to the students of military and naval academies. Since the mid-nineteenth century to the early twentieth century it was installed over the ruins of a Jesuit church located in the center of Rio de Janeiro, capital of the Brazilian Empire.Due to the constant complaints of its successive directors, the search for a new site to house the Observatory began in 1911. The new headquarters of the institution were located on the hill of São Januário, a little further but still around the city center of Rio de Janeiro. Its inauguration took place in 1921.The main building of the new Observatory was based on one of the Brazilian pavilions of the Turin Exhibition of 1911, and its architecture can be characterized as eclectic. The pavilions intended to house the many telescopes were scattered in a large wooded area. Since 1985 all these facilities are protected by the Federal government, as a consequence of the same initiative that gave birth to the Museum of Astronomy and Related Sciences, which has the custody also of the Observatory’s former instruments, furniture, and documents.Although built in the early twentieth century the National Observatory new facilities reveal astronomical practices typical of the previous century. One of its most important activities was the determination of the legal time, a task that justifies its location in the urban environment. It was also responsible for the organization of expeditions destined to determine the geographical positions of railroads and the borders of Brazil. For this reason, the Museum of Astronomy has currently more than 3,000 portable instruments. Moreover, these instruments belong to the domain of Astronomy, but also to Geodesy, Meteorology, Electricity. Due to the creation of the Museum of Astronomy, this rich collection is now open to public visitation, and has become the object of scholarly

  10. Magnetospheric disturbance induced equatorial plasma bubble development and dynamics: A case study in Brazilian sector

    NASA Astrophysics Data System (ADS)

    Abdu, M. A.; Batista, I. S.; Takahashi, H.; MacDougall, J.; Sobral, J. H.; Medeiros, A. F.; Trivedi, N. B.

    2003-12-01

    Equatorial ionospheric plasma bubble irregularity development and dynamics during the major magnetospheric storm of 26 August 1998 are investigated using the data collected by a multistation and multi-instrument diagnostic network operated at equatorial and low latitude sites in Brazil, and auroral electrojet activity (AU/AL), IMF, and Dst indices. A magnetospheric disturbance onset in the morning of 26 August 1998 was initiated by a solar wind shock and associated IMF Bz polarity reversals and ssc that were soon followed by a succession of substorm-like auroral electrojet (AE) intensifications and Dst development. An IMF Bz southward turning and associated AE intensifications in the Brazilian dusk sector produced intense prompt penetration eastward electric field that caused large F region vertical drift and consequently the developments of intense postsunset equatorial anomaly and a series of intense plasma bubbles, the latter event lasting the entire night, as observed by digital ionosondes at São Luís (2.33°S, 315.8°E, dip angle: -.5°) and Fortaleza (3.9°S, 321.55°W, dip angle: -9°) and an all-sky imager, two scanning photometers, and a Digisonde at the low-latitude site Cachoeira Paulista (22.6°S, 315°E dip angle: -28°). A notable aspect of the dynamics of the bubbles was their initially very low eastward drift velocity which turned into steadily increasing westward velocity that lasted till early morning hours. The results show for the first time a relationship between the zonal drift velocities of optically observed large-scale bubbles (tens to hundreds of kilometers) and that of the smaller scale (kilometer sizes) structures as observed by a digital ionosonde. The results point to the dominant role of a disturbance dynamo associated westward thermospheric wind to maintain the plasma irregularity drift increasingly westward going into postmidnight hours. As an important finding, the results further show that significant contribution to the

  11. 5 CFR 316.601 - Appointment without competitive examination in rare cases.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... examination in rare cases. 316.601 Section 316.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... Rare Cases § 316.601 Appointment without competitive examination in rare cases. (a) An agency may make... are such, or qualified persons are so rare, that in the interest of good civil service...

  12. 5 CFR 316.601 - Appointment without competitive examination in rare cases.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... examination in rare cases. 316.601 Section 316.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT... Rare Cases § 316.601 Appointment without competitive examination in rare cases. (a) An agency may make... are such, or qualified persons are so rare, that in the interest of good civil service...

  13. Barlett v. N.Y. State Board of Law Examiners: Making the Case.

    ERIC Educational Resources Information Center

    Simon, Jo Anne

    2000-01-01

    This article discusses the court case of a woman with learning disabilities who applied to take the New York State Bar Examination and was denied testing accommodations. The issues in the case are examined, including the refusal of the New York State Board of Law Examiners to provide adequate accommodations. (CR)

  14. Charcot arthropathy in ultrasound examination – a case report

    PubMed Central

    Nowakowska-Płaza, Anna; Walentowska-Janowicz, Marta; Chojnowski, Marek; Sudoł-Szopińska, Iwona

    2016-01-01

    This article presents a patient with a long history of type 1 diabetes mellitus complicated with neuropathy and Charcot disease. The most common cause of neuropathic osteoarthropathy, called Charcot osteoarthropathy, is poorly controlled diabetes. The clinical picture is characterized by considerable edema, redness and increased skin temperature with relatively slight pain due to injury to nerve fibers responsible for pain sensation. The differential diagnosis should include bacterial or autoimmune arthritis, arthritis associated with gout as well as venous thrombosis and injury. The contribution of a local inflammatory reaction and abnormal bone turnover with excessive osteoclast activity might play a role in the etiopathogenesis of this disease. As a result, osseous and articular destruction progresses rapidly leading to irreversible deformity of the foot. Avoiding weight-bearing and resting the foot in a specially selected plaster cast is the most important part of treatment. Patients with the aforementioned complaints are referred to radiologists for imaging examinations. An ultrasonographer should pay attention to changes typical of Charcot arthropathy, such as: inflammatory and destructive changes in joints of the foot, uneven contour of bones with thickening and periosteal hyperemia as well as soft tissue swelling. PMID:27446605

  15. Charcot arthropathy in ultrasound examination - a case report.

    PubMed

    Płaza, Mateusz; Nowakowska-Płaza, Anna; Walentowska-Janowicz, Marta; Chojnowski, Marek; Sudoł-Szopińska, Iwona

    2016-06-01

    This article presents a patient with a long history of type 1 diabetes mellitus complicated with neuropathy and Charcot disease. The most common cause of neuropathic osteoarthropathy, called Charcot osteoarthropathy, is poorly controlled diabetes. The clinical picture is characterized by considerable edema, redness and increased skin temperature with relatively slight pain due to injury to nerve fibers responsible for pain sensation. The differential diagnosis should include bacterial or autoimmune arthritis, arthritis associated with gout as well as venous thrombosis and injury. The contribution of a local inflammatory reaction and abnormal bone turnover with excessive osteoclast activity might play a role in the etiopathogenesis of this disease. As a result, osseous and articular destruction progresses rapidly leading to irreversible deformity of the foot. Avoiding weight-bearing and resting the foot in a specially selected plaster cast is the most important part of treatment. Patients with the aforementioned complaints are referred to radiologists for imaging examinations. An ultrasonographer should pay attention to changes typical of Charcot arthropathy, such as: inflammatory and destructive changes in joints of the foot, uneven contour of bones with thickening and periosteal hyperemia as well as soft tissue swelling. PMID:27446605

  16. Melanoma patterns of distant relapse: a study of 108 cases from a South Brazilian center*

    PubMed Central

    Rovere, Rodrigo Kraft; de Souza, Maria Eduarda Pires; Cidral, Danielle Louise da Maia; Hilgert, Sara Fernanda; Ddine, Yasmine Rodrigues Chamse; Stein, Carlos Efrain; Borges, Giuliano Santos; de Lima, Adma Silva

    2016-01-01

    Background: The incidence of cutaneous melanoma has increased over the last decades. Recurrences occur most frequently within the first 2-3 years after diagnosis but patients carry a lifelong risk of relapse. Nevertheless, there is no consensus in the literature on what screening tests patients should undergo. Objectives: To evaluate the most common melanoma metastasis sites among a South Brazilian population from a city with one of the highest melanoma rates, and establish the best screening method for these patients. Methods: A cross-sectional retrospective study of 108 consecutive melanoma patients followed up at a center from 2009 to 2013. Data were collected on demographic and tumoral characteristics, as well as the site of the first diagnosed metastasis. Results: Patients were divided into 3 groups for analytical purposes: Non-visceral metastases (48% of patients), visceral metastasis (39%) and brain metastasis (13%). We tried to correlate age, gender, mean Breslow thickness, mitosis and death rates with the aforementioned groups but none showed any statistically significant association. Conclusion: Melanoma patients must be monitored to detect early relapse and subsequent effective treatment but the best follow-up strategy remains to be established. PMID:26982777

  17. "Arubaito," or Short-Term Working Abroad in Japan: A Case Study of Brazilian University Students of Japanese Descent

    ERIC Educational Resources Information Center

    Sasaki, Lindsey

    2012-01-01

    International migration between Japan and Brazil dates back to 1908, when the first group of Japanese migrated to Brazil. However, in the 1980s, a reverse flow occurred, as thousands of Brazilians of Japanese descent traveled to Japan to work in manufacturing and construction factories ("dekasegi" workers). Japanese Brazilians up until the third…

  18. Lean diesel technology and human health: a case study in six Brazilian metropolitan regions

    PubMed Central

    de André, Paulo Afonso; Veras, Mariana Matera; Miraglia, Simone Georges El Khouri; Saldiva, Paulo Hilário Nascimento

    2012-01-01

    OBJECTIVE: Due to their toxicity, diesel emissions have been submitted to progressively more restrictive regulations in developed countries. However, in Brazil, the implementation of the Cleaner Diesel Technologies policy (Euro IV standards for vehicles produced in 2009 and low-sulfur diesel with 50 ppm of sulfur) was postponed until 2012 without a comprehensive analysis of the effect of this delay on public health parameters. We aimed to evaluate the impact of the delay in implementing the Cleaner Diesel Technologies policy on health indicators and monetary health costs in Brazil. METHODS: The primary estimator of exposure to air pollution was the concentration of ambient fine particulate matter (particles with aerodynamic diameters <2.5 µm, [PM2.5]). This parameter was measured daily in six Brazilian metropolitan areas during 2007-2008. We calculated 1) the projected reduction in the PM2.5 that would have been achieved if the Euro IV standards had been implemented in 2009 and 2) the expected reduction after implementation in 2012. The difference between these two time curves was transformed into health outcomes using previous dose-response curves. The economic valuation was performed based on the DALY (disability-adjusted life years) method. RESULTS: The delay in implementing the Cleaner Diesel Technologies policy will result in an estimated excess of 13,984 deaths up to 2040. Health expenditures are projected to be increased by nearly US$ 11.5 billion for the same period. CONCLUSIONS: The present results indicate that a significant health burden will occur because of the postponement in implementing the Cleaner Diesel Technologies policy. These results also reinforce the concept that health effects must be considered when revising fuel and emission policies. PMID:22760904

  19. 5 CFR 3.2 - Appointments without competitive examination in rare cases.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... examination in rare cases. 3.2 Section 3.2 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL... examination in rare cases. Subject to receipt of satisfactory evidence of the qualifications of the person to... persons are so rare, that, in the interest of good civil-service administration, the position cannot...

  20. 5 CFR 3.2 - Appointments without competitive examination in rare cases.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... examination in rare cases. 3.2 Section 3.2 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL... examination in rare cases. Subject to receipt of satisfactory evidence of the qualifications of the person to... persons are so rare, that, in the interest of good civil-service administration, the position cannot...

  1. Brazilian Society of Dermatology against leprosy*

    PubMed Central

    Lastória, Joel Carlos; de Abreu, Marilda Aparecida Milanez Morgado

    2016-01-01

    The Brazilian Society of Dermatology promoted a national campaign against leprosy in 2012, involving their State Regional, Accredited Services of Dermatology and Referral Services in Leprosy. Consisted of clarification to the population about the disease and a day of medical voluntary service. Ninety services (57 Accredited Services and 33 Reference Services) participated, distributed in 23 states. The campaign examined 3,223 people and 421 new cases were diagnosed, 54,4% female, 74,3% between 19 and 64 years and 8,3% in children under 15 years. Of the 217 classified cases, 58,5% was paucibacillary and 41,5% was multibacillary. The results were posted on the Brazilian Society of Dermatology website. PMID:27438217

  2. Management and follow-up of a case of gestational gigantomastia in a brazilian hospital.

    PubMed

    Eler Dos Reis, Pollyana; Blunck Santos, Natalia Quarto; Barbosa Pagio, Fernanda Alves; Chambô, Fabio; Chambô, Danielle; Chambô Filho, Antônio

    2014-01-01

    Gigantomastia is a breast disorder that is associated with an exaggerated, rapid growth of the breasts, generally bilaterally. Since the pathology is rare and has seldom been described, its etiology has yet to be fully established, although there are speculations that a hormonal component may play an important role. Treatment is aimed at improving the clinical and psychological symptoms; however, the best therapeutic option varies from case to case. The present report describes a case of gestational gigantomastia seen at the Department of Obstetrics and Gynecology of the Hospital da Santa Casa de Misericórdia, Vitória, Espírito Santo, Brazil, in a primigravida in the second trimester of pregnancy. The report follows this patient from her diagnosis until the completion of treatment with a third and final surgical procedure. PMID:25215252

  3. Management and Follow-Up of a Case of Gestational Gigantomastia in a Brazilian Hospital

    PubMed Central

    Blunck Santos, Natalia Quarto; Barbosa Pagio, Fernanda Alves; Chambô, Fabio; Chambô, Danielle; Chambô Filho, Antônio

    2014-01-01

    Gigantomastia is a breast disorder that is associated with an exaggerated, rapid growth of the breasts, generally bilaterally. Since the pathology is rare and has seldom been described, its etiology has yet to be fully established, although there are speculations that a hormonal component may play an important role. Treatment is aimed at improving the clinical and psychological symptoms; however, the best therapeutic option varies from case to case. The present report describes a case of gestational gigantomastia seen at the Department of Obstetrics and Gynecology of the Hospital da Santa Casa de Misericórdia, Vitória, Espírito Santo, Brazil, in a primigravida in the second trimester of pregnancy. The report follows this patient from her diagnosis until the completion of treatment with a third and final surgical procedure. PMID:25215252

  4. School Physical Education in the Transition from Solid Modernity to Liquid Modernity: The Brazilian Case

    ERIC Educational Resources Information Center

    Bracht, Valter; Gomes, Ivan Marcelo; de Almeida, Felipe Quintão

    2015-01-01

    This article discusses the implications of the contemporary transition from a solid modernity to a liquid modernity for school physical education, according to the metaphors adopted by the Polish sociologist and English resident Zygmunt Bauman. By leveraging Bauman's sociological theory, this article pursues two aims: (1) to examine how physical…

  5. The Business Case Method: An Examination of a 2009 Case Competition

    ERIC Educational Resources Information Center

    Menna, Agostino

    2010-01-01

    The purpose of this paper was to compare, contrast and analyze the business case formats of college students involved in a business case competition. The authors observed and documented teams of business students from 6 colleges in Ontario, Canada. The teams had 20 minutes to prepare a solution from a given business case using their own case…

  6. Cases for the Net Generation: An Empirical Examination of Students' Attitude toward Multimedia Case Studies

    ERIC Educational Resources Information Center

    Sheppard, Michael; Vibert, Conor

    2016-01-01

    Case studies have been an important tool in business, legal, and medical education for generations of students. Traditional text-based cases tend to be self-contained and structured in such a way as to teach a particular concept. The multimedia cases introduced in this study feature unscripted web-hosted video interviews with business owners and…

  7. Risk factors associated with death in Brazilian children with severe dengue: a case-control study

    PubMed Central

    dos Remédios Freitas Carvalho Branco, Maria; de Albuquerque Luna, Expedito José; Júnior, Leônidas Lopes Braga; de Oliveira, Ricardo Villar Barbosa; Rios, Lívia Teresa Moreira; do Socorro da Silva, Maria; Medeiros, Maria Nilza Lima; Silva, Gilnara Fontinelle; Nina, Fernanda Campos Amaral Figueiredo; Lima, Taliane Jardim; Brito, Jayron Alves; de Oliveira, Avessandra Costa Cardoso; Pannuti, Claudio Sergio

    2014-01-01

    OBJECTIVE: The purpose of this case-control study was to evaluate risk factors associated with death in children with severe dengue. METHODS: The clinical condition of hospitalized patients with severe dengue who died (cases, n = 18) was compared with that of hospitalized patients with severe dengue who survived (controls, n = 77). The inclusion criteria for this study were age under 13 years; hospital admission in São Luis, northeastern Brazil; and laboratory-confirmed diagnosis of dengue. RESULTS: Severe bleeding (hemoptysis), a defining criterion for dengue severity, was the factor most strongly associated with death in our study. We also found that epistaxis and persistent vomiting, both included as warning signs in the World Health Organization (WHO) classification of dengue, were strongly associated with death. No significant association was observed between any of the laboratory findings and death. CONCLUSIONS: The finding that epistaxis and persistent vomiting were also associated with death in children with severe dengue was unexpected and deserves to be explored in future studies. Because intensive care units are often limited in resource-poor settings, any information that can help to distinguish patients with severe dengue with a higher risk to progress to death may be crucial. PMID:24473560

  8. Cryptococcosis in non-HIV/non-transplant patients: A Brazilian case series.

    PubMed

    Lomes, Naiane Ribeiro; Melhem, Marcia Souza de Carvalho; Szeszs, Maria Walderez; Martins, Marilena Dos Anjos; Buccheri, Renata

    2016-10-01

    Cryptococcosis is a classical systemic opportunistic mycosis, primarily occurring among patients with significant immunologic impairment. However, this disease could also affect patients without any recognized immunologic defects, that is, phenotypically normal patients. The medical records of 29 non-HIV/nontransplant patients with cryptococcal disease during the period 2007-2014 were retrospectively reviewed. The most common site of infection was the central nervous system (n = 25, 86.2%), followed by the pulmonary system (n = 11, 37.9%) and blood (n = 2, 6.8%). Thoracic- and brain-computed tomography demonstrated abnormalities of 81.2% (n = 13) and 62.5% (n = 15), respectively. In sum, 22% (n = 6) of the patients experienced a significant underlying condition. More than one therapeutic regimen was used in 77.8% (n = 21) of the patients. The isolates were identified as being Cryptococcus neoformans species complex (n = 4, 36.4%) and Cryptococcus gattii species complex (n = 7, 63.6%). The overall mortality was 20.7% (n = 6). Herein, we presented the first case series of cryptococcosis in this specific population in São Paulo City, Brazil. The incidence of cryptococcosis in our hospital has not increased in recent years, and 77.8% (n = 21) of cases had no obvious predisposing factor. However, this disease remains associated with high mortality. PMID:27118805

  9. Human adenovirus spread, rainfalls, and the occurrence of gastroenteritis cases in a Brazilian basin.

    PubMed

    Rodrigues, Manoela Tressoldi; Henzel, Andréia; Staggemeier, Rodrigo; de Quevedo, Daniela Muller; Rigotto, Caroline; Heinzelmann, Larissa; do Nascimento, Carlos Augusto; Spilki, Fernando Rosado

    2015-11-01

    Climate variables may interfere with the environmental persistence and spread of pathogenic microorganisms. This study aimed to investigate the occurrence of human adenovirus (HAdV) and total and thermotolerant coliforms in treated and untreated water and report gastroenteritis cases in seven cities located in the hydrographic basin of the Sinos River (HBSR), Southern Brazil. The data on water quality from samples collected at catchment areas of HBSR from March to December 2011 were compared with precipitation records, virus detection rates and viral loads, and information on enteric diseases among residents of the region. There was a marked increase in precipitation intensity in April, July, and August and a decrease in May and November. The number of HAdV genome copies (gc) in untreated water ranged from 2.1×10(8) gc/L in June to 7.8×10(1) gc/L in December, and in treated water, from 6.3×10(4) gc/L in September to 4.1×10(1) gc/L in November. The most probable number (MPN) of total coliforms ranged from 5×10(1) MPN/100 mL in December to 2.4×10(5) MPN/100 mL in July, and thermotolerant coliforms ranged from 1×10(1) MPN/100 mL in August to 6.9×10(4) MPN/100 mL in July. A total of 79 hospital admissions due to gastroenteritis were registered in the cities studied. The results for coliforms in untreated water demonstrate deficits in sanitation and wastewater treatment. These findings also indicate a possible relationship between the occurrence of rainfalls after dry periods and an increase in the number of gastroenteritis cases and in HAdV load quantified in surface water collected for conventional potabilization. PMID:26514803

  10. Framing community forestry challenges with a broader lens: case studies from the Brazilian Amazon.

    PubMed

    Hajjar, Reem; McGrath, David G; Kozak, Robert A; Innes, John L

    2011-09-01

    Community forestry initiatives have been shown to reduce rural poverty while promoting the conservation and sustainable use of forests. However, a number of challenges face communities wanting to initiate or maintain formal, community-based forest management. Through a grounded theory approach, this paper uses three case studies of community forest management models in the eastern Amazon to create a framework showing challenges faced by communities at different phases of formal management. The framework shows that, in the development phase, four root problems (land ownership, knowledge acquisition, community organization, and adequate capital) need to be addressed to obtain legal management permission. With this permission in hand, further challenges to operationalization are presented (deterring illegal loggers, maintaining infrastructure, obtaining necessary managerial skills and accessing markets). The interrelatedness of these challenges emphasizes that all challenges need to be addressed in a holistic manner for communities to maintain a profitable and self-sufficient operation. This contradicts current development approaches that only address part of this framework. The framework proposed here can be used as a starting point for community forestry initiatives in other regions. PMID:21550165

  11. Examining Treatment Effects for Single-Case ABAB Designs through Sensitivity Analyses

    ERIC Educational Resources Information Center

    Crumbacher, Christine A.

    2013-01-01

    Single-case designs (SCDs) are often used to examine the impact of an intervention over brief periods of time (Kratochwill & Stoiber, 2002; Segool, Brinkman, & Carlson, 2007). The majority of SCDs are inspected using visual analysis (Kromrey & Foster-Johnson, 1996; Morgan & Morgan, 2009). Although the single-case literature…

  12. A Practice Concepts Symposium on Drug Misuse in the Elderly: Examination of a Case History.

    ERIC Educational Resources Information Center

    Silverstone, Barbara; And Others

    1986-01-01

    Set of articles consisting of an introduction (Barbara Silverstone, et al.) and case study concerning drug misuse in the elderly, and six papers examining the case from the perspectives of clinical pharmacology (William Simonson); pharmacology (Peter Lamy); psychiatry (Charles Gaitz and Nancy Wilson); nursing (Delores Alford); social work (Janet…

  13. Examining the Stability of Experts' Clinical Case Processing: An Experimental Manipulation

    ERIC Educational Resources Information Center

    De Bruin, Anique B. H.; Van De Wiel, Margaretha W. J.; Rikers, Remy M. J. P.; Schmidt, Henk G.

    2005-01-01

    The present study was undertaken to examine the hypothesis that the intermediate effect in clinical case recall is partly explained by experts' lower motivation to write down "everything" they remember when asked for free recall. Medical experts and students were presented with two clinical cases, which they had to read, diagnose, and recall.…

  14. Examining the Contemporary Status of an Education System: The Case of the Republic of South Sudan

    ERIC Educational Resources Information Center

    Banraba, Boboya James Edimond

    2015-01-01

    This paper attempts to examine the contemporary status of an education system. The paper takes the case of the Republic of South Sudan. The key issues the paper will examine are the education enrollment and completion rates while paying particular attention to inequalities in both access and quality among racial or ethnic groups, males and…

  15. [Examination of the Cases Given Primary Tumor Resection after Systemic Therapy for Metastatic Breast Cancer].

    PubMed

    Hara, Yukiko; Sakurai, Kenichi; Adachi, Keita; Fujiwara, Asako; Ono, Youko; Nagashima, Saki; Suzuki, Shuhei; Waga, Eiko; Hirano, Tomohiro; Enomoto, Katsuhisa; Amano, Sadao

    2015-11-01

    We examined the records of patients with stage Ⅳ breast cancer who underwent primary tumor resection after systemic therapy. In our department, in 2013, there were 8 such cases. The average local tumor diameter was 59 mm. There was 1 case of metastases to the liver, 2 cases to the lung, 3 cases to the bone, and 1 case to the kidney. Three cases had lymph node metastases. Two cases were treated with hormonal therapy, and 6 cases received chemotherapy as preoperative systemic therapy. All cases underwent Bt plus Ax. Approximately 2 years after the surgery, 5 of the 8 patients were alive. The postoperative local control was good and we were able to continue systemic treatment for the distant metastases in all cases. We think that resection of the primary tumor improved the quality of life of the patients. However, for 1 fatal case, a brain metastasis was detected shortly after surgery. Therefore, we need to consider the patient's condition carefully before we operate. PMID:26805078

  16. Micronucleus frequency in children exposed to biomass burning in the Brazilian Legal Amazon region: a control case study

    PubMed Central

    2012-01-01

    Background The Amazon represents an area of 61% of Brazilian territory and is undergoing major changes resulting from disorderly economic development, especially the advance of agribusiness. Composition of the atmosphere is controlled by several natural and anthropogenic processes, and emission from biomass burning is one with the major impact on human health. The aim of this study was to evaluate genotoxic potential of air pollutants generated by biomass burning through micronucleus assay in exfoliated buccal cells of schoolchildren in the Brazilian Amazon region. Methods The study was conducted during the dry seasons in two regions of the Brazilian Amazon. The assay was carried out on buccal epithelial cells of 574 schoolchildren between 6-16 years old. Results The results show a significant difference between micronucleus frequencies in children exposed to biomass burning compared to those in a control area. Conclusions The present study demonstrated that in situ biomonitoring using a sensitive and low cost assay (buccal micronucleus assay) may be an important tool for monitoring air quality in remote regions. It is difficult to attribute the increase in micronuclei frequency observed in our study to any specific toxic element integrated in the particulate matters. However, the contribution of the present study lies in the evidence that increased exposure to fine particulate matter generates an increased micronuclei frequency in oral epithelial cells of schoolchildren. PMID:22400801

  17. Sex offender polygraph examination: an evidence-based case management tool for social workers.

    PubMed

    Levenson, Jill S

    2009-10-01

    This article will review the use of polygraphy in the assessment and treatment of sexual perpetrators. Such information can be utilized by social workers who are involved in the treatment and case management of child sexual abuse cases. First, the controversial literature regarding the validity and reliability of polygraph examination in general will be reviewed. Next, an emerging body of evidence supporting the utility of polygraph testing with sex offenders will be discussed. Finally, ways that social workers can incorporate this knowledge into their case management and clinical roles will be offered. PMID:20183683

  18. Examination of a Dispositional System in a Teacher Education Program: A Mixed Methods Case Study

    ERIC Educational Resources Information Center

    Van Prooyen, Traci L.

    2013-01-01

    This mixed methods, case study research examined the teacher education program at Illinois State University (ISU-Normal, Illinois) as related to the views and assessment practices of the dispositions of its teacher candidates. Five years of quantitative and qualitative data from ISU's Disposition Concern form was collected and analyzed currently…

  19. Using Peer Reviews to Examine Micropolitics and Disciplinary Development of Engineering Education: A Case Study

    ERIC Educational Resources Information Center

    Beddoes, Kacey

    2014-01-01

    This article presents a case study of the peer review process for a feminist article submitted to an engineering education journal. It demonstrates how an examination of peer review can be a useful approach to further understanding the development of feminist thought in education fields. Rather than opposition to feminist thought per se, my…

  20. The Secondary Education Certificate and Matriculation Examinations in Malta: A Case Study. INNODATA1.

    ERIC Educational Resources Information Center

    Sultana, Ronald G.

    This monograph presents a case study of a significant innovation in Malta: the establishment of an indigenous system of examinations at the secondary school and postsecondary levels. This is an example of a small state setting up its own end-of-cycle certification rather than using what is provided by metropolitan countries. The introductory…

  1. The Social Construction of a Digital Library: A Case Study Examining Implications for Evaluation.

    ERIC Educational Resources Information Center

    Kilker, Julian; Gay, Geri

    1998-01-01

    Describes the social construction of technology (SCOT) framework which encourages a focus on the multiple perspectives inherent in the development and evaluation of digital libraries. Relevant social groups, interpretive flexibility, and closure are used to examine an evaluation case study of the "Making of America" (MOA) digital library project…

  2. A Constructivist Case Study Examining the Leadership Development of Undergraduate Students in Campus Recreational Sports

    ERIC Educational Resources Information Center

    Hall, Stacey L.; Forrester, Scott; Borsz, Melissa

    2008-01-01

    This constructivist case study examined undergraduate student leadership development. Twenty-one student leaders, 13 females and 8 males, in a campus recreational sports department were interviewed using a semi-structured interview protocol. Seven broad themes: organizing, planning, and delegating; balancing academic, personal and professional…

  3. An Examination of Resilience Processes in Context: The Case of Tasha

    ERIC Educational Resources Information Center

    Schilling, Tammy A.

    2008-01-01

    This research examined resilience processes in context through a narrative case study of Tasha, a young African-American woman who grew up in a poverty-ridden area of a mid-sized city in the Southeast. Personal and external data are analyzed and interpreted in terms of contextually defined themes of adversity (i.e., intersectionality of social…

  4. A Case for Examining Pre-Service Teacher Preparation for Inquiry Teaching Science with Technology

    ERIC Educational Resources Information Center

    Shively, Chris T.; Yerrick, Randy

    2014-01-01

    Inquiry has been the framework for guiding reform-based science instruction. All too often, the role of technology is treated tacitly without contributions to this framework. This case study examines a collection of pre-service teachers enrolling in two educational technology courses and the role these experiences play in promoting inquiry…

  5. [The illegal market for gender-related drugs as portrayed in the Brazilian news media: the case of misoprostol and women].

    PubMed

    Diniz, Debora; Castro, Rosana

    2011-01-01

    This article analyzes how the Brazilian news media covers the illegal market for misoprostol, the main drug used to induce abortion. A total of 1,429 news stories were retrieved from 220 print and electronic media channels from 2004 to 2009. The analysis included 524 stories from 62 regional and national newspapers. Misoprostol appeared repeatedly in the news, but was usually approached from a criminal perspective, unlike abortion as a whole, which the Brazilian media routinely covers as a religious, political, and public health issue. Misoprostol is part of the illegal gender-related drug market, along with drugs for weight loss and erectile dysfunction and anabolic steroids. Sixty-four (12%) of the news stories told life histories of women who had aborted with misoprostol. The women's ages ranged from 13 to 46 years, and socioeconomic status was associated with different experiences with abortion. Three characters appeared in the women's abortion itineraries: girlfriends (confidantes), go-betweens, and physicians. Stories of late-stage abortion are confused with the criminal characterization of infanticide and provide the extreme cases in the media's narrative on abortion. PMID:21340108

  6. Brazilian purpuric fever: epidemic purpura fulminans associated with antecedent purulent conjunctivitis. Brazilian Purpuric Fever Study Group.

    PubMed

    1987-10-01

    In late 1984, 10 children in a small, rural town in Brazil had high fever associated with vomiting and abdominal pain. Within 12-48 h of the onset of fever, purpura developed associated with vascular collapse and peripheral necrosis. All 10 children died. Cerebrospinal fluid examinations did not suggest meningitis and, when done, tests were negative for Neisseria meningitidis. Other culture, serological, and necropsy examinations did not reveal a cause. Case-finding uncovered another cluster of similar illness in children in a second town and sporadic cases in five other cities. Two case-control studies demonstrated that children who became ill were significantly more likely than control children to have had conjunctivitis during the month before illness. This conjunctivitis was purulent, preceded the onset of more severe disease by 3-15 days, and had resolved before fever began. Although no conjunctival cultures were obtained from case-children, Haemophilus aegyptius was the most common pathogen isolated from other conjunctival cultures during the epidemic. This organism was also isolated from a non-aseptic skin scraping from 1 case child. A 25-megadalton plasmid distinguished the H aegyptius isolates epidemiologically associated with illness from other Brazilian conjunctival isolates. Brazilian purpuric fever is a newly recognized syndrome of epidemic purpura fulminans associated with antecedent purulent conjunctivitis, possibly caused by H aegyptius. PMID:2888985

  7. Sociocultural Influences on Brazilian Children's Drawings.

    ERIC Educational Resources Information Center

    Stokrocki, Mary

    2000-01-01

    Reports on insights about sociocultural influences on Brazilian children's drawings, using visual anthropology to examine children's drawings that depicted what they like to do. Discusses visual anthropology, provides information on Brazilian educational influences, and presents the context and findings of the study. (CMK)

  8. "The Police Have Given Up": An Empirical Examination of Covictims' Beliefs About Cold Case Homicide Investigations.

    PubMed

    Stretesky, Paul B; Cope, Kathryn; Shelley, Tara O'Connor; Hogan, Michael J; Unnithan, N Prabha

    2016-01-01

    This work examines the perception by cold case homicide covictims that police have given up trying to solve their loved one's murder. A random sample (n = 65) of cold case homicide covictims is surveyed to determine if, and how, different forms of communication may be important in their perceptions about police. Ordered logistic regression analyses indicate that perceived importance of the information communicated, frequency of police contact, and satisfaction with communication efforts by police are inversely correlated with covictims' perceptions that police have given up on the investigation. These inverse correlations persist despite statistical controls and have important implications for the bereavement of covictims and for crime rates. PMID:26646782

  9. Cuts and tears on a paper towel: a case report on an unusual examination of damage.

    PubMed

    Causin, Valerio; Marega, Carla; Schiavone, Sergio

    2005-03-10

    The examination of damage to a paper towel, an item of evidence in a murder case, is described. Simulations performed with selected tools and the observation of the lacerations present on the towel permitted to infer that they were originated by cleaning of a pointed and sharp implement. Some marks, considered characteristic of scissors, were detected on the exhibit. This experimental outcome resulted critical in challenging the declarations of the suspect. A rather significant analogy between damage examination on paper towels and on textiles was established. PMID:15639610

  10. Controversies Regarding the Psychometric Properties of the Brief COPE: The Case of the Brazilian-Portuguese Version "COPE Breve".

    PubMed

    Brasileiro, Sarah V; Orsini, Mara R C A; Cavalcante, Julianna A; Bartholomeu, Daniel; Montiel, José M; Costa, Paulo S S; Costa, Luciane R

    2016-01-01

    The Brief Coping Orientation to Problems Experienced (COPE) inventory investigates the different ways in which people respond to stressful situations. Knowledge is lacking regarding the coping strategies and styles of people in developing countries, including Brazil. This study aimed to adapt and validate the Brief COPE to Brazilian Portuguese (named COPE Breve) by focusing on dispositional coping. For the cross-cultural adaptation, the original Brief COPE in English (28 items grouped into 14 subscales) was adapted according to a universalistic approach, following these steps: translation, synthesis, back-translation, analysis by an expert panel, and pretest with 30 participants. Then, 237 adults from the community health service responded to the COPE Breve. Psychometric analyses included reliability and exploratory factor analysis. Most of the 14 subscales from the original Brief COPE exhibited problems related to internal consistency. A Velicer's minimum average partial test (MAP) was performed and pointed out 3 factors. Exploratory factor analysis produced a revised 20-item version with a 3-factor solution: religion and positive reframing, distraction and external support. The psychometric properties of the COPE Breve with three factors were appropriate. Limitations of this study as well as suggestions for future studies are presented. The COPE Breve should be used in Brazilian clinics and investigations, but divergences in its psychometrics should be further explored in other contexts. PMID:27007646

  11. Brazilian gemstones

    NASA Astrophysics Data System (ADS)

    Franco, Rui Ribeiro

    1981-04-01

    Brazil counts as a gemmological province because of the variety of gem minerals present in the country. Most Brazilian states and territories produce gemstones, the State of Minas Gerais being the most important producer both in volume and in number of species. Diamonds are chiefly derived by panning from alluvial deposits in Minas Gerais, Mato Grosso and Goiás. Among other gemstones, the most important are aquamarines, beryls, chrysoberyls, topazes, amethysts, tourmalines, emeralds and agates, and their respective varieties. The occurrences of these gemstones, as well as of a great number of others, are described for each state in which they are found.

  12. Examining the Alignment of Chinese National Physics Curriculum Guidelines and 12th-Grade Exit Examinations: A Case Study

    ERIC Educational Resources Information Center

    Liang, Ling L.; Yuan, Haiquan

    2008-01-01

    This study reports findings from an analysis of the 2002 Chinese National Physics Curriculum Guidelines and the alignment between the curriculum guidelines and two most recent provincial-level 12th-grade exit examinations in China. Both curriculum guidelines and test content were represented using two-dimensional matrices (i.e., topic by level of…

  13. The Validation of a Case-Based, Cumulative Assessment and Progressions Examination

    PubMed Central

    Coker, Adeola O.; Copeland, Jeffrey T.; Gottlieb, Helmut B.; Horlen, Cheryl; Smith, Helen E.; Urteaga, Elizabeth M.; Ramsinghani, Sushma; Zertuche, Alejandra; Maize, David

    2016-01-01

    Objective. To assess content and criterion validity, as well as reliability of an internally developed, case-based, cumulative, high-stakes third-year Annual Student Assessment and Progression Examination (P3 ASAP Exam). Methods. Content validity was assessed through the writing-reviewing process. Criterion validity was assessed by comparing student scores on the P3 ASAP Exam with the nationally validated Pharmacy Curriculum Outcomes Assessment (PCOA). Reliability was assessed with psychometric analysis comparing student performance over four years. Results. The P3 ASAP Exam showed content validity through representation of didactic courses and professional outcomes. Similar scores on the P3 ASAP Exam and PCOA with Pearson correlation coefficient established criterion validity. Consistent student performance using Kuder-Richardson coefficient (KR-20) since 2012 reflected reliability of the examination. Conclusion. Pharmacy schools can implement internally developed, high-stakes, cumulative progression examinations that are valid and reliable using a robust writing-reviewing process and psychometric analyses. PMID:26941435

  14. Comparison of postmenopausal endogenous sex hormones among Japanese, Japanese Brazilians, and non-Japanese Brazilians

    PubMed Central

    2011-01-01

    Background Differences in sex hormone levels among populations might contribute to the variation in breast cancer incidence across countries. Previous studies have shown higher breast cancer incidence and mortality among Japanese Brazilians than among Japanese. To clarify the difference in hormone levels among populations, we compared postmenopausal endogenous sex hormone levels among Japanese living in Japan, Japanese Brazilians living in the state of São Paulo, and non-Japanese Brazilians living in the state of São Paulo. Methods A cross-sectional study was conducted using a control group of case-control studies in Nagano, Japan, and São Paulo, Brazil. Participants were postmenopausal women older than 55 years of age who provided blood samples. We measured estradiol, estrone, androstenedione, dehydroepiandrosterone sulfate (DHEAS), testosterone and free testosterone by radioimmunoassay; bioavailable estradiol by the ammonium sulfate precipitation method; and sex hormone-binding globulin (SHBG) by immunoradiometric assay. A total of 363 women were included for the present analyses, comprising 185 Japanese, 44 Japanese Brazilians and 134 non-Japanese Brazilians. Results Japanese Brazilians had significantly higher levels of estradiol, bioavailable estradiol, estrone, testosterone and free testosterone levels, and lower SHBG levels, than Japanese. Japanese Brazilians also had significantly higher levels of bioavailable estradiol, estrone and DHEAS and lower levels of SHBG and androstenedione than non-Japanese Brazilians. Levels of estradiol, testosterone and free testosterone, however, did not differ between Japanese Brazilians and non-Japanese Brazilians. These differences were observed even after adjustment for known breast cancer risk factors. We also found an increase in estrogen and androgen levels with increasing body mass index, but no association for most of the other known risk factors. Conclusions We found higher levels of estrogens and androgens in

  15. Fatal diving accidents: two case reports and an overview of the role of forensic examinations.

    PubMed

    Lüderwald, Sybille; Zinka, Bettina

    2008-09-18

    During the years 2004-2006, seven divers, who had deadly accidents, underwent post-mortem examination at the Institute of Legal Medicine of the University of Munich. The cause of death in all divers was drowning with typical pathomorphological findings. This should be regarded as separated to the triggering reason for drowning. The trigger for accident was established in four of seven cases by technical analysis and police investigation. High risk-taking, lack of technical service, and deficiency of dive equipment care were main reasons for death. We present two of these cases which showed several problems occurring concurrently. Autopsy always is necessary to look for indices for application of force or to exclude competitive reasons for death. PMID:18706775

  16. Osteological, biomolecular and geochemical examination of an early anglo-saxon case of lepromatous leprosy.

    PubMed

    Inskip, Sarah A; Taylor, G Michael; Zakrzewski, Sonia R; Mays, Simon A; Pike, Alistair W G; Llewellyn, Gareth; Williams, Christopher M; Lee, Oona Y-C; Wu, Houdini H T; Minnikin, David E; Besra, Gurdyal S; Stewart, Graham R

    2015-01-01

    We have examined a 5th to 6th century inhumation from Great Chesterford, Essex, UK. The incomplete remains are those of a young male, aged around 21-35 years at death. The remains show osteological evidence of lepromatous leprosy (LL) and this was confirmed by lipid biomarker analysis and ancient DNA (aDNA) analysis, which provided evidence for both multi-copy and single copy loci from the Mycobacterium leprae genome. Genotyping showed the strain belonged to the 3I lineage, but the Great Chesterford isolate appeared to be ancestral to 3I strains found in later medieval cases in southern Britain and also continental Europe. While a number of contemporaneous cases exist, at present, this case of leprosy is the earliest radiocarbon dated case in Britain confirmed by both aDNA and lipid biomarkers. Importantly, Strontium and Oxygen isotope analysis suggest that the individual is likely to have originated from outside Britain. This potentially sheds light on the origins of the strain in Britain and its subsequent spread to other parts of the world, including the Americas where the 3I lineage of M. leprae is still found in some southern states of America. PMID:25970602

  17. Osteological, Biomolecular and Geochemical Examination of an Early Anglo-Saxon Case of Lepromatous Leprosy

    PubMed Central

    Inskip, Sarah A.; Taylor, G. Michael; Zakrzewski, Sonia R.; Mays, Simon A.; Pike, Alistair W. G.; Llewellyn, Gareth; Williams, Christopher M.; Lee, Oona Y-C; Wu, Houdini H. T.; Minnikin, David E.; Besra, Gurdyal S.; Stewart, Graham R.

    2015-01-01

    We have examined a 5th to 6th century inhumation from Great Chesterford, Essex, UK. The incomplete remains are those of a young male, aged around 21–35 years at death. The remains show osteological evidence of lepromatous leprosy (LL) and this was confirmed by lipid biomarker analysis and ancient DNA (aDNA) analysis, which provided evidence for both multi-copy and single copy loci from the Mycobacterium leprae genome. Genotyping showed the strain belonged to the 3I lineage, but the Great Chesterford isolate appeared to be ancestral to 3I strains found in later medieval cases in southern Britain and also continental Europe. While a number of contemporaneous cases exist, at present, this case of leprosy is the earliest radiocarbon dated case in Britain confirmed by both aDNA and lipid biomarkers. Importantly, Strontium and Oxygen isotope analysis suggest that the individual is likely to have originated from outside Britain. This potentially sheds light on the origins of the strain in Britain and its subsequent spread to other parts of the world, including the Americas where the 3I lineage of M. leprae is still found in some southern states of America. PMID:25970602

  18. [Occurrence of deviant tendencies in phalloplethysmographic and vulvoplethysmographic examinations in sexually dysfunctional patients (case reports)].

    PubMed

    Tichý, P

    1994-10-01

    The author demonstrates on four case-histories the presence of sexual deviant trends as the cause of sexual dysfunctions in conventional heterosexual relations in men and women and the irreplaceable part played by vulvo- or phalloplethysmography used for their detection. In a man treated for some time on account of impaired erectile potency and in a woman who visited the surgery with her husband and presented complaints diagnosed as secondary frigidity and anorgasmy, PPG or VPG examination revealed a homosexual orientation. Both these patients knew of their homosexual orientation but did not tell anybody. The mentioned male patient intentionally dissimulated homosexuality, the woman attempted in vain to achieve heterosexual adaptation. In two young men with primary disorders of erectile potency PPG examination revealed sadomasochistic tendencies. In the first one the impaired erectility created the impression of "debutant's failure" when starting a partnership, in the second one it seemed to be due to adverse psychosocial factors. During an interview following the examination both described spontaneously and in detail erotic dreams and masturbation fantasies with sadomasochistic contents. They were not aware of the association of their specific sexual motivation structure. It was typical for all four patients that they never disclosed previously their deviant sexual tendencies and only the specific situation during the PPG or VPG examination, which they had voluntarily after previous instruction, they were motivated to confess their problems. PMID:7850913

  19. Older Age and Time to Medical Assistance Are Associated with Severity and Mortality of Snakebites in the Brazilian Amazon: A Case-Control Study.

    PubMed

    Feitosa, Esaú L; Sampaio, Vanderson S; Salinas, Jorge L; Queiroz, Amanda M; da Silva, Iran Mendonça; Gomes, André A; Sachett, Jacqueline; Siqueira, André M; Ferreira, Luiz Carlos L; Dos Santos, Maria Cristina; Lacerda, Marcus; Monteiro, Wuelton

    2015-01-01

    The Amazon region reports the highest incidence of snakebite envenomings in Brazil. We aimed to describe the epidemiology of snakebites in the state of Amazonas and to investigate factors associated with disease severity and lethality. We used a nested case-control study, in order to identify factors associated with snakebite severity and mortality using official Brazilian reporting systems, from 2007 to 2012. Patients evolving to severity or death were considered cases and those with non-severe bites were included in the control group. During the study period, 9,191 snakebites were recorded, resulting in an incidence rate of 52.8 cases per 100,000 person/years. Snakebites mostly occurred in males (79.0%) and in rural areas (70.2%). The most affected age group was between 16 and 45 years old (54.6%). Fifty five percent of the snakebites were related to work activities. Age ≤15 years [OR=1.26 (95% CI=1.03-1.52); (p=0.018)], age ≥65 years [OR=1.53 (95% CI=1.09-2.13); (p=0.012)], work related bites [OR=1.39 (95% CI=1.17-1.63); (p<0.001)] and time to medical assistance >6 hours [OR=1.73 (95% CI=1.45-2.07); (p<0.001)] were independently associated with the risk of severity. Age ≥65 years [OR=3.19 (95% CI=1.40-7.25); (p=0.006)] and time to medical assistance >6 hours [OR=2.01 (95% CI=1.15-3.50); (p=0.013)] were independently associated with the risk of death. Snakebites represent an occupational health problem for rural populations in the Brazilian Amazon with a wide distribution. These results highlight the need for public health strategies aiming to reduce occupational injuries. Most cases of severe disease occurred in the extremes of age, in those with delays in medical attention and those caused by Micrurus bites. These features of victims of snakebite demand adequate management according to well-defined protocols, including prompt referral to tertiary centres when necessary, as well as an effective response from surveillance systems and policy makers for these

  20. Older Age and Time to Medical Assistance Are Associated with Severity and Mortality of Snakebites in the Brazilian Amazon: A Case-Control Study

    PubMed Central

    Feitosa, Esaú L.; Sampaio, Vanderson S.; Salinas, Jorge L.; Queiroz, Amanda M.; da Silva, Iran Mendonça; Gomes, André A.; Sachett, Jacqueline; Siqueira, André M.; Ferreira, Luiz Carlos L.; dos Santos, Maria Cristina; Lacerda, Marcus; Monteiro, Wuelton

    2015-01-01

    The Amazon region reports the highest incidence of snakebite envenomings in Brazil. We aimed to describe the epidemiology of snakebites in the state of Amazonas and to investigate factors associated with disease severity and lethality. We used a nested case-control study, in order to identify factors associated with snakebite severity and mortality using official Brazilian reporting systems, from 2007 to 2012. Patients evolving to severity or death were considered cases and those with non-severe bites were included in the control group. During the study period, 9,191 snakebites were recorded, resulting in an incidence rate of 52.8 cases per 100,000 person/years. Snakebites mostly occurred in males (79.0%) and in rural areas (70.2%). The most affected age group was between 16 and 45 years old (54.6%). Fifty five percent of the snakebites were related to work activities. Age ≤15 years [OR=1.26 (95% CI=1.03-1.52); (p=0.018)], age ≥65 years [OR=1.53 (95% CI=1.09-2.13); (p=0.012)], work related bites [OR=1.39 (95% CI=1.17-1.63); (p<0.001)] and time to medical assistance >6 hours [OR=1.73 (95% CI=1.45-2.07); (p<0.001)] were independently associated with the risk of severity. Age ≥65 years [OR=3.19 (95% CI=1.40-7.25); (p=0.006)] and time to medical assistance >6 hours [OR=2.01 (95% CI=1.15-3.50); (p=0.013)] were independently associated with the risk of death. Snakebites represent an occupational health problem for rural populations in the Brazilian Amazon with a wide distribution. These results highlight the need for public health strategies aiming to reduce occupational injuries. Most cases of severe disease occurred in the extremes of age, in those with delays in medical attention and those caused by Micrurus bites. These features of victims of snakebite demand adequate management according to well-defined protocols, including prompt referral to tertiary centres when necessary, as well as an effective response from surveillance systems and policy makers for these

  1. Pasture evapotranspiration as indicators of degradation in the Brazilian Savanna: a case study for Alto Tocantins watershed

    NASA Astrophysics Data System (ADS)

    Andrade, Ricardo G.; de C. Teixeira, Antônio H.; Sano, Edson E.; Leivas, Janice F.; Victoria, Daniel C.; Nogueira, Sandra F.

    2014-10-01

    The Alto Tocantins watershed, located in the Brazilian Savanna (Cerrado biome), is under an intense land use and occupation process, causing increased pressure on natural resources. Pasture areas in the region are highly relevant to the rational use of natural resources in order to achieve economic and environmental sustainability. In this context, remote sensing techniques have been essential for obtaining information relevant to the assessment of vegetation conditions on a large scale. This study aimed to apply this tool in conjunction with field measurements to evaluate evapotranspiration (ET) against pasture degradation indicators. The SAFER algorithm was applied to estimate ET using MODIS images and weather station data from year 2012. Results showed that ET was lower in degraded pastures. It is noteworthy that during low rainfall period, ET values were 22.2% lower in relation to non-degraded pastures. This difference in ET indicates changes in the partition of the energy balance and may impact the microclimate. These results may contribute to public policies that aim to reduce the loss of the productive potential of pastures.

  2. A Case Controlled Examination of the Interpersonal Theory of Suicide in the Second Half of Life.

    PubMed

    Van Orden, Kimberly A; Smith, Phillip N; Chen, Tian; Conwell, Yeates

    2016-07-01

    The interpersonal theory of suicide proposes that the most proximal cause of suicide is the combination of thwarted belongingness and perceived burdensomeness coupled with a pre-existing vulnerability of reduced fear of death and increased pain tolerance. This pre-existing vulnerability develops in response to painful and provocative life events. According to the theory, empirically demonstrated risk factors for suicide operate by increasing the likelihood of one or more of the theory's constructs. The current study examined the relations of the major constructs of the interpersonal theory with suicide case status compared to living controls in the second half of life. The current study used a pre-existing psychological autopsy database to compare suicide decedents to living controls 50 years and older. Theory constructs were measured by composite scores of thwarted belongingness, perceived burdensomeness, and painful and provocative experiences using an a priori selection of items comprising each construct. Suicide decedents experienced greater levels of all three of the theory's constructs when examined independently compared to living controls. When examined simultaneously while also controlling for Major Depression, greater perceived burdensomeness and painful and provocative experiences were associated with suicide case status (vs. control). The interpersonal theory is a comprehensive framework that may be useful in understanding risk for death by suicide in the second half of life. Clinical management of suicide risk for adults in the second half of life could include a focus on perceived burdensomeness, as the IPTS proposes that this psychological state is amenable to change via therapeutic intervention. PMID:26219512

  3. [A case of ectopic ureterocele in a male adult found during examination of a traumatic injury].

    PubMed

    Sakamoto, Yuuichi; Hyoudou, Youji; Okamoto, Masayuki; Yamada, Yuji; Takechi, Yosizumi

    2004-04-01

    We report a case of ectopic ureterocele in a male adult found during examination of a traumatic injury. A 26-year-old man sustained a blow to his left back during a football game and was admitted to the hospital with a complaint of abdominal pain. The computed tomographic scan showed a huge cystic mass in the retroperitoneum. A cystoscope revealed a large bulge from the left ureteral orifice to the bladder neck and another ureteral orifice distal to the bulge. Retrograde pyelography revealed an ectopic ureterocele showing a complete duplication, a lateral deviation of the left ureter and a bladder deviation to the right. An ectopic ureteral orifice was opening in the posterior urethra. An ureteral catheter inserted into this orifice revealed a dilated left ureter from the upper half of the kidney. Because the function of left upper of kidney was maintained, a transurethral incision was performed. Vesicoureteral reflux remained, but the postoperative course was uneventful. We discuss 11 cases of ectopic ureterocele in male adults including this case. PMID:15188616

  4. Focal Epithelial Hyperplasia (Heck’s Disease) in a 57-Year-Old Brazilian Patient: A Case Report and Literature Review

    PubMed Central

    de Castro, Luciano Alberto; de Castro, Joao Gabriel Leite; da Cruz, Alexandre Duarte Lopes; Barbosa, Bruno Henrique de Sousa; de Spindula-Filho, Jose Vieira; Costa, Mauricio Barcelos

    2016-01-01

    Focal epithelial hyperplasia (FEH), or Heck’s disease, is a rare disease of the oral mucosa associated with infection by some subtypes of human papilloma virus, especially subtypes 13 or 32. The disease is predominantly found in children and adolescents with indigenous heritage, but other ethnic groups can be affected worldwide. To the best of the authors’ knowledge, it has not been reported in Brazil’s elderly population. This article describes a case of FEH in a 57-year-old Brazilian patient presenting since childhood, with multiple lesions in the lips, buccal mucosa and tongue. The solitary tongue lesion underwent excisional biopsy and the histopathological analysis showed parakeratosis, acanthosis, rete pegs with a club-shaped appearance, koilocytosis and the presence of mitosoid cells. These microscopic findings in conjunction with clinical presentation were sufficient to establish the accurate diagnosis of FEH. Polymerase chain reaction (PCR) was performed, but no one human papillomavirus (HPV) subtype could be identified. Clinicians must be aware of this rare oral disease, which can even affect elderly patients, as we described here. Treatment may be indicated in selected cases due to esthetic and/or functional problems. PMID:26985258

  5. Epidemiology of Ornithodoros brasiliensis (mouro tick) in the southern Brazilian highlands and the description of human and animal retrospective cases of tick parasitism.

    PubMed

    Reck, José; Marks, Fernanda S; Guimarães, Jorge A; Termignoni, Carlos; Martins, João Ricardo

    2013-02-01

    Ornithodoros brasiliensis, also known as the "mouro" tick, is an argasid tick found exclusively in the southern Brazilian highlands. O. brasiliensis parasitism is frequently associated with severe symptoms directly induced by the tick bite, a condition compatible with the definition of tick toxicosis. The objectives of this work include (i) the determination of the distribution of O. brasiliensis in farms located in the tick-endemic region, (ii) the description of the characteristics of O. brasiliensis habitats, (iii) the analysis of risk factors associated with O. brasiliensis, and (iv) the retrospective description of cases of human and animal parasitism by O. brasiliensis. Of the 30 farms included in this study, O. brasiliensis was identified on 5 farms (frequency 16.7%), in which several ticks found in high density buried in soil were collected. Information regarding the tick habitats and the local population was recorded. The data indicated that O. brasiliensis feeds on humans, dogs, armadillos (Dasypus hybridus), and possibly skunks (Conepatus chinga). The analysis of risk factors indicated that the presence of house basements with an unpaved (natural soil) floor on farms and insufficient sanitary conditions significantly enhanced the probability of identifying O. brasiliensis. Additionally, we describe retrospectively cases of tick parasitism in 28 humans and 11 dogs including the most common symptoms associated with tick toxicosis. This is the first study concerning O. brasiliensis epidemiology, distribution, and habitat, and the report represents the most comprehensive characterization of Ornithodoros bite-associated toxicosis syndrome. PMID:23238249

  6. Observations about chemical composition of aerosols in the Brazilian Amazon region - Case study: Biomass burning in the subequatorial Amazon region

    NASA Astrophysics Data System (ADS)

    Gioda, A.; Monteiro, I. L.; Almeida, A. C.; Hacon, S. S.; Dallacort, R.; Ignotti, E.; Godoy, J. M.; Loureiro, A. L.; Morais, F.; Artaxo, P.

    2012-04-01

    The study was carried out in two cities in the Brazilian Amazon region, Tangará da Serra (14 ° 37'10 "S, 57 ° 29'09" W, 427 m asl), located in a transition area between the Amazon biome and the Cerrado and has the characteristics of urban area in Amazon region; and Alta Floresta (9 ° 52 '32 "S, 56 ° 5' 10" W, 283 m asl) situated in the extreme north of the state of Mato Grosso (MT), both in the subequatorial Amazon region. Tangara da Serra has the largest production of sugar cane in the subequatorial Amazon region. They are located 800 km from each other. These two regions are inserted in a region with typical cycles of drought and rain that alter air pollution levels, and lies in the dispersion path of the pollution plume resulting from burnings in the Brazilian Amazon and pollution emanating from neighboring countries. Both cities have wet tropical climate with two well defined seasons: rainy summer (November to May) and dry winter (June to October). During the dry winter, biomass burnings are frequent in these regions. In 2008, the Department of the Environment has banned fires in the period from July 15 to September 15 throughout the State. In this study chemical characterization was performed for approximately 100 aerosol samples collected in each site during 2008. Fine and coarse aerosol samples collected in SFUs were analyzed by ion chromatography for determination of cations (Na+, K+, NH3+, Ca2+ and Mg2+), anions (SO42-, Cl- and NO3-) and organic acids (acetate and formiate) and also measures of black carbon (BC) (Aethalometer). The results showed that for both sites the average concentrations were quite similar for PM2.5 (16 µg/m3), PM10 (11 and 13 µg/m3) and black carbon (1.4 µg/m3 for PM2.5 and 1.6 µg/m3 for PM10). Sulfate was the predominant species in fine (45%) and coarse (26%) particles in both sites. The sulfate concentrations ranged from 0.01-1.92 µg/m3 in PM2.5 and 0.01-1.66 µg/m3 in PM10 in Tangará da Serra and 0.01-2.93 µg/m3 in PM2

  7. Cave conservation priority index to adopt a rapid protection strategy: a case study in Brazilian Atlantic rain forest.

    PubMed

    Souza Silva, Marconi; Martins, Rogério Parentoni; Ferreira, Rodrigo Lopes

    2015-02-01

    Cave environments are characterized by possessing specialized fauna living in high environmental stability with limited food conditions. These fauna are highly vulnerable to impacts, because this condition can frequently be easily altered. Moreover, environmental determinants of the biodiversity patterns of caves remain poorly understood and protected. Therefore, the main goal of this work is to propose a cave conservation priority index (CCPi) for a rapid assessment for troglobiotic and troglophile protection. Furthermore, the troglobiotic diversity, distribution and threats have been mapped in the Brazilian Atlantic forest. To propose the CCPi, the human impacts and richness of troglobiotic and troglophile species of 100 caves were associated. Data related to troglomorphic/troglobiotic fauna from another 200 caves were used to map the troglobiotic diversity and distribution. The CCPi reveals extremely high conservation priority for 15% of the caves, high for 36% and average for 46% of the caves. Fourteen caves with extremely high priorities should have urgent conservation and management actions. The geographical distribution of the 221 known troglobiotic/troglomorphic species allowed us to select 19 karst areas that need conservation actions. Seven areas were considered to have urgent priority for conservation actions. The two richest areas correspond to the "iron quadrangle" with iron ore caves (67 spp.) and the "Açungui limestone group" (56 spp.). Both areas have several caves and are important aquifers. The use of the CCPi can prevent future losses because it helps assessors to select caves with priorities for conservation which should receive emergency attention in relation to protection, management and conservation actions. PMID:25528593

  8. Cave Conservation Priority Index to Adopt a Rapid Protection Strategy: A Case Study in Brazilian Atlantic Rain Forest

    NASA Astrophysics Data System (ADS)

    Souza Silva, Marconi; Martins, Rogério Parentoni; Ferreira, Rodrigo Lopes

    2015-02-01

    Cave environments are characterized by possessing specialized fauna living in high environmental stability with limited food conditions. These fauna are highly vulnerable to impacts, because this condition can frequently be easily altered. Moreover, environmental determinants of the biodiversity patterns of caves remain poorly understood and protected. Therefore, the main goal of this work is to propose a cave conservation priority index (CCPi) for a rapid assessment for troglobiotic and troglophile protection. Furthermore, the troglobiotic diversity, distribution and threats have been mapped in the Brazilian Atlantic forest. To propose the CCPi, the human impacts and richness of troglobiotic and troglophile species of 100 caves were associated. Data related to troglomorphic/troglobiotic fauna from another 200 caves were used to map the troglobiotic diversity and distribution. The CCPi reveals extremely high conservation priority for 15 % of the caves, high for 36 % and average for 46 % of the caves. Fourteen caves with extremely high priorities should have urgent conservation and management actions. The geographical distribution of the 221 known troglobiotic/troglomorphic species allowed us to select 19 karst areas that need conservation actions. Seven areas were considered to have urgent priority for conservation actions. The two richest areas correspond to the "iron quadrangle" with iron ore caves (67 spp.) and the "Açungui limestone group" (56 spp.). Both areas have several caves and are important aquifers. The use of the CCPi can prevent future losses because it helps assessors to select caves with priorities for conservation which should receive emergency attention in relation to protection, management and conservation actions.

  9. The Brazilian Honeybee

    ERIC Educational Resources Information Center

    Michener, Charles D.

    1973-01-01

    Discusses the unusually aggressive Brazilian honeybee, which exhibits many of the attributes of its African antecedants. Describes its abundance and distribution, behaviorial characteristics, future spread, and the potential impact of the Brazilian bee in North America. (JR)

  10. Trends in child sexual abuse cases referred for forensic examination in Southern Denmark from 2000 to 2011 - Did the 'Tønder-case' have an impact?

    PubMed

    Skovmand, Sofie; Astrup, Birgitte Schmidt

    2015-11-01

    In 2005 a serious case of child sexual abuse from the region of Southern Denmark was revealed to the Danish public. The case became known as the 'Tønder-case'. It was the first in a series of 4-5 serious cases of child maltreatment in Denmark, cases which spurred heavy public debate. In this study all the cases of child sexual abuse referred for forensic examination in a 12 year period, a total of 368 cases, were systematically evaluated. In order to identify any trends that could be correlated to an impact of the 'Tønder-case', cases from 2000 to 2002 and cases from 2009 to 2011 underwent an in-depth analysis. In the 12 year period there was a significant increase in numbers of cases. In the subgroups, comprised of 113 cases meeting the inclusion criteria, we found a significant increase in the frequency of cases involving incest and systematic abuse, as well as an uncorrelated increase in the frequency of cases where children were placed in foster care prior to the examination. These results were countered by a significant decrease in the number cases police reported child sexual abuse in the same period. The possible impact that cases like the 'Tønder-case' and the following press coverage may have on disclosure and the handling of this type of case by authorities is discussed, as well as further perspectives of extensive press coverage. PMID:26454218

  11. Embracing Uncertainty: A Case Study Examination of How Climate Change is Shifting Water Utility Planning

    NASA Astrophysics Data System (ADS)

    Kaatz, L.

    2015-12-01

    Climate change has emerged as one of the greatest challenges facing water utilities' planning for the future, adding a new source and level of complexity that is forcing many agencies to re-examine their decision-making processes. A significant barrier for many agencies is figuring out how to consider highly uncertain climate information and move away from deterministic thinking to make climate-informed decisions. To provide water professionals with practical and relevant information, the Water Utility Climate Alliance teamed up with the American Water Works Association, in coordination with the Water Research Foundation and Association of Metropolitan Water Agencies, to develop a white paper sharing insights into how and why water agencies are modifying planning and decision-making processes. The 13 case studies presented illustrate the variety of ways in which utilities are incorporating climate change into planning, from immediate operational decisions, to capital planning and asset management, to long-term supply planning.

  12. Examining students' graduation issues using data mining techniques - The case of TEI of Athens

    NASA Astrophysics Data System (ADS)

    Chalaris, Manolis; Gritzalis, Stefanos; Maragoudakis, Manolis; Sgouropoulou, Cleo; Lykeridou, Katerina

    2015-02-01

    One of the major issues that Greek Higher Education Institutes face is the delayed completion of studies of their students. For example, in the case of the Technological Educational Institute of Athens, in the academic year 2012-2013, the percentage of graduates with a length of studies of more than 6 years was 53%. This "problem" becomes harder if we consider that according to the new legislation, the Greek Higher Education Institutes (HEI) must cut off access to the students who "linger" too long. This means that many of these graduates wouldn't be able to complete their studies. While many institutes have systems to quantify and report the length of studies of all graduates, far less attention is typically paid to each student's reason(s) for delayed graduation. In this paper, we focus on examining the question of why students delay in the completion of their studies using several data mining techniques. Through the application of data mining techniques new knowledge will be provided to the administration of a HEI that could be used for solving this problem. The data used in our case study come from a questionnaire distributed to graduates of the institute but also from educational data stored in the Institute's student database.

  13. Perceptions of Interns and General Medicine Examiners Regarding Cardiovascular Case Presentation in Practical Exams of General Medicine in Final MBBS Summative Examinations

    PubMed Central

    Nimbal, Naren; Rekha, M C; Patil, Giridhar; Padaki, Samata; Dambal, Amrut; Pise, Gajanan; Kalsad, S T

    2015-01-01

    Introduction Assessment of cardiovascular cases in practical exit exam is limited to simple history taking and physical examination. Standards of assessment are not uniform. This makes assessment less valid and reliable. Aim To explore the perceptions of Internees and General Medicine Examiners about current practices in Cardio Vascular system (CVS) case presentation in final MBBS exit exams and the necessity to change some of the practices. Materials and Methods A set questions pertaining to the preparation for exams, validity, reliability, feasibility and educational impact were prepared to guide in obtaining the perceptions of internees and internal medicine examiners. Focus group discussions were conducted. Data Analysis was done by immersion-crystallization process. Results Most of the internees admitted to feeling concerned because of difficulty in diagnosing murmurs by auscultation. Most of the examiners felt concerned about the logistics involved in arranging practical exams. Both admitted to the lack of uniform standards in assessment. Both agreed that the present system thrived as it was relatively feasible. Some internees suggested that the exam may be conducted in two parts by splitting the syllabus instead of once. Some internees suggested incorporating a student-doctor program to improve practical skills just like the on-going student nurse program. Conclusion There is a need for overhauling the assessment of cardiovascular system in final MBBS summative exams towards one aligned to the competencies as required in an Indian Medical Graduate. Blueprinting of practical assessment with due weightage assigned to epidemiologically important topics is the need of the hour. PMID:26816933

  14. Senior medical student perceived ability and experience in giving peer feedback in formative long case examinations

    PubMed Central

    2013-01-01

    Background Learning to provide feedback on a peer’s performance in formative clinical assessments can be a valuable way of enriching the students’ own learning experience. Students are often reluctant to provide honest, critical feedback to their peers. Nevertheless, it is an area of practice that is important to develop as students report feeling ill prepared in feedback techniques when entering the medical workforce. We sought to investigate students’ perceptions of their ability to provide feedback to their peers using the positive critique method, and their perceived benefits and challenges during the experience. Methods Over a two year period (2011 to 2012), senior medical students assessed and gave feedback to their peers alongside academic examiners during formative long case clinical examinations. Rating scales, open ended questions and focus group discussions were used to evaluate student perceptions. Results Of the 94 participants, 89/94 (95%) completed the questionnaire, and 39/94 (41%) participated in focus groups. Students found the positive critique method provided a useful framework. Some students raised concerns about the accuracy of their feedback, and felt that further training was required. A substantial number of respondents (42%) did not report feeling confident providing negative feedback to their peers, and qualitative analysis indicated concerns around potential impacts on social relationships. Despite these concerns, the majority (90%) of respondents found the exercise useful, identifying several benefits, including development in the understanding of knowledge content; development of professionalism skills, and increased responsibility. Conclusion Students identified several challenging aspects to providing feedback to their peers. While the experience of giving feedback to peers was perceived by students to provide a valuable learning experience, further training in this area may help to improve the learning experience for students

  15. Hereditary Pancreatitis Associated With the N29T Mutation of the PRSS1 Gene in a Brazilian Family: A Case-Control Study.

    PubMed

    Dytz, Marcio Garrison; Mendes de Melo, Julia; de Castro Santos, Olga; da Silva Santos, Isabel Durso; Rodacki, Melanie; Conceição, Flavia Lucia; Ortiga-Carvalho, Tania Maria

    2015-09-01

    Hereditary pancreatitis (HP) is an autosomal-dominant disease with incomplete penetrance manifesting as early-onset chronic relapsing pancreatitis. A mutation in the PRSS1 gene is present in greater than 70% of HP kindreds and leads to a gain-of-function characterized by the increased autocatalytic conversion of trypsinogen to active trypsin, promoting autodigestion and damage to acinar cells. Other genetic defects observed in the pathogenic mechanism of pancreatitis include mutations in the genes encoding SPINK1, CTRC, and CPA1. There are few reports of HP in Latin America, and no families have been investigated in Brazil. A case-control observational study was conducted at Clementino Fraga Filho University Hospital in Brazil. Patients with suspected HP and healthy controls were enrolled in this study, and a detailed questionnaire was administered to patients with HP. PRSS1 and SPINK1 genes were analyzed by DNA sequencing, and a family that fit the HP diagnostic criteria was identified. The neutral polymorphism c.88-352A > G in the SPINK1 gene was found to be prevalent in the individuals studied, but no important alterations were found in this gene. Ten out of 16 individuals in this family carried the N29T mutation in the PRSS1 gene, with 2 clinically unaffected mutation carriers. The median age of HP onset was 6 years. Pancreatic exocrine failure occurred in 6 patients, 5 of whom also had diabetes mellitus. Surgical procedures were performed on 3 affected members, and no cases of pancreatic cancer have been reported thus far. This study identified the first PRSS1 gene mutation in a Brazilian family with HP. PMID:26376395

  16. Examining Gender Differences in Written Assessment Tasks in Biology: A Case Study of Evolutionary Explanations.

    PubMed

    Federer, Meghan Rector; Nehm, Ross H; Pearl, Dennis K

    2016-01-01

    Understanding sources of performance bias in science assessment provides important insights into whether science curricula and/or assessments are valid representations of student abilities. Research investigating assessment bias due to factors such as instrument structure, participant characteristics, and item types are well documented across a variety of disciplines. However, the relationships among these factors are unclear for tasks evaluating understanding through performance on scientific practices, such as explanation. Using item-response theory (Rasch analysis), we evaluated differences in performance by gender on a constructed-response (CR) assessment about natural selection (ACORNS). Three isomorphic item strands of the instrument were administered to a sample of undergraduate biology majors and nonmajors (Group 1: n = 662 [female = 51.6%]; G2: n = 184 [female = 55.9%]; G3: n = 642 [female = 55.1%]). Overall, our results identify relationships between item features and performance by gender; however, the effect is small in the majority of cases, suggesting that males and females tend to incorporate similar concepts into their CR explanations. These results highlight the importance of examining gender effects on performance in written assessment tasks in biology. PMID:26865642

  17. A detailed examination of substance P in pathologically graded cases of Huntington's disease.

    PubMed

    Beal, M F; Ellison, D W; Mazurek, M F; Swartz, K J; Malloy, J R; Bird, E D; Martin, J B

    1988-03-01

    Substance P concentrations have been found to be reduced in the basal ganglia in Huntington's disease (HD). In order to further examine this finding in the present study we measured substance P-like immunoreactivity (SPLI) in cases of HD which had been graded as to the severity of pathological changes in the striatum. Marked significant reductions of SPLI were found in all striatal nuclei which were significantly correlated with the percentage of neuronal loss in the varying pathologic grades. Similar changes were found in the projection sites of striatal substance P neurons, the globus pallidus interna and the substantia nigra. These changes are consistent with a loss of striatal substance P containing projection neurons in HD. Significant reductions in SPLI were also found in the external pallidum, bed nucleus of the stria terminalis and the subthalamic nucleus. Small significant increases in SPLI (20-30%) were found in 3 frontal cortical regions (Brodmann areas 6, 8 and 9). The finding of neurochemical changes in the subthalamic nucleus is of particular interest since lesions in this nucleus are known to result in chorea and therefore might contribute to the chorea which is a cardinal symptom of HD. PMID:2452859

  18. Examining Gender Differences in Written Assessment Tasks in Biology: A Case Study of Evolutionary Explanations

    PubMed Central

    Federer, Meghan Rector; Nehm, Ross H.; Pearl, Dennis K.

    2016-01-01

    Understanding sources of performance bias in science assessment provides important insights into whether science curricula and/or assessments are valid representations of student abilities. Research investigating assessment bias due to factors such as instrument structure, participant characteristics, and item types are well documented across a variety of disciplines. However, the relationships among these factors are unclear for tasks evaluating understanding through performance on scientific practices, such as explanation. Using item-response theory (Rasch analysis), we evaluated differences in performance by gender on a constructed-response (CR) assessment about natural selection (ACORNS). Three isomorphic item strands of the instrument were administered to a sample of undergraduate biology majors and nonmajors (Group 1: n = 662 [female = 51.6%]; G2: n = 184 [female = 55.9%]; G3: n = 642 [female = 55.1%]). Overall, our results identify relationships between item features and performance by gender; however, the effect is small in the majority of cases, suggesting that males and females tend to incorporate similar concepts into their CR explanations. These results highlight the importance of examining gender effects on performance in written assessment tasks in biology. PMID:26865642

  19. Using a Comprehensive Case-Based Examination to Evaluate and Integrate Student Learning in Social Work Administration

    ERIC Educational Resources Information Center

    Packard, Thomas; Austin, Michael J.

    2009-01-01

    While the case method has been used in teaching social work practice for many years, its use as an evaluation tool is less common. This analysis describes the use of the case method in a comprehensive examination for MSW students in an Administration concentration. After a brief review of the issues related to student outcome assessment and the…

  20. A Case Study of a Kindergarten Teacher: Examining Practices and Beliefs That Support the Social-Emotional Classroom Climate

    ERIC Educational Resources Information Center

    Pech, Sandra L.

    2010-01-01

    This 5-month qualitative case study investigated the social-emotional climate of one half-day kindergarten classroom by examining the role of the teacher in establishing and sustaining a classroom climate that nurtured the social-emotional lives of students. This case study asks: How and why did the teacher establish and sustain a classroom…

  1. Case Study: An Examination of the Decision Making Process for Selecting Simulations for an Online MBA Program

    ERIC Educational Resources Information Center

    Neely, Pat; Tucker, Jan

    2013-01-01

    Purpose: Simulations are designed as activities which imitate real world scenarios and are often used to teach and enhance skill building. The purpose of this case study is to examine the decision making process and outcomes of a faculty committee tasked with examining simulations in the marketplace to determine if the simulations could be used as…

  2. Management of Re-Occurring Cases of Examination Malpractice in Plateau State Collage of Health Technology Pankshin, Nigeria

    ERIC Educational Resources Information Center

    Dusu, Paul Bot; Gotan, Anthony; Deshi, Jummai M.; Gambo, Barashe

    2016-01-01

    Nigeria's educational system is gradually degenerating, as the sanctity of education process has been affected by malpractice. The purpose of this paper was to assess re-occurring incidence of examination malpractice in Plateau State College of Health Technology Pankshin, Nigeria. It looked at cases of examination malpractice and students'…

  3. An Examination of the Effectiveness of Public Management Networks (PMNs): Evidence from the Case of the Hurricane Katrina Disaster

    ERIC Educational Resources Information Center

    Davis, Girte Leah

    2012-01-01

    This dissertation examined the performance outcomes of public management networks (PMNs) in the disaster management context. The effectiveness of three disaster response sub-networks in the area of evacuation were examined and compared using the case of the Hurricane Katrina disaster in New Orleans, Louisiana in August 2005: Citizen Protection:…

  4. Examining the Association Between Cigarette Smoking and Colorectal Cancer Using Historical Case-Control Data

    PubMed Central

    Peppone, Luke J.; Hyland, Andrew; Moysich, Kirsten B.; Reid, Mary E.; Piazza, Kenneth M.; Purnell, Jason Q.; Mustian, Karen M.; Morrow, Gary R.

    2010-01-01

    BACKGROUND The majority of recent, well-designed studies have shown that long-term cigarette smoking increases colorectal cancer risk, but older studies with shorter durations of exposure often found no association. This study aimed to examine colorectal cancer risk by smoking exposure using data collected in the late 1950s and early 1960s. METHODS This case-control study examined colorectal cancer risk by lifetime smoking history. There were 1,365 patients who visited Roswell Park Cancer Institute (RPCI) between 1957 and 1965 diagnosed with primary, incident colorectal cancers that were matched to 4,096 malignancy-free controls on gender and age. Odds ratios were calculated using separate logistic regression models for each smoking exposure, while controlling for other tobacco use, county of residence, race, age, gender, and body mass index (BMI). RESULTS The adjusted OR for individuals who reported their greatest level of smoking to be more than 1 pack/day was 0.87 (95% CI=0.67–1.15). Among those who smoked 42 or more years, the adjusted OR was 0.89 (95% CI=0.68–1.15) compared to those who never smoked. For individuals who smoked more than 45 pack-years, the OR was 0.92 (95% CI=0.72–1.19). The results did not differ significantly by gender, although men had considerably greater exposure compared to women. Results also did not differ by colorectal sub-site. CONCLUSION No association was found between long-term cigarette smoking and colorectal cancer risk. These results are in accord with studies that followed cohorts throughout the 1950s and 1960s. Methodological limitations, such as missing data on covariates and the higher incidence of smoking-related illness in a hospital setting, may have contributed to the null results found in this study. Prolonged population exposure to cigarettes and perhaps a changing product may explain why more recent studies have reported a positive association between smoking and colorectal cancer. PMID:19683487

  5. Online Case-Based Discussions: Examining Coverage of the Afforded Problem Space

    ERIC Educational Resources Information Center

    Ertmer, Peggy A.; Koehler, Adrie A.

    2014-01-01

    Case studies hold great potential for engaging students in disciplinary content. However, little is known about the extent to which students actually cover the problem space afforded by a particular case study. In this research, we compared the problem space afforded by an instructional design case study with the actual content covered by 16…

  6. Conducting Examinations in Nigerian Polytechnics: A Case Study of Kwara State Polytechnic

    ERIC Educational Resources Information Center

    Olasehinde, Martha O.

    2015-01-01

    This paper posits that the conduct of examinations in any educational institution can make or mar the institution, Kwara State Polytechnic inclusive. This is because examinations constitute the hub of any institution. First, the place of polytechnic education in the growth and development of the country is examined. Next, is a consideration of…

  7. 10 years of 1:1 taping in Belgium - A selection of murder cases involving fibre examination.

    PubMed

    De Wael, K; Lepot, L; Lunstroot, K; Gason, F

    2016-01-01

    Since 2002, the 1:1 tape lifting technique on murder victims has been introduced in Belgium. Thirty-six murder cases for which a fibre examination was carried out in our laboratory between 2002 and 2012 are reviewed. These cases all involved the collection of microtraces on 39 victims using a 1:1 taping or similar technique, called semi 1:1 taping. The degree of "positive outcomes" for investigative and comparative fibre cases is high. Especially in cases where the modus operandi of suspects had to be verified, the examination of the 1:1 tape lifting led to very useful fibre results. The findings from some of these fibre cases are used to illustrate the advantages, drawbacks and points of interest of the two collection techniques. These are also compared with the zonal taping technique, another microtrace collection technique applied on victims at the crime scene. PMID:26746822

  8. Clinical aspects of envenomation caused by Tityus obscurus (Gervais, 1843) in two distinct regions of Pará state, Brazilian Amazon basin: a prospective case series

    PubMed Central

    2014-01-01

    Background Scorpion envenomations are a major public health problem in Brazil, whose most dangerous cases are attributable to the genus Tityus. This study was designed to compare the clinical and demographic features of envenomations by Tityus obscurus in two areas of the state of Pará located in the Amazon basin. Were compared demographic findings, local and systemic signs and symptoms of human envenomations caused by T. obscurus that occurred in western and eastern areas of the state. Results Forty-eight patients with confirmed envenomation by T. obscurus were evaluated from January 2008 to July 2011. Most of them came from the eastern region, where male and female patients were present in similar numbers, while males predominated in the west. Median age groups were also similar in both areas. Most scorpion stings took place during the day and occurred significantly more frequently on the upper limbs. The time between the sting and admission to the health center was less than three hours in both areas. Most eastern patients had local manifestations while in the west, systemic manifestations predominated. Local symptoms were similar in both areas, but systemic signs and symptoms were more common in the west. Symptoms frequently observed at the sting site were local and radiating pain, paresthesia, edema, erythema, sweating, piloerection and burning. The systemic manifestations were significantly higher in patients from the west. Futhermore, neurological symptoms such as general paresthesia, ataxia, dysarthria, myoclonus, dysmetria, and electric shock-like sensations throughout the body were reported only by patients from the west. Conclusion The present study shows that two regions of Para state differ in the clinical manifestations and severity of confirmed envenomation by T. obscurus which suggests a toxicity variation resulting from the diversity of T. obscurus venom in different areas of the Brazilian Amazon basin, and that T. serrulatus antivenom can be

  9. Examining small "c" creativity in the science classroom: Multiple case studies of five high school teachers

    NASA Astrophysics Data System (ADS)

    Lasky, Dorothea Shawn

    As the US continues to strive toward building capacity for a workforce in STEM fields (NSF, 2006), educational organizations and researchers have constructed frameworks that focus on increasing competencies in creativity in order to achieve this goal (ISTE, 2007; Karoly & Panis, 2004; Partnership for 21st Century Skills, 2007). Despite these recommendations, many teachers either do not believe in the relevance of nurturing creativity in their students (Kaufman & Sternberg, 2007) or accept the importance of it, but do not know how best to foster it in their classrooms (Kampylis et al., 2009). Researchers conclude that teachers need to revise their ideas about the kind of creativity they can expect from their students to reflect the idea of small 'c' versus large 'C' creativity. There is a dearth of literature that looks closely at teacher practice surrounding creativity in the US and gives teachers a set of practical suggestions they can follow easily. I examined five case studies of teachers as they participated in and implemented a large-scale, NSF-funded project premised on the idea that training teachers in 21 st century pedagogies, (for example, problem-based learning), helps teachers create classrooms that increase science competencies in students. I investigated how teachers' curricular choices affect the amount of student creativity produced in their classrooms. Analysis included determining CAT scores for student products and continua scores along the Small 'c' Creativity Framework. In the study, I present an understanding of how teachers' beliefs influence practice and how creativity is fostered in students through various styles of teacher practice. The data showed a relationship between teachers' CAT scores, framework scores, and school context. Thus, alongside CAT, the framework was determined to be a successful tool for understanding the degree to which teachers foster small 'c' creativity. Other themes emerged, which included teachers' allotment of

  10. Unusual noon-time bite-outs in the ionospheric electron density around the anomaly crest locations over the Indian and Brazilian sectors during quiet conditions - A case study

    NASA Astrophysics Data System (ADS)

    Venkatesh, K.; Fagundes, P. R.; de Abreu, A. J.; Pillat, V. G.

    2016-09-01

    The present case study reports the unusual noon-time electron density bite-out events during 12th-18th April 2004 around the anomaly crest locations which are not observed over the geomagnetic equator. These bite-out events at the crest locations occurred on three consecutive days under solar and geomagnetically quiet conditions over the Indian and Brazilian sectors. The bite-out events are observed with a delay of two days over the Brazilian sector when compared with those in the Indian sector. The duration of these TEC bite-outs is found to vary around 5 h in the Indian sector while it is around 3 h in the Brazilian sector. Over Raipur in the Indian sector, the bite-out is found to be very strong (~30 TECU) on 13th April 2004, where the TEC drops to nearly 50% of the corresponding day maximum TEC. The diurnal variations of dTEC have also shown significant differences during the occurrence of noon-time TEC bite-outs. Simultaneous Equatorial Electrojet (EEJ) variations over the Indian and Brazilian sectors have also been studied. The ionosonde data over the equatorial and anomaly crest locations has been analyzed to understand the F-layer behavior during the occurrence of TEC bite-outs. Significant drop in the F-layer peak density and heights are observed during the TEC bite-outs while the minimum height of the bottom side F-layer do not show considerable differences. Further, the variations of vertical electron density profiles are studied to explain the F-layer characteristics that resulted in the noon-time bite-outs over the anomaly crest locations.

  11. Examining Technology's Impact on Society: Using Case Studies to Introduce Environmental and Economic Considerations

    ERIC Educational Resources Information Center

    Karukstis, Kerry K.

    2003-01-01

    The general chemistry course at Harvey Mudd College presents chemical principles and addresses technology's impact on society. Students consider environmental and economic implications of chemical scenarios in real-world case studies created for team-based analysis and discussion. Case study design, implementation, and assessment are presented.…

  12. Examining Preservice Teachers' Decision Behaviors and Individual Differences in Three Online Case-Based Approaches

    ERIC Educational Resources Information Center

    Cevik, Yasemin Demiraslan; Andre, Thomas

    2013-01-01

    This study compared the impact of three types of case-based methods (case-based reasoning, worked example, and faded worked example) on preservice teachers' (n = 71) interaction with decision tasks and whether decision related measures (task difficulty, mental effort, decision making performance) were associated with the differences in student…

  13. Moving beyond Mentoring: A Collective Case Study Examining the Perceived Characteristics of Positive Transformational Figures

    ERIC Educational Resources Information Center

    Bean, Brent W.; Kroth, Michael

    2013-01-01

    The purpose of this collective-case study was to explore the characteristics of transformational figures. This study revealed that interpersonal encounters were seen as a catalyst that assisted study participants through the process of transformation. Ten themes emerged from the cross-case analysis: Imposed and Intentional Influence; Metaphors of…

  14. Examining Preservice Teachers' Classroom Management Decisions in Three Case-Based Teaching Approaches

    ERIC Educational Resources Information Center

    Demiraslan-Çevik, Yasemin; Andre, Thomas

    2013-01-01

    This study was aimed at comparing the impact of three types of case-based approaches (worked example, faded work example, and case-based reasoning) on preservice teachers' decision making and reasoning skills related to realistic classroom management situations. Participants in this study received a short-term implementation of one of these three…

  15. Exploring Management Strategies to Reduce Cheating in Written Examinations: Case Study of Midlands State University

    ERIC Educational Resources Information Center

    Taderera, Ever; Nyikahadzoi, Loveness; Matamande, Wilson; Mandimika, Elinah

    2014-01-01

    This study was concerned about cheating in written examinations at Midlands State University (MSU). The study revealed that both male and female students cheat in written examination; business studies students cheat more than other faculties, and younger (lower class) students cheat more than (upper class) older students. Factors influencing…

  16. An Examination of the Leadership Practices of Effective Rural Superintendents: A Multiple Case Study

    ERIC Educational Resources Information Center

    Forner, Mark

    2010-01-01

    This research examined the leadership practices of rural superintendents who have led their districts to significant improvement in student academic achievement. The overall research goal was to examine how Waters' and Marzano's six correlates of effective superintendent leadership practice have been applied by school leaders who have successfully…

  17. The Absence of CYP3A5*3 Is a Protective Factor to Anticonvulsants Hypersensitivity Reactions: A Case-Control Study in Brazilian Subjects

    PubMed Central

    dos Santos, Bernardo; Talib, Leda Leme; Yamaguti, Célia; Rodrigues, Helcio; Gattaz, Wagner Farid; Kalil, Jorge

    2015-01-01

    Although aromatic anticonvulsants are usually well tolerated, they can cause cutaneous adverse drug reactions in up to 10% of patients. The clinical manifestations of the antiepileptics-induced hypersensitivity reactions (AHR) vary from mild skin rashes to severe cutaneous drug adverse reactions which are related to high mortality and significant morbidity. Genetic polymorphisms in cytochrome P450 genes are associated with altered enzymatic activity and may contribute to the risk of AHR. Here we present a case-control study in which we genotyped SNPs of CYP2C19, 2C9 and 3A5 of 55 individuals with varying severities of AHR, 83 tolerant, and 366 healthy control subjects from São Paulo, Brazil. Clinical characterization was based on standardized scoring systems and drug patch test. All in vivo investigation followed the ENDA (European Network of Drug Allergy) recommendations. Genotype was determined by real time PCR using peripheral blood DNA as a template. Of all 504 subjects, 65% were females, 45% self-identified as Afro-American, 38% as Caucasian and 17% as having non-African mixed ascendancy. Amongst 55 subjects with AHR, 44 had severe cutaneous drug adverse reactions. Of the 46 drug patch tests performed, 29 (63%) were positive. We found a strong association between the absence of CYP3A5*3 and tolerant subjects when compared to AHR (p = 0.0002, OR = 5.28 [CI95% 2.09–14.84]). None of our groups presented positive association with CYP2C19 and 2C9 polymorphisms, however, both SNPs contributed to separation of cases and tolerants in a Classification and Regression Tree. Our findings indicate that drug metabolism genes can contribute in the tolerability of antiepileptics. CYP3A5*3 is the most prevalent CYP3A5 allele associated with reduced enzymatic function. The current study provides evidence that normal CYP3A5 activity might be a protective factor to aromatic antiepileptics-induced hypersensitivity reactions in Brazilian subjects. PMID:26291084

  18. The Afro-Brazilian Fetish Cults: Religious Syncretism.

    ERIC Educational Resources Information Center

    Hedrick, B. C.

    1967-01-01

    This paper treats the Afro-Brazilian fetish cults found throughout Brazil and examines the syncretism of these cults with Catholicism. The religious practices of the "macumbas" (deities of the Afro-Brazilian cults), ritual music, and the ethnicity of the Negroes from both southern and northern Brazil are discussed. Frequently, excerpts of songs…

  19. Wind turbines and health: An examination of a proposed case definition

    PubMed Central

    McCunney, Robert J.; Morfeld, Peter; Colby, W. David; Mundt, Kenneth A.

    2015-01-01

    Renewable energy demands have increased the need for new wind farms. In turn, concerns have been raised about potential adverse health effects on nearby residents. A case definition has been proposed to diagnose “Adverse Health Effects in the Environs of Industrial Wind Turbines” (AHE/IWT); initially in 2011 and then with an update in 2014. The authors invited commentary and in turn, we assessed its scientific merits by quantitatively evaluating its proposed application. We used binomial coefficients to quantitatively assess the potential of obtaining a diagnosis of AHE/IWT. We also reviewed the methodology and process of the development of the case definition by contrasting it with guidelines on case definition criteria of the USA Institute of Medicine. The case definition allows at least 3,264 and up to 400,000 possibilities for meeting second- and third-order criteria, once the limited first-order criteria are met. IOM guidelines for clinical case definitions were not followed. The case definition has virtually no specificity and lacks scientific support from peer-reviewed literature. If applied as proposed, its application will lead to substantial potential for false-positive assessments and missed diagnoses. Virtually any new illness that develops or any prevalent illness that worsens after the installation of wind turbines within 10 km of a residence could be considered AHE/IWT if the patient feels better away from home. The use of this case definition in the absence of a thorough medical evaluation with appropriate diagnostic studies poses risks to patients in that treatable disorders would be overlooked. The case definition has significant potential to mislead patients and its use cannot be recommended for application in any health-care or decision-making setting. PMID:26168947

  20. Wind turbines and health: An examination of a proposed case definition.

    PubMed

    McCunney, Robert J; Morfeld, Peter; Colby, W David; Mundt, Kenneth A

    2015-01-01

    Renewable energy demands have increased the need for new wind farms. In turn, concerns have been raised about potential adverse health effects on nearby residents. A case definition has been proposed to diagnose "Adverse Health Effects in the Environs of Industrial Wind Turbines" (AHE/IWT); initially in 2011 and then with an update in 2014. The authors invited commentary and in turn, we assessed its scientific merits by quantitatively evaluating its proposed application. We used binomial coefficients to quantitatively assess the potential of obtaining a diagnosis of AHE/IWT. We also reviewed the methodology and process of the development of the case definition by contrasting it with guidelines on case definition criteria of the USA Institute of Medicine. The case definition allows at least 3,264 and up to 400,000 possibilities for meeting second- and third-order criteria, once the limited first-order criteria are met. IOM guidelines for clinical case definitions were not followed. The case definition has virtually no specificity and lacks scientific support from peer-reviewed literature. If applied as proposed, its application will lead to substantial potential for false-positive assessments and missed diagnoses. Virtually any new illness that develops or any prevalent illness that worsens after the installation of wind turbines within 10 km of a residence could be considered AHE/IWT if the patient feels better away from home. The use of this case definition in the absence of a thorough medical evaluation with appropriate diagnostic studies poses risks to patients in that treatable disorders would be overlooked. The case definition has significant potential to mislead patients and its use cannot be recommended for application in any health-care or decision-making setting. PMID:26168947

  1. Family Farmers and Major Retail Chains in the Brazilian Organic Sector: Assessing New Development Pathways. A Case Study in a Peri-Urban District of Sao Paulo

    ERIC Educational Resources Information Center

    Blanc, Julien

    2009-01-01

    The expansion of the organic sector in Brazil is seen as a leverage for the social emancipation of the small family farmers. Next to the traditional alternatives circuits of organic food and farming, new powerful capitalistic actors, such as supermarket chains, are rapidly entering the Brazilian organic arena. Can family farming benefit from the…

  2. Assessment and Evaluation of Higher Education in Business Management: An Analysis of the Brazilian Case in the Light of Social Learning Theory for Sustainability

    ERIC Educational Resources Information Center

    Brunstein, Janette; Jaime, Pedro; Curi, Denise Pereira; d'Angelo, Marcia Juliana; Mainardes, Emerson Wagner

    2015-01-01

    This article presents an analysis of Brazilian National System of Higher Education Assessment (SINAES) in the light of social learning for sustainability theory. The aim is to contribute to the advancement of debates surrounding education for sustainability and the improvement of public policy evaluation in higher education. The analysis is…

  3. The Contribution of Ethnobiology to the Construction of a Dialogue between Ways of Knowing: A Case Study in a Brazilian Public High School

    ERIC Educational Resources Information Center

    Baptista, Geilsa Costa Santos; El-Hani, Charbel Nino

    2009-01-01

    This paper reports results obtained in pedagogical interventions in a Brazilian public high school which aimed at promoting a dialogue between scientific and traditional knowledge in the context of biology teaching. The interventions were based on the use of a didactic material and teaching sequence elaborated on the grounds of school knowledge…

  4. Brazilian antidoping public policy.

    PubMed

    Almeida, Claudio Bispo de; Rodrigues, Deyvis Nascimento

    2014-07-01

    Doping, used to improve sports performance, is legally prohibited. This paper describes Brazilian regulations, resolutions, and Federal laws addressing the issue of doping and antidoping which were collected in 2012 from official websites. We conclude that Brazilian laws have constrained doping, and have been updated over the years to conform to worldwide legal guidelines. Study limitations are noted. PMID:24799072

  5. Brazilian Small Satellites

    NASA Astrophysics Data System (ADS)

    Carvalho, Himilcon

    Brazilian experience with micro scientific satellites began in 1995 with the SACI project that comprised 2 scientific satellites that carried onboard experiments from Brazil, Japan and US. The first one failed after launch (1998) and the second was lost during the second launch attempt of the Brazilian national launcher, VLS, in1999. Started by 1997, the French-Brazilian Microsatellite Project comprised a set of 9 experiments from French and Brazilian scientists. The project was terminated by the French side in 2002. Currently, there are two ongoing science projects, MIRAX (devoted to X-Ray astronomy) and EQUARS (to study the higher atmosphere). These projects include experiments from US, Netherlands, Japan, Canada, and Brazil, with launch scheduled to 2011 or 2012. This paper presents a brief summary of the history of the development of these satellites along with some highlights on the Brazilian Space Program.

  6. An Examination of Resource Allocation Strategies That Promote Student Achievement: Case Studies of Rural Elementary Schools in Hawaii

    ERIC Educational Resources Information Center

    Acopan-Tuasivi, C. K.

    2012-01-01

    This study presents case studies of rural elementary schools in Hawaii that examine resource allocation strategies that promote student achievement. The combined frame work of the Evidence Based Model (Odden & Picus, 2008) and the 10 Strategies for Doubling Student Performance (Odden, 2009) were utilized to compare actual school resources and…

  7. Assessment of Professional Development by Teachers and Administrators: An Examination of the Literature in the Context of One Case Study

    ERIC Educational Resources Information Center

    Hinds, Marjorie J.; Berger, Marie Josee

    2010-01-01

    The focus of this article is teacher professional development. The article examines literature related to teacher professional development and methods of measuring its impact. In order to ground the discussion, the article focuses on a case study that captures the perspectives of Ontario secondary school teachers and their administrators as they…

  8. Examination of Case Law (2007-2008) regarding Autism Spectrum Disorder and Violations of the Individuals with Disabilities Education Act

    ERIC Educational Resources Information Center

    Hill, Doris Adams; Martin, E. Davis, Jr.; Nelson-Head, Cynthia

    2011-01-01

    Using the LexisNexis database, the authors examined 99 court cases on students--who were 3-21 years of age and with various forms of autism spectrum disorder--between 2007 and 2008. The authors coded and analyzed procedural and substantive violations to the Individuals With Disabilities Education Act and the provision of a Free and Appropriate…

  9. Examination of Case Law (2007-2008) regarding Autism Spectrum Disorder and Violations of the Individuals with Disabilities Education Act

    ERIC Educational Resources Information Center

    Hill, Doris Adams

    2009-01-01

    Ninety-nine court cases from the "LexisNexis" database regarding students, ages 3-21, with various forms of Autism Spectrum Disorder (ASD) were examined for the years 2007-2008. Procedural and substantive violations to the Individuals with Disabilities Education Act (IDEA) and the provision of a Free and Appropriate Public Education (FAPE) were…

  10. Noun Case Suffix Use by Children with Specific Language Impairment: An Examination of Finnish

    PubMed Central

    Leonard, Laurence B.; Kunnari, Sari; Savinainen-Makkonen, Tuula; Tolonen, Anna-Kaisa; Mäkinen, Leena; Luotonen, Mirja; Leinonen, Eeva

    2015-01-01

    Finnish-speaking children with specific language impairment (SLI, N = 15, M age = 5;2), a group of same-age typically developing peers (TD-A, N = 15, M age = 5;2) and a group of younger typically developing children (TD-Y, N = 15, M age = 3;8) were compared in their use of accusative, partitive, and genitive case noun suffixes. The children with SLI were less accurate than both groups of TD children in case marking, suggesting that their difficulties with agreement extend to grammatical case. However, these children were also less accurate in making the phonological changes in the stem needed for suffixation. This second type of error suggests that problems in morphophonology may constitute a separate problem in Finnish SLI. PMID:25995529

  11. Examining What We Mean by "Collaboration" in Collaborative Action Research: A Cross-Case Analysis

    ERIC Educational Resources Information Center

    Bruce, Catherine D.; Flynn, Tara; Stagg-Peterson, Shelley

    2011-01-01

    The purpose of this paper is to report on the nature of collaboration in a multi-year, large-scale collaborative action research project in which a teachers' federation (in Ontario, Canada), university researchers and teachers partnered to investigate teacher-selected topics for inquiry. Over two years, 14 case studies were generated involving six…

  12. "I'm Present, 'A' Please": A Case Study Examining Grading Issues in a Recreation Curriculum

    ERIC Educational Resources Information Center

    Gray, H. Joey

    2008-01-01

    Despite extensive research, grading and the potential for grade inflation remain areas of concern within higher education. The purpose of this qualitative case study was to obtain collective understandings regarding grading and pressures to inflate grades from faculty and instructors within a research-intensive university. The study focused on a…

  13. Seeing Chemistry through the Eyes of the Blind: A Case Study Examining Multiple Gas Law Representations

    ERIC Educational Resources Information Center

    Harshman, Jordan; Bretz, Stacey Lowery; Yezierski, Ellen

    2013-01-01

    Adequately accommodating students who are blind or low-vision (BLV) in the sciences has been a focus of recent inquiry, but much of the research to date has addressed broad accommodations rather than devising and testing specific teaching strategies that respond to the unique challenges of BLV students learning chemistry. This case study seeks to…

  14. Examining the Role of Reflection in ePortfolios: A Case Study

    ERIC Educational Resources Information Center

    Landis, Cynthia M.; Scott, Susan B.; Kahn, Susan

    2015-01-01

    Extended institutional experience with ePortfolios grounded and framed this qualitative case study guided by the research question: Why, how, and with what success is reflection, as a teaching/learning process, employed among ePortfolio projects at Indiana University-Purdue University Indianapolis (IUPUI)? Thirty-two representatives of 16 varied…

  15. An Examination of the Effectiveness of Case Method Teaching Online: Does the Technology Matter?

    ERIC Educational Resources Information Center

    Watson, Sharon; Sutton, Jann Marie

    2012-01-01

    This article discusses the effectiveness of the case method when teaching online by comparing synchronous and asynchronous communication technologies with respect to how well they each embody Chickering and Gamson's Seven Principles of Good Practice in Undergraduate Education. The authors also present their empirical study of the effectiveness of…

  16. A Case Study Examination of Best Practices of Professional Learning Communities

    ERIC Educational Resources Information Center

    Akopoff, Tanya M.

    2010-01-01

    A current trend in education is that small teacher groups, called professional learning communities (PLC), are being advocated as a tool to help teachers reach struggling students. Educators planning to use PLC as an intervention strategy can benefit from research-based information about PLC best practices. This multiple case study addressed the…

  17. Curriculum Diversification Re-examined--A Case Study of Sierra Leone.

    ERIC Educational Resources Information Center

    Wright, Cream A. H.

    This paper deals with a case study of secondary curriculum diversification as a vocationalization strategy in Sierra Leone. It explores diversification issues from four crucial standpoints that are distinct but highly interrelated. First, diversification is dealt with as a policy that was adopted and actively pursued by Sierra Leone for over a…

  18. A 20-Year Examination of the Perceptions of Business School Interns: A Longitudinal Case Study

    ERIC Educational Resources Information Center

    Cook, Sherry James; Stokes, Amy; Parker, Richard Stephen

    2015-01-01

    The authors examined students' attitudes toward specific elements of an ongoing internship program. The study sample consisted of 816 student interns from 25 different colleges and universities. Results indicate that despite significant changes in instructional design and the incorporation of new technologies into the learning environment,…

  19. Examining Mathematical Knowledge for Teaching in the Mathematics Teaching Cycle: A Multiple Case Study

    ERIC Educational Resources Information Center

    Burke, Margaret Meg Kathleen

    2013-01-01

    The research indicated effective mathematics teaching to be more complex than assuming the best predictor of student achievement in mathematics is the mathematical content knowledge of a teacher. This dissertation took a novel approach to addressing the idea of what it means to examine how a teacher's knowledge of mathematics impacts student…

  20. The Road to Change? A Case Study Examining Educational Reform in Sibiu County, Romania

    ERIC Educational Resources Information Center

    Tucker, Stan; Trotman, Dave; Rusu, Horatiu; Mara, Daniel

    2014-01-01

    This article examines processes of educational reform and change in a post-Communist Eastern European country. Focusing on the experiences and challenges facing one geographical community in Sibiu County, Romania, an attempt is made to understand some of the macro and micro factors, influences and external policy drivers, shaping the organization…

  1. Examining Facilitators' Habits of Mind in an Asynchronous Online Discussion Environment: A Two Cases Study

    ERIC Educational Resources Information Center

    Cheung, Wing Sum; Hew, Khe Foon

    2010-01-01

    Asynchronous online discussion has been widely used by faculty members and students in schools and universities. Previous research has examined how factors such as the discussion activity, knowledge about the discussion topic, and the behaviour of other participants can affect learner participation. This study explored student facilitators'…

  2. An Examination on School Engagement and Metaphorical School Perception: Case of Province of Çankiri

    ERIC Educational Resources Information Center

    Özdemir, Murat; Kalayci, Hakki

    2013-01-01

    In the present study, school engagement and metaphorical school perceptions of students were analyzed based on gender, school type and grade. The relationship between school engagement and school perception was also examined. 410 high school students from ten different schools participated in the study. The data were collected through the…

  3. Examining an Evolution: A Case Study of Organizational Change Accompanying the Community College Baccalaureate

    ERIC Educational Resources Information Center

    McKinney, Lyle; Morris, Phillip A.

    2010-01-01

    This study examined the nature and degree of organizational change that occurs when community colleges offer their own baccalaureate degree programs. Utilizing qualitative research methodology, we investigated how executive administrators at two Florida colleges managed this momentous change process and how this transformation has affected their…

  4. The Case for Curriculum-Based, External Examinations that Have Significant Consequences for Students

    ERIC Educational Resources Information Center

    Peterson, Paul E.

    2007-01-01

    State-mandated systems of comprehensive examinations to be taken prior to high school graduation would focus the attention of students in high school, motivate them to higher levels of performance, provide guidance to teachers as to the appropriate material to be covered, and reduce antieducational pressures within peer groups, all of whose…

  5. Evaluation of Final Examination Papers in Engineering: A Case Study Using Bloom's Taxonomy

    ERIC Educational Resources Information Center

    Swart, A. J.

    2010-01-01

    Questions are used to obtain information, stimulate thinking, and redirect reasoning. Academics in higher education use questions on a daily basis to stimulate thinking and reasoning in students. Final examination papers are used by academics to assess the retention and application skills of students. The assumption, however, exists that questions…

  6. Pre-Service Primary Teachers' Perceptions of Early Childhood Philosophy and Pedagogy: A Case Study Examination

    ERIC Educational Resources Information Center

    Lord, Alison; McFarland, Laura

    2010-01-01

    This study examined the experiences of three primary teacher education students participating in early childhood-focused community play sessions, as well as their perceptions of early childhood and primary philosophy and pedagogy. The purpose was to explore perceived differences in primary and early childhood pre-service teacher courses, which may…

  7. Examining Health Information Technology Implementations: Case of the Patient-Centered Medical Home

    ERIC Educational Resources Information Center

    Behkami, Nima A.

    2012-01-01

    It has been shown that the use of Health Information Technology (HIT) is associated with reduced cost and increased quality of care. This dissertation examined the use of registries in Patient Centered Medical Home (PCMH) practices. A survey questionnaire was sent to a nationwide group of clinics certified for being a PCMH. They were asked to…

  8. Examining Current Beliefs, Practices and Barriers about Technology Integration: A Case Study

    ERIC Educational Resources Information Center

    Hsu, Pi-Sui

    2016-01-01

    The purpose of this mixed-methods study was to examine the current beliefs, practices and barriers concerning technology integration of Kindergarten through Grade Six teachers in the midwestern United States. The three data collection methods were online surveys with 152 teachers as well as interviews and observations with 8 teachers. The findings…

  9. An Examination of Court Cases Involving Interscholastic Athletics in Secondary Schools

    ERIC Educational Resources Information Center

    Baker, Jason M.

    2009-01-01

    It is imperative that school administrators, athletic directors, and interscholastic/athletic associations become knowledgeable in the area of interscholastic athletics at the secondary level and fully understand its potential for litigation. Thus, the purpose of this research study is to examine issues, outcomes, and legal trends involving…

  10. A Content Analysis of the TEFL M.A. Entrance Examinations (Case Study: Majors Courses)

    ERIC Educational Resources Information Center

    Razmjoo, Seyyed Ayatollah; Heydari Tabrizi, Hossein

    2010-01-01

    The MA Entrance Examinations (MAEE) held in Iran since 1990 are frequently criticized as being invalid, unstandardized exams with lots of problem in terms of principles of testing in general and test construction in particular (for instance, Jafarpur, 1996). To make sound judgments about such objections, the present study dealt with a content…

  11. Examining the Value of Lexical Retrieval Treatment in Primary Progressive Aphasia: Two Positive Cases

    PubMed Central

    Rising, K.; DeMarco, A.T.; Miller, B.L.; Gorno-Tempini, M.L.; Beeson, P.M.

    2013-01-01

    Individuals with primary progressive aphasia (PPA) suffer a gradual decline in communication ability as a result of neurodegenerative disease. Language treatment shows promise as a means of addressing these difficulties but much remains to be learned with regard to the potential value of treatment across variants and stages of the disorder. We present two cases, one with semantic variant of PPA and the other with logopenic PPA, each of whom underwent treatment that was unique in its focus on training self-cueing strategies to engage residual language skills. Despite differing language profiles and levels of aphasia severity, each individual benefited from treatment and showed maintenance of gains as well as generalization to untrained lexical items. These cases highlight the potential for treatment to capitalize on spared cognitive and neural systems in individuals with PPA, improving current language function as well as potentially preserving targeted skills in the face of disease progression. PMID:23871425

  12. [Retained capacity for action in brain gunshot injury. Case report and systematic examination].

    PubMed

    Karger, B; Banaschak, S; Brinkmann, B

    1997-01-01

    A case of physical activity following a suicidal gunshot to the head including perforation of the left frontal lobe from a .22 rimfire rifle is reported. Subsequently, the man was able to walk a distance of more than 100 m and to reload manually. The special wound ballistic features of the head leading to increased intracranial projectile effects are discussed and the morphological changes such as cortical contusion zones, intracerebral hemorrhages or indirect skull fractures are explained. The analysis of 38 cases of head shots followed by physical activity reveals that injury to certain CNS-areas or the use of centre fire rifles and large handguns usually excludes a potential for subsequent physical activity. But physical activity is possible if the trajectory is restricted to the frontal brain or one temporal lobe only and if a projectile of low wounding potential has been used for this gunshot. PMID:9313065

  13. The Application of Confocal Microscopy and Particle Size Analysis to Cartridge Case Examinations

    NASA Astrophysics Data System (ADS)

    McClorry, Shannon

    Although cross-correlation analysis is a convenient tool for image comparison, research shows that cross-correlation analysis of surface topographies is incapable of distinguishing between the large numbers of cartridge cases that would be necessary to create a national database. In this study, we manually overlay confocal images of primer face impressions and show that the size distribution of the regions of correspondence between two impressions has the potential to significantly improve the number of discernible topographies. Our results indicate that the average area of the individual regions of correspondence in an overlay provides a more abrupt distinction between matching and non-matching cartridge cases than does the overall extent of correspondence. In the 1950s, Biasotti discovered a similar trend in bullets, noting that the number of consecutive matching striae never exceed a particular number for non-matching bullets.

  14. Examining a shrinking rustbelt city: A case of Binghamton, NY (1990 - 2010)

    NASA Astrophysics Data System (ADS)

    Park, Paul Sung-Pyo

    Shrinking cities are locations that have experienced population and economic loss. Each shrinking city is unique in the influential characteristics that result in loss, however, patterns of the contemporary city is highly based on economic changes. The impact of shrinking cities is a global phenomenon not only limited to the U.S. or the developed world. However, among large shrinking cities of the world, 25% are located in the U.S. Therefore, it is of utter importance to understand and examine these locations. The connection of spectral findings of a shrinking "Rustbelt" city of Binghamton, NY using a multilayer perceptron (MLP) artificial neural network (ANN) mean of classification was made with spatial findings of demographic and socioeconomic status of the local population. This resulted in a high scale classification of urban ecozones, which created the boundaries for examining the changes in population size and the types of individuals associated with these populations.

  15. Examining the Effectiveness of a Case Management Program for Custodial Grandparent Families

    PubMed Central

    Campbell, Lenora; Carthron, Dana L.; Miles, Margaret Shandor; Brown, LaShanda

    2012-01-01

    Researchers have identified complex needs of custodial grandparent families and lack of access to needed resources such as housing, financial and legal assistance, and health care. Case management links these families with needed services while helping them develop skills to promote their health and well-being. This paper describes a case management program for custodial grandparent families using a nurse-social worker case management team. data were collected from 50 grandparents and 33 children using surveys and semi-structured instruments. Physical and mental health outcomes were measured using Short Form-12 Health Survey (SF 12) to measure the perceived quality of health for grandparents and the Child Behavior Checklist to measure the emotional and behavioral functioning of grandchildren. Grandparents more positively perceived their mental health after participating in the program. Perceptions about physical health were generally the same before and after the program. Grandparents' reported that many grandchildren had emotional and behavioral problems in the clinical range. These findings highlight the need for further research on the mental health needs of children being parented by grandparents as well as determining effective models and interventions to minimize adverse effects of parenting on grandparents. PMID:22720151

  16. Pulmonary pneumaticity in the postcranial skeleton of extant aves: a case study examining Anseriformes.

    PubMed

    O'Connor, Patrick M

    2004-08-01

    Anseriform birds were surveyed to examine how the degree of postcranial pneumaticity varies in a behaviorally and size-diverse clade of living birds. This study attempts to extricate the relative effects of phylogeny, body size, and behavioral specializations (e.g., diving, soaring) that have been postulated to influence the extent of postcranial skeletal pneumaticity. One hundred anseriform species were examined as the focal study group. Methods included latex injection of the pulmonary apparatus followed by gross dissection or direct examination of osteological specimens. The Pneumaticity Index (PI) is introduced as a means of quantifying and comparing postcranial pneumaticity in a number of species simultaneously. Phylogenetically independent contrasts (PICs) were used to examine the relationship between body size and the degree of postcranial pneumaticity throughout the clade. There is a high degree of similarity (i.e., clade-specificity) within most anseriform subgroups. As a whole, Anseriformes demonstrate no significant relationship between relative pneumaticity and body size, as indicated by regression analysis of body mass on PI. It is apparent, however, that many clades of diving ducks do exhibit lower PIs than their nondiving relatives. By exclusion of diving taxa from analyses, a significant positive slope is observed and the hypothesis of relatively higher pneumaticity in larger-bodied birds is only weakly supported. However, low correlations indicate that factors other than body size account for much of the variation observed in relative pneumaticity. Pneumaticity profiles were mapped onto existing phylogenetic hypotheses. A reduction in the degree of postcranial pneumaticity occurred independently in at least three anseriform subclades specialized for diving. Finally, enigmatic pneumatic features located in distal forelimb elements of screamers (Anhimidae) result from invasion of bone by a network of subcutaneous air sac diverticula spreading

  17. Police interviewing and interrogation of juvenile suspects: a descriptive examination of actual cases.

    PubMed

    Cleary, Hayley M D

    2014-06-01

    Although empirical attention to police interrogation has gained traction in recent years, comparatively few studies have examined interrogation of juvenile suspects, and virtually none have examined actual interrogations. Despite a growing literature on youths' interrogation-related capacities, we still know very little about what actually transpires when police question youth. The present study examines electronically recorded police interviews with juveniles to describe the characteristics, processes, and outcomes that occur in actual juvenile interrogations, including interview duration, individuals present, and confessions. Fifty-seven electronic recordings from 17 police departments were analyzed using observational research software. The median juvenile interrogation lasted 46 min, though the range was extensive (6 min to nearly 5 hr). Youth frequently submitted to questioning without a parent or advocate present, and disruptions to the interview process were common. Interrogation outcomes varied and included full confessions, partially incriminating admissions, and denials of guilt. Results from this study provide context for interrogation research using other methods and suggest that youth may frequently consent to interrogation in the absence of important legal protections. PMID:24377911

  18. Accountability Policy Implementation and the Case of Smaller School District Capacity: Three Contrasting Cases that Examine the Flow and Use of NCLB Accountability Data

    ERIC Educational Resources Information Center

    Miller, Christopher L.

    2010-01-01

    The No Child Left Behind Act increases pressure on schools and districts to use standardized state test data. Seeking to learn about the process of turning accountability data into actionable information, this paper presents findings from three case studies of small to medium sized school districts. The study examines the flow of state science…

  19. Prosecution of adult sexual assault cases: a longitudinal analysis of the impact of a sexual assault nurse examiner program.

    PubMed

    Campbell, Rebecca; Patterson, Debra; Bybee, Deborah

    2012-02-01

    Most sexual assaults are never reported to law enforcement, and even among reported cases, most will never be successfully prosecuted. This reality has been a long-standing source of frustration for survivors, victim advocates, as well as members of the criminal justice system. To address this problem, communities throughout the United States have implemented multidisciplinary response interventions to improve post-assault care for victims and increase reporting and prosecution rates. One such model is the Sexual Assault Nurse Examiner (SANE) program, whereby specially trained nurses (rather than hospital emergency department [ED] physicians) provide comprehensive psychological, medical, and forensic services for sexual assault victims. The purpose of this study was to examine whether adult sexual assault cases were more likely to be investigated and prosecuted after the implementation of a SANE program within a large Midwestern county. A quasi-experimental design was used to compare criminal justice system case progression pre-SANE to post-SANE. Results from longitudinal multilevel ordinal regression modeling revealed that case progression through the criminal justice system significantly increased pre- to post-SANE: more cases reached the "final" stages of prosecution (i.e., conviction at trial and/or guilty plea bargains) post-SANE. These findings are robust after accounting for changes in operation at the focal county prosecutors' office and seasonal variation in rape reporting. Implications for policy and practice are discussed. PMID:22433229

  20. Variation of ultrasound findings in the first trimester examination of recurrent cases with trisomy 21.

    PubMed

    Daniilidis, Aggelos; Balaouras, Dimitrios; Chitzios, Dimitrios; Balaouras, Georgios; Capilna, Mihai; Asimakopoulos, Efstratios

    2015-06-01

    Increased nuchal translucency (NT) is present in about 50% of cases with trisomy 21. Very often the nuchal edema evolves in hydrops fetalis until the second trimester. Furthermore, a small amount of cases with a normal NT and trisomy 21 exhibit anatomical anomalies. We present a case of a 21-year-old woman, nulliparous, with a history of one termination of pregnancy and a smoking quitter. The prenatal control was negative for TORCH. During the first trimester scan on the 13th week, the NT was found 2.7 mm, the ductus venosus Doppler was normal, and the nasal bone was present. Hydrops fetalis was present though, and the parents were advised for chorionic villus sampling (CVS), but they opted for termination of pregnancy. The molecular control by QF-PCR showed normal karyotype for 13 and 18, a male fetus, but non-dysjunction trisomy 21 was present. Parental karyotype was advised, but they refused to perform it. One year later, the couple had another pregnancy. On the 12th week scan, the NT was found 1.0 mm, the ductus venosus Doppler was normal, and the nasal bone was present, but encephalocele was also found, and the parents consented again for termination of pregnancy. The new molecular control showed the same results. This time parental karyotype was performed. The father had a normal one, whereas the mother showed reversed p11 and q13 zones in chromosome 2. Genetical consulting and prenatal cytological control was advised in before next pregnancy. PMID:25883716

  1. Variation of Ultrasound Findings in the First Trimester Examination of Recurrent Cases With Trisomy 21

    PubMed Central

    Daniilidis, Aggelos; Balaouras, Dimitrios; Chitzios, Dimitrios; Balaouras, Georgios; Capilna, Mihai; Asimakopoulos, Efstratios

    2015-01-01

    Increased nuchal translucency (NT) is present in about 50% of cases with trisomy 21. Very often the nuchal edema evolves in hydrops fetalis until the second trimester. Furthermore, a small amount of cases with a normal NT and trisomy 21 exhibit anatomical anomalies. We present a case of a 21-year-old woman, nulliparous, with a history of one termination of pregnancy and a smoking quitter. The prenatal control was negative for TORCH. During the first trimester scan on the 13th week, the NT was found 2.7 mm, the ductus venosus Doppler was normal, and the nasal bone was present. Hydrops fetalis was present though, and the parents were advised for chorionic villus sampling (CVS), but they opted for termination of pregnancy. The molecular control by QF-PCR showed normal karyotype for 13 and 18, a male fetus, but non-dysjunction trisomy 21 was present. Parental karyotype was advised, but they refused to perform it. One year later, the couple had another pregnancy. On the 12th week scan, the NT was found 1.0 mm, the ductus venosus Doppler was normal, and the nasal bone was present, but encephalocele was also found, and the parents consented again for termination of pregnancy. The new molecular control showed the same results. This time parental karyotype was performed. The father had a normal one, whereas the mother showed reversed p11 and q13 zones in chromosome 2. Genetical consulting and prenatal cytological control was advised in before next pregnancy. PMID:25883716

  2. CT Findings of Axillary Tuberculosis Lymphadenitis: A Case Detected by Breast Cancer Screening Examination

    PubMed Central

    Tanada, Yasuko; Yoshida, Kouichi; Adachi, Yasuko; Matsui, Kazuhiro

    2016-01-01

    We report the first description of CT findings of axillary tuberculous lymphadenitis confirmed by the pathological specimen. The breast cancer screening examination is one of the prime methods of detection of axillary tuberculous lymphadenitis. The most common site of axillary tuberculous lymphadenitis is the deep axilla. Screening mammography often fails to cover the whole axilla. The presence on the contrast-enhanced CT of unilateral multiple circumscribed dense nodes, some of which have large and dotted calcifications, might suggest tuberculous lymphadenitis in axillary region. PMID:27379192

  3. Examine the patient not the hernia: identification of an asymptomatic giant primary retroperitoneal pseudocyst. A case report and literature review.

    PubMed

    Karim, Lawen; Larkin, David; Sadat, Mohamed

    2016-01-01

    We present the case of a 70-year-old man with a giant right-sided retroperitoneal pseudocyst, confirmed histologically after resection to be benign with appearances dissimilar to pancreatic and adrenal tissue. The cyst was noted incidentally on table at the time of laparoscopic surgery. Retroperitoneal pseudocysts most commonly arise from the pancreas and adrenal glands occurring as a result of an inflammatory process. Primary retroperitoneal pseudocysts are a rare entity. This case highlights the importance of examining the patient thoroughly and not focusing on the obvious. The mass was not palpated on initial review prior to listing for surgery, and the patient was asymptomatic from the mass. PMID:27190202

  4. Examine the patient not the hernia: identification of an asymptomatic giant primary retroperitoneal pseudocyst. A case report and literature review

    PubMed Central

    Karim, Lawen; Larkin, David; Sadat, Mohamed

    2016-01-01

    We present the case of a 70-year-old man with a giant right-sided retroperitoneal pseudocyst, confirmed histologically after resection to be benign with appearances dissimilar to pancreatic and adrenal tissue. The cyst was noted incidentally on table at the time of laparoscopic surgery. Retroperitoneal pseudocysts most commonly arise from the pancreas and adrenal glands occurring as a result of an inflammatory process. Primary retroperitoneal pseudocysts are a rare entity. This case highlights the importance of examining the patient thoroughly and not focusing on the obvious. The mass was not palpated on initial review prior to listing for surgery, and the patient was asymptomatic from the mass. PMID:27190202

  5. [The evaluation of the physiological workload in the Brazilian legislation should be revised! The case of garbage collectors in Rio de Janeiro].

    PubMed

    Anjos, L A; Ferreira, J A

    2000-01-01

    The physiological workload (PW) involved in garbage collection was assessed in a probabilistic sample of 70 Rio de Janeiro city garbage collectors to determine the adequacy of Brazilian labor legislation regarding classification of work. PW was measured as energy expenditure (EE) and heart rate (HR) during total work time (TT) and actual time (AT) in garbage collection on 4 consecutive days. Median EE values were 288.4 and 319.1 kcal.h-1 during TT and AT, respectively, indicating moderately intense work according to Brazilian legislation. However, PW was considered heavy when work classifications based on individual response to work were used: 1) ratio of EE and resting metabolic rate was above 5.0, indicating heavy workload according to the WHO; 2) mean percentage of maximal EE was higher (36.2 and 41.1% for TT and AT, respectively) than the limit for garbage collection (30%) suggested as maximal for Dutch workers; and 3) percentage of maximal HR reserve was also higher than 30% (32.2 and 37.5% for TT and AT, respectively). These results indicate the need for a revision of the workload classification in the Brazilian legislation to take individual workers' characteristics into account. PMID:11035517

  6. Proalcohol: the Brazilian alcohol program

    SciTech Connect

    Benemann, J.R.

    1980-07-01

    Examines the Brazilian National Alcohol Plan - Proalcohol - which has as its immediate aim, 20% replacement of all gasoline with alcohol. Future plans call for replacement of virtually all gasoline by alcohol and a significant fraction of diesel fuels by 1986. Issues which are looked at separately are: agronomic, industrial (alcohol production), utilization, institutional, social, environmental, and scientific. Economic issues pervade all of these and are considered in the conclusions. There is a brief discussion of methanol production and the lessons for the United States.

  7. Resource Mobilization for Health Advocacy: Afro-Brazilian Religious Organizations and HIV Prevention and Control

    PubMed Central

    Garcia, Jonathan; Parker, Richard G

    2010-01-01

    Brazil’s national response to AIDS has been tied to the ability to mobilize resources from the World Bank, the World Health Organization, and a variety of donor agencies. The combination of favorable political economic opportunities and the bottom-up demands from civil society make Brazil a particularly interesting case. Despite the stabilization of the AIDS epidemic within the general Brazilian population, it continues to grow in pockets of poverty, especially among women and blacks. We use resource mobilization theories to examine the role of Afro-Brazilian religious organizations in reaching these marginalized populations. From December 2006 through November 2008, we conducted ethnographic research, including participant observation and oral histories with religious leaders (N=18), officials from the National AIDS Program (N=12), public health workers from Rio de Janeiro (N=5), and non-governmental organization (NGO) activists who have worked with Afro-Brazilian religions (N=5). The mobilization of resources from international donors, political opportunities (i.e., decentralization of the National AIDS Program), and cultural framings enabled local Afro-Brazilian religious groups to forge a national network. On the micro-level, in Rio de Janeiro, we observed how macro-level structures led to the proliferation of capacity-building and peer educator projects among these religious groups. We found that beyond funding assistance, the interrelation of religious ideologies, leadership, and networks linked to HIV can affect mobilization. PMID:20542364

  8. Resource mobilization for health advocacy: Afro-Brazilian religious organizations and HIV prevention and control.

    PubMed

    Garcia, Jonathan; Parker, Richard G

    2011-06-01

    Brazil's national response to AIDS has been tied to the ability to mobilize resources from the World Bank, the World Health Organization, and a variety of donor agencies. The combination of favorable political economic opportunities and the bottom-up demands from civil society make Brazil a particularly interesting case. Despite the stabilization of the AIDS epidemic within the general Brazilian population, it continues to grow in pockets of poverty, especially among women and blacks. We use resource mobilization theories to examine the role of Afro-Brazilian religious organizations in reaching these marginalized populations. From December 2006 through November 2008, we conducted ethnographic research, including participant observation and oral histories with religious leaders (N = 18), officials from the National AIDS Program (N = 12), public health workers from Rio de Janeiro (N = 5), and non-governmental organization (NGO) activists who have worked with Afro-Brazilian religions (N = 5). The mobilization of resources from international donors, political opportunities (i.e., decentralization of the National AIDS Program), and cultural framings enabled local Afro-Brazilian religious groups to forge a national network. On the micro-level, in Rio de Janeiro, we observed how macro-level structures led to the proliferation of capacity-building and peer educator projects among these religious groups. We found that beyond funding assistance, the interrelation of religious ideologies, leadership, and networks linked to HIV can affect mobilization. PMID:20542364

  9. One or two: an examination of the recent case of the conjoined twins from Malta.

    PubMed

    Barilan, Y Michael

    2003-02-01

    The article questions the assumption that conjoined twins are necessarily two people or persons by employing arguments based on different points of view: non-personal vitalism, the person as a sentient being, the person as an agent, the person as a locus of narrative and valuation, and the person as an embodied mind. Analogies employed from the cases of amputation, multiple personality disorder, abortion, split-brain patients and cloning. The article further questions the assumption that a conjoined twin's natural interest and wish is separation. I first contend that separation is such a radical procedure as to render the post-separation person different from the pre-separation one. Therefore, it is not possible to benefit the pre-separation twin by the act of separation. The article concludes with a critical evaluation of the tendency in bioethics to regard ethical challenges as rivalry between individuals competing for scarce resources. PMID:12715280

  10. Ground penetrating radar examination of thin tsunami beds - A case study from Phra Thong Island, Thailand

    NASA Astrophysics Data System (ADS)

    Gouramanis, Chris; Switzer, Adam D.; Polivka, Peter M.; Bristow, Charles S.; Jankaew, Kruawun; Dat, Pham T.; Pile, Jeremy; Rubin, Charles M.; Yingsin, Lee; Ildefonso, Sorvigenaleon R.; Jol, Harry M.

    2015-11-01

    Coastal overwash deposits from tsunamis and storms have been identified and characterised from many coastal environments. To date, these investigations have utilised ad-hoc time, energy and cost intensive invasive techniques, such as, pits and trenches or taking core samples. Here, we present the application of high-frequency ground penetrating radar (GPR) to identify and characterise the 2004 Indian Ocean Tsunami (IOT) and palaeotsunami deposits from Phra Thong Island, Thailand. This site is one of the most intensively studied palaeotsunami sites globally and preserves a series of late-Holocene stacked sandy tsunami deposits within an organic, muddy low-energy backbeach environment. Using 100, 500 and 1000 MHz GPR antennas, 29 reflection profiles were collected from two swales (X and Y) inland of the modern beach, and two common mid-point (CMP) profiles using the 200 MHz antennas were collected from Swale Y. Detailed examination of the CMPs allowed accurate velocity estimates to be applied to each profile. The reflection profiles included across-swale profiles and a high-resolution grid in Swale X, and were collected to investigate the feasibility of GPR to image the palaeotsunami deposits, and two profiles from Swale Y where the tsunami deposits are poorly known. The 500 MHz antennas provided the best stratigraphic resolution which was independently validated from the stratigraphy and sedimentology recovered from 17 auger cores collected along the profiles. It is clear from the augers and GPR data, that the different dielectric properties of the individual layers allow the identification of the IOT and earlier tsunami deposits on Phra Thong Island. Although applied in a coastal setting here, this technique can be applied to other environments where thin sand beds are preserved, in order to prioritise sites for detailed examination.

  11. Medical examiners, coroners, and biologic terrorism: a guidebook for surveillance and case management.

    PubMed

    Nolte, Kurt B; Hanzlick, Randy L; Payne, Daniel C; Kroger, Andrew T; Oliver, William R; Baker, Andrew M; McGowan, Dennis E; DeJong, Joyce L; Bell, Micahel R; Guarner, Jeannette; Shieh, Wun-Ju; Zaki, Sherif R

    2004-06-11

    Medical examiners and coroners (ME/Cs) are essential public health partners for terrorism preparedness and response. These medicolegal investigators support both public health and public safety functions and investigate deaths that are sudden, suspicious, violent, unattended, and unexplained. Medicolegal autopsies are essential for making organism-specific diagnoses in deaths caused by biologic terrorism. This report has been created to 1) help public health officials understand the role of ME/Cs in biologic terrorism surveillance and response efforts and 2) provide ME/Cs with the detailed information required to build capacity for biologic terrorism preparedness in a public health context. This report provides background information regarding biologic terrorism, possible biologic agents, and the consequent clinicopathologic diseases, autopsy procedures, and diagnostic tests as well as a description of biosafety risks and standards for autopsy precautions. ME/Cs' vital role in terrorism surveillance requires consistent standards for collecting, analyzing, and disseminating data. Familiarity with the operational, jurisdictional, and evidentiary concerns involving biologic terrorism-related death investigation is critical to both ME/Cs and public health authorities. Managing terrorism-associated fatalities can be expensive and can overwhelm the existing capacity of ME/Cs. This report describes federal resources for funding and reimbursement for ME/C preparedness and response activities and the limited support capacity of the federal Disaster Mortuary Operational Response Team. Standards for communication are critical in responding to any emergency situation. This report, which is a joint collaboration between CDC and the National Association of Medical Examiners (NAME), describes the relationship between ME/Cs and public health departments, emergency management agencies, emergency operations centers, and the Incident Command System. PMID:15192550

  12. Exploring Specialized STEM High Schools: Three Dissertation Studies Examining Commonalities and Differences Across Six Case Studies

    NASA Astrophysics Data System (ADS)

    Tofel-Grehl, Colby

    This dissertation is comprised of three independently conducted analyses of a larger investigation into the practices and features of specialized STEM high schools. While educators and policy makers advocate the development of many new specialized STEM high schools, little is known about the unique features and practices of these schools. The results of these manuscripts add to the literature exploring the promise of specialized STEM schools. Manuscript 1¹ is a qualitative investigation of the common features of STEM schools across multiple school model types. Schools were found to possess common cultural and academic features regardless of model type. Manuscript 2² builds on the findings of manuscript 1. With no meaningful differences found attributable to model type, the researchers used grounded theory to explore the relationships between observed differences among programs as related to the intensity of the STEM experience offered at schools. Schools were found to fall into two categories, high STEM intensity (HSI) and low STEM intensity (LSI), based on five major traits. Manuscript 3³ examines the commonalities and differences in classroom discourse and teachers' questioning techniques in STEM schools. It explicates these discursive practices in order to explore instructional practices across schools. It also examines factors that may influence classroom discourse such as discipline, level of teacher education, and course status as required or elective. Collectively, this research furthers the agenda of better understanding the potential advantages of specialized STEM high schools for preparing a future scientific workforce. ¹Tofel-Grehl, C., Callahan, C., & Gubbins, E. (2012). STEM high school communities: Common and differing features. Manuscript in preparation. ²Tofel-Grehl, C., Callahan, C., & Gubbins, E. (2012). Variations in the intensity of specialized science, technology, engineering, and mathematics (STEM) high schools. Manuscript in preparation

  13. Brazilian Consensus on Photoprotection

    PubMed Central

    Schalka, Sérgio; Steiner, Denise; Ravelli, Flávia Naranjo; Steiner, Tatiana; Terena, Aripuanã Cobério; Marçon, Carolina Reato; Ayres, Eloisa Leis; Addor, Flávia Alvim Sant'anna; Miot, Helio Amante; Ponzio, Humberto; Duarte, Ida; Neffá, Jane; da Cunha, José Antônio Jabur; Boza, Juliana Catucci; Samorano, Luciana de Paula; Corrêa, Marcelo de Paula; Maia, Marcus; Nasser, Nilton; Leite, Olga Maria Rodrigues Ribeiro; Lopes, Otávio Sergio; Oliveira, Pedro Dantas; Meyer, Renata Leal Bregunci; Cestari, Tânia; dos Reis, Vitor Manoel Silva; Rego, Vitória Regina Pedreira de Almeida

    2014-01-01

    Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is located between the Equator and the Tropic of Capricorn, and the Earth axial tilt to the south certainly makes Brazil one of the countries of the world with greater extent of land in proximity to the sun. The Brazilian coastline, where most of its population lives, is more than 8,500 km long. Due to geographic characteristics and cultural trends, Brazilians are among the peoples with the highest annual exposure to the sun. Epidemiological data show a continuing increase in the incidence of non-melanoma and melanoma skin cancers. Photoprotection can be understood as a set of measures aimed at reducing sun exposure and at preventing the development of acute and chronic actinic damage. Due to the peculiarities of Brazilian territory and culture, it would not be advisable to replicate the concepts of photoprotection from other developed countries, places with completely different climates and populations. Thus the Brazilian Society of Dermatology has developed the Brazilian Consensus on Photoprotection, the first official document on photoprotection developed in Brazil for Brazilians, with recommendations on matters involving photoprotection. PMID:25761256

  14. Conducted electrical weapons or stun guns: a review of 46 cases examined in casualty.

    PubMed

    Becour, Bertrand

    2013-06-01

    Low-lethality weapons are intended to neutralize a person with maximum security and with minimal risk of injury or death to the user of the weapon, the person arrested, and the witnesses. Under the same circumstances, the use of a firearm is causing mortality of 50%. Marketed since 1974, the Taser X26 is currently staffing services in the French police and gendarmerie. The Taser device has 3 damaging mechanisms: the direct effect of electric current on the tissues, the conversion of electrical energy into thermal energy, and the injuries caused by the general muscle contraction and resulting fall. The study aimed to analyze the specificities of the conducted electrical weapon-related injuries treated in a emergency department on a series of 46 cases. The study population was predominantly middle-aged men. The circumstances of use of the Taser X26 were most often related to an arrest. The frequency of consultation after a shot by Taser X26 was stable. The management is essentially an outpatient because of frequent and benign lesions. The impacts of electrical impulse mainly affect the chest and abdomen. This distribution of impact zones is inhomogeneous, depending on the circumstances of use. PMID:23574872

  15. A case study examining classroom instructional practices at a U.S. dental school.

    PubMed

    Behar-Horenstein, Linda S; Mitchell, Gail S; Dolan, Teresa A

    2005-06-01

    A case study is used to illustrate how an evaluation strategy was used to assess classroom instructional practices following a multiyear institutional curriculum revision process. From January through April of 2003, twelve faculty in medicine and three faculty in dentistry who taught in the first- and second-year basic science courses within the dental curriculum participated in a qualitative study. The purpose was to use a formative evaluation process to assess the impact of the curriculum revision at the level of classroom instruction. The observations revealed that seventeen of the twenty classes observed were teacher-centered, passive, and lacked observable effort to help students understand the relationship of the lecture content to the oral health problems. Findings illustrate the importance of using formative evaluation as a mechanism to assess change efforts and how evidence-based study can be used to support initiatives directed toward assessing active student learning and problem solving. Raising faculty awareness about the importance of acquiring evidence-based educational skills, aligning instruction with course goals and objectives, formatively assessing teaching, and providing learning experiences that will actually be used in practice are essential to ensuring that active learning and critical thinking are demonstrated in the curriculum. PMID:15947210

  16. Childhood fatalities in new Mexico: medical examiner-investigated cases, 2000-2010.

    PubMed

    Lathrop, Sarah L

    2013-05-01

    To better understand risk factors and populations at risk of childhood fatalities, a review of all records of childhood deaths (≤19 years) between 2000 and 2010 from New Mexico's statewide medical examiner was conducted. Annually, 313-383 childhood deaths were investigated (3820 total). Males and American Indians were overrepresented (62% and 20.4% of deaths, respectively). The most common manner of death was natural (44.8%), followed by accidental (31.4%), homicide (8.8%), suicide (8.8%), and undetermined (4.1%). Infants under 1 year of age accounted for 41.4% of deaths. Motor vehicle crashes were responsible for the majority of accidental deaths (69%), followed by unintentional overdoses (6.9%), and drowning (5.3%). Gunshot wounds, either intentional or unintentional, caused 10.7% of childhood deaths. Complete medico-legal investigation of childhood fatalities is needed to provide public health agencies with adequate data to evaluate and prevent childhood deaths. PMID:23488683

  17. A new binary model for university examination timetabling: a case study

    NASA Astrophysics Data System (ADS)

    Komijan, Alireza Rashidi; Koupaei, Mehrdad Nouri

    2012-12-01

    Examination timetabling problem (ETP) is one of the most important issues in universities. An improper timetable may result in students' dissatisfaction as it may not let them study enough between two sequential exams. In addition, the many exams to be scheduled, the large number of students who have taken different courses, the limited number of rooms, and some constraints such as no conflict in a single student's exams make it very difficult to schedule experimentally. A mathematical programming model is required to formulate such a sophisticated problem. In this paper, a new binary model is developed for ETP. The novelty of the paper can be discussed in two directions. The first one is that a course can be offered more than once in a semester. If a course is requested by a few students, then it is enough to be offered once. If the number of students requesting a course is more than the maximum number of students who are allowed to attend a single class, then the course is multi-offered. The second novelty is that sharing a room for two simultaneous exams is allowed. Also, the model considers some hard and soft constraints, and the objective function is set in such a way that soft constraints are satisfied as much as possible. Finally, the model is applied in a sample department and is solved by GAMS.

  18. Examining Antecedents and Consequences of Gambling Passion: The Case of Gambling on Horse Races

    PubMed Central

    Lee, Choong-Ki; Back, Ki-Joon; Hodgins, David C.

    2013-01-01

    Objective This study investigated the antecedents and consequences of gambling passion using structural equation modeling to examine relationships among gambling motivation, passion, emotion, and behavioral intentions in the horse racing industry. Methods An onsite survey was conducted with 447 patrons at a horseracing park in South Korea. A confirmatory factor analysis showed that the Gambling Passion Scale was valid and reliable, resulting in two sub-scales: obsessive passion (OP) and harmonious passion (HP). Results Study results indicated that extrinsic motivation influenced OP whereas intrinsic motivation significantly affected HP. Furthermore, OP was correlated with negative emotion, whereas HP was related to positive emotion. Gamblers' satisfaction was found to be influenced positively by positive emotion and negatively by negative emotion. Finally, satisfaction appeared to affect gamblers' behavioral intentions. Conclusion Study results echoed the notion of distinct and separate gambling motivations and passions among horse racing gamblers. Furthermore, results identified specific areas to which horse racing operators or policy makers should pay special attention in developing effective marketing strategies to promote responsible gambling. PMID:24474985

  19. Semen collection requirement from multiple-organs brain-dead donors: report of two cases and analysis of the available Brazilian legislation.

    PubMed

    Sardinha, L A C; Dantas Filho, V P; Montone, E B B; Athayde, M V O; Rodrigues, S L L; Panunto, M R; Araújo, S; Zambelli, H J L

    2013-04-01

    Along with developments in transplantation there have been major breakthroughs in the techniques of assisted reproduction. The areas of common interest include requesting semen collection from organ donors with a diagnosis of brain death. After the recent report of two cases in the Search Service of Organs and Tissues, we analyzed legislation in our country, which still lacks specific guidance in such situations. Organ transplantation progressively established itself as an effective therapeutic option in our country since the 1960s. It represents viable alternative to improve both the quality and length of life as well as to decrease long-term costs of patients with severe end-stage organ failure. These programs have specific rules and laws that are necessary to guide all stages of transplantation: donor identification, authorization and execution as well as recipients selection of implantation techniques. Assisted reproduction also needs legislation specific for human infertility, a public health problem that affects medical, psychological, and legitimate desires of people. The World Health Organization estimates that infertility reaches 20% of the population demanding the development and use of techniques for its treatment. Brazilian legislation includes regulations for transplantation of organs and tissues in law no. 9434 of February 04, 1997; it provides for the removal of organs, tissues, and human body parts for transplantation and other treatments. This law is regulated by Decree no. 2268 of June 30, 1997, establishing the National Transplant System, which standardizes these processes. The postmortem organ and tissue provision must be preceded by a diagnosis of via the Brain Death Protocol (Federal Council of Medicine-Brazil). The sole paragraph of Article 1 makes clear that its provisions do not apply to blood, sperm, or ovules as confirmed by the sole paragraph of Article 1 in the Decree 2.268/97 regulation. Since there is no specific legislation, assisted

  20. A case law survey of the Personality Assessment Inventory: examining its role in civil and criminal trials.

    PubMed

    Mullen, Kacy L; Edens, John F

    2008-05-01

    Although professional surveys suggest that the Personality Assessment Inventory (PAI; Morey, 1991) is a popular instrument among forensic and correctional psychologists, relatively little is known about the specific types of legal cases in which it is applied, the particular types of questions it is used to address, or the extent to which its admissibility has been at issue in court cases. Using a comprehensive legal database, we surveyed all published U.S., Canadian, European, and Australian criminal and civil cases in which the PAI was administered. The PAI appears to be introduced by examiners in a wide variety of civil (e.g., child custody, personal injury) and criminal (e.g., insanity, competence) cases to aid in the assessment of a broad range of psychopathology. Additionally, the PAI seems to be used frequently to assess questions concerning potential dissimulation and response styles. Surprisingly, the admissibility of the PAI into evidence was never at issue in any of the cases reviewed. PMID:18444127

  1. Using IRT Approach to Detect Gender Biased Items in Public Examinations: A Case Study from the Botswana Junior Certificate Examination in Mathematics

    ERIC Educational Resources Information Center

    Adedoyin, O. O.

    2010-01-01

    This is a quantitative study, which attempted to detect gender bias test items from the Botswana Junior Certificate Examination in mathematics. To detect gender bias test items, a randomly selected sample of 4000 students responses to mathematics paper 1 of the Botswana Junior Certificate examination were selected from 36,000 students who sat for…

  2. Controversies Regarding the Psychometric Properties of the Brief COPE: The Case of the Brazilian-Portuguese Version “COPE Breve”

    PubMed Central

    Orsini, Mara R. C. A.; Bartholomeu, Daniel; Montiel, José M.

    2016-01-01

    The Brief Coping Orientation to Problems Experienced (COPE) inventory investigates the different ways in which people respond to stressful situations. Knowledge is lacking regarding the coping strategies and styles of people in developing countries, including Brazil. This study aimed to adapt and validate the Brief COPE to Brazilian Portuguese (named COPE Breve) by focusing on dispositional coping. For the cross-cultural adaptation, the original Brief COPE in English (28 items grouped into 14 subscales) was adapted according to a universalistic approach, following these steps: translation, synthesis, back-translation, analysis by an expert panel, and pretest with 30 participants. Then, 237 adults from the community health service responded to the COPE Breve. Psychometric analyses included reliability and exploratory factor analysis. Most of the 14 subscales from the original Brief COPE exhibited problems related to internal consistency. A Velicer's minimum average partial test (MAP) was performed and pointed out 3 factors. Exploratory factor analysis produced a revised 20-item version with a 3-factor solution: religion and positive reframing, distraction and external support. The psychometric properties of the COPE Breve with three factors were appropriate. Limitations of this study as well as suggestions for future studies are presented. The COPE Breve should be used in Brazilian clinics and investigations, but divergences in its psychometrics should be further explored in other contexts. PMID:27007646

  3. Examination and treatment of a professional ballet dancer with a suspected acetabular labral tear: A case report.

    PubMed

    Khoo-Summers, Lynnette; Bloom, Nancy J

    2015-08-01

    Dancers are at risk for developing groin pain that is due to acetabular labral tears. Although surgical management of labral tears has been reported extensively, conservative management has been poorly described. This case report describes the examination, diagnosis, and treatment of groin pain in a professional ballet dancer with a suspected acetabular labral tear. Treatment focused on decreasing anterior hip joint stresses and improving the precision of hip motion through correction of alignment and movement impairments noted during functional activities and dance. Successful outcomes included a reduction in pain and return to professional ballet dancing. PMID:25725589

  4. Ganglion cyst at the fibular head causing common peroneal neuropathy diagnosed with ultrasound and electrodiagnostic examination: a case report.

    PubMed

    Lai, Lawrence P; Chen, Boqing; Kumar, Suneil; Desai, Raj; Mendoza, Justin; Foye, Patrick M; Stitik, Todd P

    2014-09-01

    The common peroneal nerve is a major source of innervation to the lower limb, but it is sometimes compressed or entrapped at the fibular head. The authors present what they believe is the first reported case where peroneal nerve impingement caused by ganglion cyst compression of the nerve at the fibular head was diagnosed using a combination of ultrasound imaging and electrodiagnostic studies. The authors described the history, physical examination, electrodiagnostic findings, and musculoskeletal ultrasound findings of a patient with a left foot drop caused by a ganglion cyst compressing the common peroneal nerve at the fibular head. The increasing role of ultrasound imaging to evaluate musculoskeletal pathology is discussed. PMID:24919081

  5. Context, evidence and attitude: the case for photography in medical examinations of asylum seekers in the Netherlands.

    PubMed

    Park, Rebekah; Oomen, Janus

    2010-07-01

    Can photographs of scars serve as evidence of torture? Amnesty International's Medical Examination Group in the Netherlands (AI-MEG) has, for more than a decade, been photographing torture scars to supplement the testimonies of asylum seekers who have been denied refuge. AI-MEG only intervenes at this point, when asylum seekers face extradition. Proving allegations of torture is of vital importance, as asylum seekers face rising anti-immigrant sentiment in European countries. All victims examined by AI-MEG present a combination of mental, physical and emotional scars. We summarize five cases where AI-MEG used photography in their medical examinations, and consider the ethical role physicians play in helping asylum seekers obtain refuge. Though photographs cannot capture all forms of trauma, as visual documents, they are a compelling form of concrete evidence of torture. In this way, photographs complement verbal testimonies and help doctors and immigration authorities to see and understand physical scars left by various forms of torture. AI-MEG explains in medical terms the connections between the visible late sequelae of torture and victims' testimonies. They then assess whether or not the physical scars are consistent with the forms of torture recounted by victims, using the terminology of the Istanbul Protocol (1999), the United Nations-adopted manual of guidelines that explains how to document torture. This paper outlines the medical examination process and argues for the use of photography as medical evidence on behalf of asylum seekers. PMID:20359805

  6. Impact: a case study examining the closure of a large urban fixed site needle exchange in Canada

    PubMed Central

    2010-01-01

    Introduction In 2008, one of the oldest fixed site needle exchanges in a large urban city in Canada was closed due to community pressure. This service had been in existence for over 20 years. Case Description This case study focuses on the consequences of the switch to mobile needle exchange services immediately after the closure and examines the impact of the closure on changes in risk behavior related to drug use, needle distribution and access to services The context surrounding the closure was also examined. Discussion and Evaluation After the closure of the fixed site exchange, access to needle exchange services decreased as evidenced by the sharp decline in numbers of clients reached, and the numbers of needles distributed and collected monthly. Reports related to needle reuse and selling of syringes suggest changes in risk behaviors. Thousands of needles remain unaccounted for in the community. To date, a new fixed site has not been found. Conclusion Closing the fixed site needle exchange had an adverse effect on already vulnerable clients and reduced access to comprehensive harm reduction services. While official public policy supports a fixed site, politicization of the issue has meant a significant setback for harm reduction with reduced potential to meet public health targets related to reducing the spread of blood borne diseases. This situation is unacceptable from a public health perspective. PMID:20500870

  7. Brazilian stone meteorites

    NASA Technical Reports Server (NTRS)

    Gomes, C. B.; Keil, K.

    1980-01-01

    A survey of Brazilian meteorites is presented, along with basic premises of meteoritics, including classification, naming, and analytic procedures. Meteorites are noted to be of interest as representative samples of ancient rocks, perhaps half as old as the universe, as sometimes originating from outside the solar system, containing early solar material, and containing evidence of cosmic ray interactions or collisions. The characteristics which make up the achondrite and chondrite group are reviewed, and a listing of the primary characteristics of known Brazilian meteorites is provided.

  8. Histological examination and clinical evaluation of the jawbone of an adult patient with cleidocranial dysplasia: a case report

    PubMed Central

    Schnutenhaus, Sigmar; Luthardt, Ralph G; Rudolph, Heike; Götz, Werner

    2015-01-01

    Objectives: Cleidocranial dysplasia (CCD) is a rare congenital malformation syndrome, inherited autosomal-dominantly. During a course of treatment including surgical, implantological and restorative procedures, an opportunity arose to histologically examine biopsies of the maxilla and mandible of a CCD patient 47 years of age. Case report: The aim of this case report is to present the results of the histological evaluation of the alveolar bone and the surgical pretreatment for and placement of six implants each in the maxilla and the mandible. The implants were inserted in a minimally invasive procedure using 3D template guidance. Following uneventful healing of the implants, ceramically veneered bridges were cemented on individual titanium abutments. Since the patient had not received orthodontic treatment in childhood-which would have been the treatment modality of choice-this implantological and prosthodontic approach was necessary. Biopsies were taken from the maxilla and the mandible before placing the implants. Histological evaluation showed bone with strong, coarsely interconnecting trabeculae, especially in the maxilla. Both the bone and the gingiva otherwise exhibited a normal structure without pathological features or anomalies. Conclusion: The clinical parameters and histological evaluation of this one clinical case suggest that the concepts familiar from general oral implantology in terms of surgical and prosthetic procedures can be adopted for older patients with CCD. PMID:26339428

  9. Undiagnosed Borrmann type IV gastric cancer despite repeated endoscopic biopsies and PET-CT examination: A case report

    PubMed Central

    Zhu, Fang-Qing; Chu, Hong-Jin; Gong, Zhao-Hua; Du, Feng-Cai; Chen, Jian; Jiang, Li-Xin

    2016-01-01

    Borrmann type IV gastric cancer is a particular histological type of carcinoma, which has the characteristic of diffused infiltration that invades the entire stomach, resulting in the thickening and stiffness of the stomach wall. Borrmann type IV gastric cancer is known for the difficulty of detecting tumor cells in endoscopic biopsy specimens. This is crucial in obtaining the pathological results to make a therapeutic decision. The case reported in the present study was highly suspected to be Borrmann type IV gastric cancer according to the clinical manifestations and gastrointestinal barium meal examinations, but demonstrated negative results in multiple endoscopic biopsies and positron emission tomography-computed tomography (PET-CT) examination. The patient was discharged as no affirmative diagnosis was specified. Two weeks after discharge, the patient was administered to another hospital under emergency treatment due to frequent urination. Cystoscopy examination revealed marked thickening of the right bladder wall over a large area. Biopsy specimens were sampled. Pathological consultation suggested a gastrointestinal original of the lesion, which was most likely poorly differentiated gastric adenocarcinoma with neuroendocrine metastasis to the bladder. PMID:27446457

  10. Diagnosis of Groin Pain Associated With Sports Hernia Using Dynamic Ultrasound and Physical Examination: A Case Report

    PubMed Central

    Yang, Dong Chan; Kwon, Bum Sun; Park, Jin Woo; Ryu, Ki Hyung; Lee, Ho Jun; Sim, Gyu Jeong

    2015-01-01

    Groin pain in athletes is a complex diagnostic and therapeutic challenge. Sports hernia is one of the common causes of groin pain. We report a case of sports hernia, initially presented as groin pain and aggravated by sports activity. A 19-year-old soccer player visited the outpatient department of general surgery and was referred to the rehabilitation center due to no abnormalities detected in the abdomen and pelvis by computed tomography. An incipient direct bulge of the posterior inguinal wall was detected with dynamic ultrasound when abdominal tension was induced by raising both legs during a full inhalation. Surgery was performed and preoperatively both groins showed the presence of inguinal hernia. Diagnosing sports hernia is very challenging. Through careful history documentation and physical examination followed by dynamic ultrasonography, we identified his posterior inguinal wall deficiency for early management. PMID:26798621

  11. Brief Report: A Case of Chromosome 22 Alteration Associated with Autistic Syndrome.

    ERIC Educational Resources Information Center

    Assumpcao, F. B., Jr.

    1998-01-01

    A case study is presented of a Brazilian adolescent with a behavioral profile meeting the criteria of autism. After clinical and laboratory examinations, it was found that he had an abnormal karyotype. The need for case studies to develop data for defining an etiological basis for diagnosis is emphasized. (CR)

  12. Brazilian women in politics.

    PubMed

    Sanders, T G

    1987-01-01

    Women are gradually gaining influence in Brazilian politics, especially since recent advances in the women's movement, but they still play a limited role. There have been journals devoted to feminism and some notable feminists since 1850. In 1932 suffragettes in Brazil gained women the right to vote. Women's associations burgeoned in the 1940s and 1950s, culminating in a peak in number of women in national elected positions in 1965. A repressive military regime reversed the process, which resumed in 1975. 1975 was also significant for the Brazilian women's movement because of the U.N. Women's Year. Several large, influential feminist political action groups were formed, typically by upper class women with leftist views, although some church and union groups from lower classes also appeared. In 1979-1981, the coherence of these groups fell into schism and fragmentation, because of disagreements over the feminist political doctrines and roles, views on legality of abortion, and special interest groups such as lesbians. Another bitter dispute is opposition by leftist women to BEMFAM, the Brazilian Society of Family Welfare, which provides family planning for the poor: leftists oppose BEMFAM because it is supported by funds from "imperialist" countries such as the U.S. There are several types of feminists groups: those that emphasize health, sexuality and violence; those composed of lesbians; those originating from lower classes and unions; publicly instituted organizations. Brazilian law forbids discrimination against women holding public office, but in reality very few women actually do hold office, except for mayors of small towns and a few administrators of the Education and Social Security ministries. Political office in Brazil is gained by clientism, and since women rarely hold powerful positions in business, they are outsiders of the system. Brazilian women have achieved much, considering the low female literacy rate and traditional power system, but their

  13. Brazilian pharmaceutical diplomacy: social democratic principles versus soft power interests.

    PubMed

    Flynn, Matthew

    2013-01-01

    Current debates concerning the rise of health diplomacy are polarized between competing international relations theories of realism, based on power politics, and constructivist approaches, which emphasize the norms, values, and identities shaping foreign policies. A case study of Brazil's health diplomacy over the past 10 years, focusing on issues related to pharmaceuticals, seeks to provide data to assess these theories. The country's intellectual property disputes, multilateral lobbying efforts, and foreign assistance programs are contrasted with those of the United States, Mexico, and other countries. Instead of viewing Brazilian efforts as a form of soft power, the evidence suggests that the origins of Brazil's involvement and continued efforts in this arena stem more from values based on human rights and social democratic principles. A close examination of domestic political considerations leads to a more nuanced understanding of the drivers behind a country's health diplomacy. PMID:23527455

  14. [Examination of the Prevention of Severe Hand Trauma Injury Cases due to Occupational Accidents--An Expert Opinion Gathering Meeting].

    PubMed

    Zenke, Yukichi; Kajiki, Shigeyuki; Yoshikawa, Toru; Nakao, Toyoki; Yoshikawa, Etsuko; Shoji, Takurou; Fukumoto, Keizo; Sakai, Akinori

    2015-12-01

    We gathered seven specialists from various fields who are interested in worker injury prevention programs, based on cases of patients who had suffered refractory injuries requiring hand surgery because of industrial accidents. The patients were asked to write their thoughts and ideas on the theme, "Measures that must be implemented to prevent arm injuries." The content obtained was classified into different categories, using the KJ method, and was scripted to sort out the items. As a result, the following eleven points were identified as measures to prevent serious hand surgery-related injuries: 1. Purchase safe machinery, 2. Create a list of machines that require caution, 3. Enclose a machine's various rotating parts, 4. Carry out periodic maintenance work on the machines, 5. Indicate dangerous areas by putting up signs that attract attention, 6. Illuminate the rotating parts more brightly and avoid placing objects around them, 7. Systematically carry out safety education that creates a strong impact, 8. Encourage workers to look after their own health, 9. Announce policies on health and safety, 10. Re-examine the operational procedures, and 11. Be prepared in case an accident occurs. A perspective based on the results of this research is deemed important in creating a workplace improvement manual in the future. PMID:26667199

  15. Gender equity in the Brazilian physics community at the present time

    NASA Astrophysics Data System (ADS)

    Saitovitch, Elisa Maria Baggio; Barbosa, Marcia Cristina; Funchal, Renata Zukanovich; de Pinho, Suani Tavares Rubim; de Santana, Ademir Eugênio

    2015-12-01

    We present an overview of the advances and difficulties in gender equity in the Brazilian physics community at the present time. Recognizing that in some cases the level of gender equity has remained unchanged for a decade, the Commission for Relations and Gender of the Brazilian Physical Society plans not only to continue current activities but also seek new ways to address the issue, which will be discussed at the 2nd Brazilian Conference for Women in Physics, to be organized for 2015.

  16. [The demographic revolution among Brazilian indigenous peoples: the case of the Kayabí in the Xingu Indian Reservation, Mato Grosso State, Brazil, 1970-2007].

    PubMed

    Pagliaro, Heloisa

    2010-03-01

    This paper analyzes the demographic dynamics of the Kayabí, a Tupi people in the Xingu Indian Reservation in Central Brazil, from 1970 to 2007. Data were gathered from vital statistics for the Xingu Indian Reservation at the Federal University in São Paulo. Contact with Brazilian national society from 1920 to 1950 in the Upper Teles Pires River Valley led to a population decrease due to clashes and epidemics. In 1952, part of the Kayabí group gradually began migrating to the Xingu, where they still live. In 1970 there were 204 Kayabí in Xingu villages, and by 2007 there were 1,162, representing a 4.8% annual growth rate. For 2000-2007 the crude birth rate was 51 per thousand inhabitants; total fertility rate 7.8 children per women; crude death crude 3.5 per thousand inhabitants; and infant mortality rate 17.5 per thousand live births. The majority of the population is under 15 years of age (55.9%). The results show a population recovery process, similar to that of some other indigenous group in Brazil. PMID:20464076

  17. Possibilities to reduce carbon emissions in Brazilian Amazon region with non timber biomass valorization: The case of biofuels produced by vegetable tropical oils

    SciTech Connect

    Freitas, M.A.V. de; Rosa, L.P.; Lascio, M.A. Di |

    1996-12-31

    Brazil`s annual rate of deforestation reached 2.1 million ha or about 13.6% of the total annual rate of deforestation for the whole tropical area in the world during 1981--1990. Today, the extent of gross deforestation is 10.9% of the tropical closed forest area. Relative to Brazilian participation in the greenhouse effect, the changes in forest area and associated biomass burning in Amazon region are responsible for about 25.5% of CO{sub 2} emissions in the tropics. Harvest of the non-timber biomass products may be important as a potentially sustainable use of forest in some areas. An excellent option to promote these biomass products is to provide energy and industrial goods for the Amazon communities and other external markets. In this work, the biofuels produced by vegetable tropical oils and their by-products are analyzed in relation to job creation, economics and environmental impacts, with special regards concerning the limitation of the atmospheric emissions of greenhouse gases.

  18. Brazilian Trichoptera Checklist II

    PubMed Central

    2014-01-01

    Abstract A second assessment of Brazilian Trichoptera species records is presented here. A total of 625 species were recorded for Brazil. This represents an increase of 65.34% new species recorded during the last decade. The Hydropsychidae (124 spp.), followed by the Hydroptilidae (102 spp.) and Polycentropodidae (97 spp.), are the families with the greatest richness recorded for Brazil. The knowledge on Trichoptera biodiversity in Brazil is geographically unequal. The majority of the species is recorded for the southeastern region. PMID:25349524

  19. Brazilian minister sets global goals

    NASA Astrophysics Data System (ADS)

    2014-04-01

    Marco Antonio Raupp, the mathematical physicist who is now Brazil's minister of science, technology and innovation, talks to Physics World about the challenges and opportunities for Brazilian research.

  20. The Contribution of Ethnobiology to the Construction of a Dialogue Between Ways of Knowing: A Case Study in a Brazilian Public High School

    NASA Astrophysics Data System (ADS)

    Baptista, Geilsa Costa Santos; El-Hani, Charbel Niño

    2009-04-01

    This paper reports results obtained in pedagogical interventions in a Brazilian public high school which aimed at promoting a dialogue between scientific and traditional knowledge in the context of biology teaching. The interventions were based on the use of a didactic material and teaching sequence elaborated on the grounds of school knowledge about botany, as presented in biology textbooks, and interviews with students who were also farmers, so as to gather data about their ethnobiological knowledge. Our goal was to develop and test resources that can offer support for teachers who wish to build a dialogue between different ways of knowing in multicultural settings. Our results indicate that the use of the didactic material and teaching sequence indeed created possibilities for a dialogue between the students’ ethnobiological knowledge and biology school knowledge. We observed some shortcomings in classroom practice, partly reflecting our very choice of subject matter to develop the teaching sequence. But the interventions also revealed important limitations that we regard as representative of problems that may generally make multicultural science teaching a hard goal to achieve. It was clear that important shortcomings were related to teachers’ difficulties to conduct a dialogue between ways of knowing in a science classroom, and, thus, called attention to the importance of introducing a multicultural dimension into teacher education. We also observed that the fact that students did not show much sensitivity towards dealing with cultural diversity was a factor constraining the success of the interventions. These results highlight the importance of proposing and testing teacher education initiatives aiming at preparing them to teach science in a culturally sensitive manner, and also managing classroom tensions and conflicts so as to make it possible an effective dialogue between different ways of knowing in a multicultural setting.

  1. Carbon emissions and sequestration in forests: Case studies from seven developing countries. Volume 2, Greenhouse gas emissions from deforestration in the Brazilian Amazon

    SciTech Connect

    Makundi, W.; Sathaye, J.; Fearnside, P.M.

    1992-08-01

    Deforestation in Brazilian Amazonia in 1990 was releasing approximately 281--282 X 10{sup 6} metric tons (MT) of carbon on conversion to a landscape of agriculture, productive pasture, degraded pasture, secondary forest and regenerated forest in the proportions corresponding to the equilibrium condition implied by current land-use patterns. Emissions are expressed as ``committed carbon,`` or the carbon released over a period of years as the carbon stock in each hectare deforested approaches a new equilibrium in the landscape that replaces the original forest. To the extent that deforestation rates have remained constant, current releases from the areas deforested in previous years will be equal to the future releases from the areas being cleared now. Considering the quantities of carbon dioxide, carbon monoxide, methane, nitrous oxide, NO{sub x} and non-methane hydrocarbons released raises the impact by 22--37%. The relative impact on the greenhouse effect of each gas is based on the Intergovernmental Panel on Climate Change (IPCC) calculations over a 20-year time period (including indirect effects). The six gases considered have a combined global warming impact equivalent to 343 to 386 million MT of C0{sub 2}-equivalent carbon, depending on assumptions regarding the release of methane and other gases from the various sources such as burning and termites. These emissions represent 7--8 times the 50 million MT annual carbon release from Brazil`s use of fossil fuels, but bring little benefit to the country. Stopping deforestation in Brazil would prevent as much greenhouse emission as tripling the fuel efficiency of all the automobiles in the world. The relatively cheap measures needed to contain deforestation, together with the many complementary benefits of doing so, make this the first priority for funds intended to slow global warming.

  2. Examining the Role of Voluntary Associations in Environmental Management: The Case of the Sam Houston National Forest

    NASA Astrophysics Data System (ADS)

    Lu, Jiaying; Schuett, Michael A.

    2012-02-01

    The purpose of this study was to gain a better understanding of voluntary associations involved in forest management. The specific areas examined in this study include organizational attributes, membership profile, attitudes toward forest-management priorities, and concerns about forest-management issues. To achieve this purpose, data were collected using a case study approach with mixed-methods (document reviews, personal interviews, and a Web survey) at a national forest in Texas, USA. Overall, the voluntary associations in this study can be described as place-based, small to moderate in scale, activity-oriented, and active groups that are adaptive to sociopolitical and environmental changes. General group members placed high importance on aesthetic, ecological, and recreation management of the national forest. In addition, this study showed five key forest management issues: (1) limited recreation access; (2) financial challenges for forest management; (3) conflict among recreation user groups; (4) inadequate communication by the United States Forest Service to the general public, and (5) sustainability of the forest. Theoretical and managerial implications of the results are discussed.

  3. Examining the role of voluntary associations in environmental management: the case of the Sam Houston national forest.

    PubMed

    Lu, Jiaying; Schuett, Michael A

    2012-02-01

    The purpose of this study was to gain a better understanding of voluntary associations involved in forest management. The specific areas examined in this study include organizational attributes, membership profile, attitudes toward forest-management priorities, and concerns about forest-management issues. To achieve this purpose, data were collected using a case study approach with mixed-methods (document reviews, personal interviews, and a Web survey) at a national forest in Texas, USA. Overall, the voluntary associations in this study can be described as place-based, small to moderate in scale, activity-oriented, and active groups that are adaptive to sociopolitical and environmental changes. General group members placed high importance on aesthetic, ecological, and recreation management of the national forest. In addition, this study showed five key forest management issues: (1) limited recreation access; (2) financial challenges for forest management; (3) conflict among recreation user groups; (4) inadequate communication by the United States Forest Service to the general public, and (5) sustainability of the forest. Theoretical and managerial implications of the results are discussed. PMID:22005968

  4. Clinicopathologic and molecular features of 122 Brazilian cases of nodal and extranodal NK/T-cell lymphoma, nasal type, with EBV subtyping analysis.

    PubMed

    Gualco, Gabriela; Domeny-Duarte, Pollyanna; Chioato, Lucimara; Barber, Glen; Natkunam, Yasodha; Bacchi, Carlos E

    2011-08-01

    Extranodal natural killer/T-cell lymphoma, nasal type (NK/TCL) is more prevalent in Asia and in some areas of South and Central America, but it is rarely seen in the United States and Europe. In this study, a series of 122 cases of NK/TCL from Brazil was analyzed with respect to clinicopathologic features. Clinical characteristics and geographic distribution were evaluated in 97 cases of nasal/nasopharyngeal region and 23 cases in extranasal sites including 6 nodal cases. Clinical staging and follow-up information was available in a subset of 21 patients. All cases harbored Epstein-Barr virus (EBV), 95% and 85% expressed cytoplasmic CD3 and CD56, respectively, and all cases were positive for at least 1 marker for cytotoxic granules. The global distribution of EBV subtypes showed predominance of strain subtype A, 89%, and subtype B, 11%. No dual infections were detected. TCR-γ TCR-gene rearrangement was observed in 7 cases; all of them extranodal. Three of TCR-γ(+) cases showed EBV subtype A. Two TCR-γ(+)/CD56(+) cases showed EBV subtype B. Geographic distribution of NK/TCL showed higher frequency in the southeast and northeast regions of Brazil. Striking differences among geographic regions were seen with the vast majority of EBV subtype B (86%) occurring in the south and southeast regions. PMID:21716086

  5. Examining the Impact of Case Management in Vancouver’s Downtown Community Court: A Quasi-Experimental Design

    PubMed Central

    Somers, Julian M.; Moniruzzaman, Akm; Rezansoff, Stefanie N.; Patterson, Michelle

    2014-01-01

    Background Problem solving courts (PSC) have been implemented internationally, with a common objective to prevent reoffending by addressing criminogenic needs and strengthening social determinants of health. There has been no empirical research on the effectiveness of community courts, which are a form of PSC designed to harness community resources and inter-disciplinary expertise to reduce recidivism in a geographic catchment area. Method We used the propensity score matching method to examine the effectiveness of Vancouver’s Downtown Community Court (DCC). We focused on the subset of DCC participants who were identified as having the highest criminogenic risk and were assigned to a case management team (CMT). A comparison group was derived using one-to-one matching on a large array variables including static and dynamic criminogenic factors, geography, and time. Reductions in offences (one year pre minus one year post) were compared between CMT and comparison groups. Results Compared to other DCC offenders, those triaged to CMT (9.5% of the DCC population) had significantly higher levels of healthcare, social service use, and justice system involvement over the ten years prior to the index offence. Compared to matched offenders who received traditional court outcomes, those assigned to CMT (n = 249) exhibited significantly greater reductions in overall offending (p<0.001), primarily comprised of significant reductions in property offences (p<0.001). Conclusions Our findings indicate that CMT achieved significantly greater reductions in recidivism than traditional court among offenders with complex needs and high numbers of previous offences. Limitations of this research include a non-experimental design and one year follow up. Strengths include a robust matching process and extensive client level data spanning multiple sectors. Further research is needed to replicate the observed outcomes, to investigate the extension of community courts to settings with

  6. Are extra-pair males different from cuckolded males? A case study and a meta-analytic examination.

    PubMed

    Hsu, Yu-Hsun; Schroeder, Julia; Winney, Isabel; Burke, Terry; Nakagawa, Shinichi

    2015-04-01

    Traditional models for female extra-pair matings assume that females benefit indirectly from extra-pair mating behaviour. Under these so-called adaptive models, extra-pair males are hypothesized to have more compatible genotypes, larger body size, exaggerated ornaments or to be older than cuckolded males. Alternatively, ('nonadaptive') models that consider female extra-pair matings to be a by-product posit that female extra-pair mating can be maintained even if there is no benefit to females. This could happen if, for example, males gained fitness benefits from extra-pair mating, while female and male extra-pair mating behaviours were genetically correlated. Extra-pair males are also expected to be older and larger if this improves their ability to convince or coerce females to mate. We investigated whether a female's extra-pair mates differed from her cuckolded mate in both genetic and phenotypic traits by analysing data from an insular house sparrow population. We found that extra-pair males were older than cuckolded males, consistent with both models. However, in contrast to the expectations from from adaptive models, extra-pair and cuckolded males were of similar genetic relatedness, and hence expected compatibility, with the female, and had comparable body size and secondary sexual traits. We also updated previous meta-analyses examining differences between extra-pair and cuckolded males. The meta-analytic results matched results from our house sparrow case study. Although we cannot completely exclude indirect benefits for females, nonadaptive models may better explain female extra-pair matings. These neglected alternative models deserve more research attention, and this should improve our understanding of the evolution of mating systems. PMID:25706253

  7. Examining the Influence of Seductive Details in Case-Based Instruction on Pre-Service Teachers' Learning and Learning Perceptions

    ERIC Educational Resources Information Center

    Abercrombie, Sara

    2011-01-01

    The case-based instructional method uses fictionalized or actual narratives as instructional tools to support learning, decision-making, and improved transfer to practical settings. Educational theorists and researchers specializing in case-based instruction have suggested that cases can be made more realistic, engaging, and challenging, thus…

  8. The Brazilian continental margin

    NASA Astrophysics Data System (ADS)

    Martins, L. R.; Coutinho, P. N.

    1981-04-01

    The Brazilian continental margin, with its interesting morphology, structure and sediments, has become better known only during the last two decades. Six physiographical provinces can be recognized at the continental margin and the adjacent coast: (1) Cabo Orange-Parnaiba delta; (2) Parnaiba delta-Cabo Sa˜o Roque; (3) Cabo Sa˜o Roque-Belmonte; (4) Belmonte-Cabo Frio; (5) Cabo Frio-Cabo Santa Marta; and (6) Cabo Santa Marta-Chui. The shelf is rather wide near the Amazon Mouth, becoming narrower eastwards, continuing very narrow along the northeastern and eastern coast, and becoming wider again in the south towards the Plate River. Prominent morphological features along the margin are the Amazon cone, the marginal plateaus off northeastern Brazil, the Sa˜o Francisco cone and canyon, the Abrolhos Bank, and the deep-sea plateaus of Pernambuco and Sa˜o Paulo. On the shelf proper a number of relief elements exist, such as sand waves east of the Amazon, submarine terraces at various places, and irregularities of structural origin. The shelf break is rather smooth in the far north and south, more abrupt in the remainder. Surface sediments of the Brazilian shelf show five distinct facies types: littoral quartz sands, mud, transition sand-mud, coralline algae, and biodetrital. The terrigenous elastic fractions dominate off the Amazon and in southern Brazil; between these areas they occupy a very narrow strip near the coast. The carbonate facies, predominantly composed of calcareous algae, is abundant between the Parnaiba delta and Cabo Frio; to the south this facies is more biodetrital and restricted to the outer shelf. Economically important on the Brazilian continental margin besides oil, are sands and gravels, carbonate deposits, evaporites and some subsurface coal. Other possible mineral resources could be phosphate, heavy minerals and clays for ceramics.

  9. THE DRAINAGE EFFICIENCY INDEX (DEI) AS AN MORPHOLOGIAL INDICATOR OF LANDSLIDE SPATIAL OCCURRENCE IN MOUNTAINOUS CATCHMENTS. A case of study applied in the mountainous region of Brazilian Southeastern.

    NASA Astrophysics Data System (ADS)

    Henrique Muniz Lima, Pedro; Luiza Coelho Netto, Ana; do Couto Fernandes, Manoel

    2016-04-01

    Morphometric parameters, acquired notoriety mainly after the Drainage Density proposition (Horton 1932, 1945) and after they were applied by geomorphologists on the perspective to understand landscape functionalities, quantifying their characteristics through parameters and indexes. After the drainage density, many other parameters which describe the basin characteristics, behavior and dynamics have been proposed. Among them, for example, the DEI was proposed by Coelho Netto and contributors during the 80's, while they were seek to understand the hydrological and erosive dynamics on Bananal river basin (Brazilian Southeastern). Through this investigations the DEI was created, revealing the importance of parameters as hollow and drainage density, conjugated to the topographic gradient (Meis et al. 1982) who prosecute controls on the water flow efficiency along the hollows in order to activate the regressive erosion of the main channel. Later on this index was applied on the basin scale in several works developed in mountainous regions, showing a remarkable correlation with the occurrence of landslides such as showed by Coelho Netto et al. (2007); that posteriorly use this index as one of the components of the landslide susceptibility map for the Tijuca Massif, located in Rio de Janeiro Municipality. This work aims to establish patterns of the DEI index values (applied to mountainous low order basins) and the relationship on the occurrence of Debriflows or shallow translational slides. For this, the DEI index was applied on 4 different study areas located on the Southeastern mountainous region of Brazil to address deeply the connection between the index and the occurrence of landslides of different types applied for first and second order basins. The major study area is the Córrego Dantas Basin, situated in Nova Friburgo municipality (RJ), which is a 53 km² basin was affected by 327 landslides caused by a heavy rainfall on January 2011; Coelho Netto et al. (in

  10. Epidermal growth factor receptor and KRAS mutations in Brazilian lung cancer patients

    PubMed Central

    Bacchi, Carlos E.; Ciol, Heloísa; Queiroga, Eduardo M.; Benine, Lucimara C.; Silva, Luciana H.; Ojopi, Elida B.

    2012-01-01

    OBJECTIVE: Epidermal growth factor receptor is involved in the pathogenesis of non-small cell lung cancer and has recently emerged as an important target for molecular therapeutics. The KRAS oncogene also plays an important role in the development of lung cancer. The aim of this study was to evaluate the frequency of epidermal growth factor receptor and KRAS mutations in a population of Brazilian patients with non-small cell lung cancer. METHODS: A total of 207 specimens from Brazilian patients with non-small cell lung cancer were analyzed for activating epidermal growth factor receptor and KRAS somatic mutations, and their associations with clinicopathological characteristics (including age, gender, ethnicity, smoking habits, and histological subtype) were examined. RESULTS: We identified 63 cases (30.4%) with epidermal growth factor receptor mutations and 30 cases (14.6%) with KRAS mutations. The most frequent epidermal growth factor receptor mutation we detected was a deletion in exon 19 (60.3%, 38 patients), followed by an L858R amino acid substitution in exon 21 (27%, 17 patients). The most common types of KRAS mutations were found in codon 12. There were no significant differences in epidermal growth factor receptor or KRAS mutations by gender or primary versus metastatic lung cancer. There was a higher prevalence of KRAS mutations in the non-Asian patients. Epidermal growth factor receptor mutations were more prevalent in adenocarcinomas than in non-adenocarcinoma histological types. Being a non-smoker was significantly associated with the prevalence of epidermal growth factor receptor mutations, but the prevalence of KRAS mutations was significantly associated with smoking. CONCLUSIONS: This study is the first to examine the prevalence of epidermal growth factor receptor and KRAS mutations in a Brazilian population sample with non-small cell lung cancer. PMID:22666783

  11. Examining the Relationships Between Bone Tissue Composition, Compositional Heterogeneity, and Fragility Fracture: A Matched Case-Controlled FTIRI Study.

    PubMed

    Boskey, Adele L; Donnelly, Eve; Boskey, Elizabeth; Spevak, Lyudmila; Ma, Yan; Zhang, Wei; Lappe, Joan; Recker, Robert R

    2016-05-01

    Fourier transform infrared imaging (FTIRI) provides information on spatial distribution of the chemical composition of thin tissue specimens at ∼7 µm spatial resolution. This study of 120 age- and bone mineral density (BMD)-matched patients was designed to investigate the association of FTIRI variables, measured in iliac crest biopsies, with fragility fractures at any site. An earlier study of 54 women found hip BMD to be a significant explanatory variable of fracture risk for cortical bone but not for cancellous bone. In the current study, where age and BMD were controlled through matching, no such association was observed, validating the pairing scheme. Our first study of unmatched iliac crest biopsies found increases in collagen maturity (cancellous and cortical bone) and mineral crystal size (cortical bone only) to be a significant explanatory variable of fracture when combined with other covariates. The ratio for collagen maturity has been correlated to the amount of enzymatic collagen cross-links. To assess the impact of other FTIRI variables (acid phosphate substitution, carbonate-to-phosphate ratio, and the pixel distribution [heterogeneity] of all relevant FTIRI variables), we examined biopsies from a matched case-controlled study, in which 60 women with fractures were each paired with an age- and BMD-matched female control. With the matched data set of 120 women, conditional logistic regression analyses revealed that significant explanatory variables of fracture were decreased carbonate-to-phosphate ratio in both cancellous (odds ratio [OR] = 0.580, 95% confidence interval [CI] 0.37-0.909, p = 0.0176) and cortical bone (OR = 0.519, 95% CI 0.325-0.829, p = 0.0061), and increased heterogeneity (broadened pixel distribution) of collagen maturity for cancellous bone (OR = 1.549, 95% CI 1.002-2.396, p = 0.0491). The observation that collagen maturity was no longer linked to fracture in age- and BMD-matched samples suggests that age

  12. Brazilian Nanotechnology Initiative

    NASA Astrophysics Data System (ADS)

    Fazzio, Adalberto

    2015-03-01

    In Brazil there is intense research activity in nanotechnology, most of these developed in universities and research institutes. The Brazilian Nanotechnology Initiative (BNI) aims to integrate government actions to promote the competitiveness of the Brazilian industry. This initiative is founded on support for research and development in the laboratories of the National Laboratories for Nanotechnology (SisNANO), starting from an improvement in infrastructure and opening of laboratories for users of academia and business, promoting interaction and transfer knowledge between academia and business. Country currently has 26 thematic networks of nanotechnology, 16 -Virtual-National Institutes of Technology, seven National- Laboratories and 18 Associate Laboratories, which comprise the SisNANO. Seeking to expand and share governance with other government actors, the Interministries Committee for Nanotechnology was set up, composed of 10 ministries, and has the task of coordinating the entire program of the Federal Government Nanotechnology.Cooperation activities are an important part of BNI. Currently Brazil has cooperation programs with U.S., China, Canada and European Union among others. Recently, Brazil decided to join the European NanoReg program where 60 research groups are joining efforts to provide protocols and standards that can help regulatory agencies and governments.

  13. The Porter Douglass Case: Examining the Impact of Power, Politics, and the Press on Academic Decision-Making

    ERIC Educational Resources Information Center

    Jaeger, Audrey J.; Grantham, Ashley; Lynch, Terry

    2014-01-01

    Mixing political appointments and university operations can prove challenging and, in this case, caused the resignation of three senior officials at State University. Bolman and Deal's four frames provide a structure for analyzing this complex case. The political frame and issues of power and coalitions offer a particularly useful lens to…

  14. An Examination of Social Validity within Single-Case Research with Students with Emotional and Behavioral Disorders

    ERIC Educational Resources Information Center

    Spear, Caitlin F.; Strickland-Cohen, M. Kathleen; Romer, Natalie; Albin, Richard W.

    2013-01-01

    In this article, we reviewed social validity in single-case research studies that focused on interventions for students who have either been identified as having, or as at-risk for emotional and behavioral disorders. This review focused on studies from four peer-reviewed journals known to publish single-case research with this population: the…

  15. Developing and Testing Student Oriented Case Studies: The Production Process and Classroom/Examination Experiences with "Entertaining" Topics

    ERIC Educational Resources Information Center

    O Cinneide, Barra

    2006-01-01

    Purpose: To provide insights into approaches for conceptualising and producing case studies that will be appropriate for inclusion in educational and training programmes. Design/methodology/approach: The efficacy of a new process adopted in case writing, through "front loading" production of the teaching note, is described. An analogy is derived…

  16. An Examination of Court Cases Relating to the Dismissal of K-12 Teachers for Immorality (1977-2007)

    ERIC Educational Resources Information Center

    Summerville, Tammy

    2010-01-01

    This was a purposeful, qualitative, historical and document-based research study that investigated the trends and outcomes of the legal issues relating to teacher dismissal for "immorality". The study included 114 cases over a 30-year period spanning from 1977-2007. Federal and state level law cases were researched to determine the ruling of…

  17. Comparing Single Case Design Overlap-Based Effect Size Metrics from Studies Examining Speech Generating Device Interventions

    ERIC Educational Resources Information Center

    Chen, Mo; Hyppa-Martin, Jolene K.; Reichle, Joe E.; Symons, Frank J.

    2016-01-01

    Meaningfully synthesizing single case experimental data from intervention studies comprised of individuals with low incidence conditions and generating effect size estimates remains challenging. Seven effect size metrics were compared for single case design (SCD) data focused on teaching speech generating device use to individuals with…

  18. Examination Management as a Way of Achieving Quality Assurance in ODL Institutions: The Case of Zimbabwe Open University

    ERIC Educational Resources Information Center

    Mafa, Onias; Gudhlanga, Enna Sukutai

    2012-01-01

    An examination is an important component of any institution that educates people. It is a form of assessment used to measure the students' understanding of the concepts and principles they would have learnt. Zimbabwe Open University, an Open and Distance Learning institution has been setting its own examinations for the academic programmes…

  19. Validating the Slovenian National Alignment to CEFR: The Case of the B2 Reading Comprehension Examination in English

    ERIC Educational Resources Information Center

    Ilc, Gašper; Stopar, Andrej

    2015-01-01

    The paper examines the results of the CEFR alignment project for the Slovenian national examinations in English. The authors aim to validate externally the standard-setting procedures by adopting a socio-cognitive model of validation (Khalifa & Weir, 2009; Weir, 2005) to analyse the scoring, context and cognitive validity of three reading…

  20. Pharmacogenetics in the Brazilian Population

    PubMed Central

    Suarez-Kurtz, Guilherme

    2010-01-01

    Brazil is the fifth largest country in the world and its present population, in excess of 190;million, is highly heterogeneous, as a result of centuries of admixture between Amerindians, Europeans, and Sub-Saharan Africans. The estimated individual proportions of biogeographical ancestry vary widely and continuously among Brazilians: most individuals, irrespective of self-identification as White, Brown or Black – the major categories of the Brazilian Census “race/color” system – have significant degrees of European and African ancestry, while a sizeable number display also Amerindian ancestry. These features have important pharmacogenetic (PGx) implications: first, extrapolation of PGx data from relatively well-defined ethnic groups is clearly not applicable to the majority of Brazilians; second, the frequency distribution of polymorphisms in pharmacogenes (e.g., CYP3A5, CYP2C9, GSTM1, ABCB1, GSTM3, VKORC, etc) varies continuously among Brazilians and is not captured by race/color self-identification; third, the intrinsic heterogeneity of the Brazilian population must be acknowledged in the design and interpretation of PGx studies in order to avoid spurious conclusions based on improper matching of study cohorts. The peculiarities of PGx in Brazilians are illustrated with data for different therapeutic groups, such as anticoagulants, HIV protease inhibitors and non-steroidal antinflammatory drugs, and the challenges and advantages created by population admixture for the study and implementation of PGx are discussed. PGx data for Amerindian groups and Brazilian-born, first-generation Japanese are presented to illustrate the rich diversity of the Brazilian population. Finally, I introduce the reader to the Brazilian Pharmacogenetic Network or Refargen1, a nation-wide consortium of research groups, with the mission to provide leadership in PGx research and education in Brazil, with a population health impact. PMID:21833165

  1. Risk Factors for Human Immunodeficiency Virus Infection among Brazilian Blood Donors; a Multicenter Case-Control Study Using Audio Computer-Assisted Structured-Interviews

    PubMed Central

    de Almeida-Neto, Cesar; Goncalez, Thelma T.; Birch, Rebecca Jeffries; de Carvalho, Silvia Maia F.; Capuani, Ligia; Leão, Silvana Carneiro; Miranda, Carolina; Rocha, Pedro Capuani; Carneiro-Proietti, Anna Barbara; Johnson, Bryce R.; Wright, David J.; Murphy, Edward L.; Custer, Brian

    2013-01-01

    Background Although risk factors for HIV infection are known, it is important for blood centers to understand local epidemiology and disease transmission patterns. Current risk factors for HIV infection in blood donors in Brazil were assessed. Methods A case-control study was conducted at large public blood centers located in four major cities between April 2009 – March 2011. Cases were persons whose donations were confirmed positive by enzyme immunoassays followed by Western Blot confirmation. Audio computer-assisted structured-interviews (ACASI) were completed by all cases and controls. Multivariable logistic regression was used to estimate adjusted odds ratios (AORs) and associated 95% confidence intervals (CIs). Results There were 341 cases, including 47 with recently-acquired infection, and 791 controls. Disclosed risk factors for both females and males were sex with an HIV-positive person (adjusted odds ratio (AOR) 11.3, 95% CI [4.1, 31.7]) and being an IVDU or sexual partner of an IVDU (AOR 4.65 [1.8, 11.7]). For female blood donors, additional risk factors were having male sex partners who also are MSM (AOR 13.5 [3.1, 59.8]), and having unprotected sex with multiple sexual partners (AOR 5.19 [2.1, 12.9]). The primary risk factor for male blood donors was MSM activity (AOR 21.6 [8.8, 52.9.]). Behaviors associated with recently-acquired HIV were being a MSM or sex partner of MSM (13.82, [4.7, 40.3]), and IVDU (11.47, [3.0, 43.2]). Conclusion Risk factors in blood donors parallel those in the general population in Brazil. Identified risk factors suggest that donor compliance with selection procedures at the participating blood centers is inadequate. PMID:23517235

  2. Identification of a microdeletion at the 7q33-q35 disrupting the CNTNAP2 gene in a Brazilian stuttering case.

    PubMed

    Petrin, Aline L; Giacheti, Célia M; Maximino, Luciana P; Abramides, Dagma V M; Zanchetta, Sthella; Rossi, Natalia F; Richieri-Costa, Antônio; Murray, Jeffrey C

    2010-12-01

    Speech and language disorders are some of the most common referral reasons to child development centers accounting for approximately 40% of cases. Stuttering is a disorder in which involuntary repetition, prolongation, or cessation of the sound precludes the flow of speech. About 5% of individuals in the general population have a stuttering problem, and about 80% of the affected children recover naturally. The causal factors of stuttering remain uncertain in most cases; studies suggest that genetic factors are responsible for 70% of the variance in liability for stuttering, whereas the remaining 30% is due to environmental effects supporting a complex cause of the disorder. The use of high-resolution genome wide array comparative genomic hybridization has proven to be a powerful strategy to narrow down candidate regions for complex disorders. We report on a case with a complex set of speech and language difficulties including stuttering who presented with a 10 Mb deletion of chromosome region 7q33-35 causing the deletion of several genes and the disruption of CNTNAP2 by deleting the first three exons of the gene. CNTNAP2 is known to be involved in the cause of language and speech disorders and autism spectrum disorder and is in the same pathway as FOXP2, another important language gene, which makes it a candidate gene for causal studies speech and language disorders such as stuttering. PMID:21108403

  3. Nonalcoholic steatohepatitis and hepatocellular carcinoma: Brazilian survey

    PubMed Central

    Cotrim, Helma P.; Oliveira, Claudia P.; Coelho, Henrique Sérgio M.; Alvares-da-Silva, Mario R.; Nabuco, Leticia; Parise, Edison Roberto; Ivantes, Claúdia; Martinelli, Ana LC; Galizzi-Filho, João; Carrilho, Flair J.

    2016-01-01

    OBJECTIVE: The majority of cases of hepatocellular carcinoma have been reported in individuals with cirrhosis due to chronic viral hepatitis and alcoholism, but recently, the prevalence has become increasingly related to nonalcoholic steatohepatitis around the world. The study aimed to evaluate the clinical and histophatological characteristics of hepatocellular carcinoma in Brazilians' patients with nonalcoholic steatohepatitis at the present time. METHODS: Members of the Brazilian Society of Hepatology were invited to complete a survey regarding patients with hepatocellular carcinoma related to nonalcoholic steatohepatitis. Patients with a history of alcohol intake (>20 g/day) and other liver diseases were excluded. Hepatocellular carcinoma diagnosis was performed by liver biopsy or imaging methods according to the American Association for the Study of Liver Diseases' 2011 guidelines. RESULTS: The survey included 110 patients with a diagnosis of hepatocellular carcinoma and nonalcoholic fatty liver disease from nine hepatology units in six Brazilian states (Bahia, Minas Gerais, Rio de Janeiro, São Paulo, Paraná and Rio Grande do Sul). The mean age was 67±11 years old, and 65.5% were male. Obesity was observed in 52.7% of the cases; diabetes, in 73.6%; dyslipidemia, in 41.0%; arterial hypertension, in 60%; and metabolic syndrome, in 57.2%. Steatohepatitis without fibrosis was observed in 3.8% of cases; steatohepatitis with fibrosis (grades 1-3), in 27%; and cirrhosis, in 61.5%. Histological diagnosis of hepatocellular carcinoma was performed in 47.2% of the patients, with hepatocellular carcinoma without cirrhosis accounting for 7.7%. In total, 58 patients with cirrhosis had their diagnosis by ultrasound confirmed by computed tomography or magnetic resonance imaging. Of these, 55% had 1 nodule; 17%, 2 nodules; and 28%, ≥3 nodules. CONCLUSIONS: Nonalcoholic steatohepatitis is a relevant risk factor associated with hepatocellular carcinoma in patients with and

  4. [THE GENETIC EXAMINATION OF BRONCHIAL LAVAGE ENABLES THE PROMPT DIAGNOSIS OF PULMONARY MYCOBACTERIUM KANSASII--A CASE REPORT].

    PubMed

    Mori, Masahide; Ageshio, Fumitaka; Kagawa, Hiroyuki; Oshitani, Yohei; Fujikawa, Takeya; Saito, Haruko; Sako, Hajime; Yano, Yukihiro; Kitada, Seigo; Maekura, Ryoji

    2015-08-01

    A 59-year-old man with chronic obstructive pulmonary disease and bronchial asthma presented at our hospital with an abnormal shadow on the chest radiograph, which was obtained as part of a routine medical examination. Computed tomography of the chest revealed two nodules in the right upper lung with the longest diameter measuring 29 mm and 10 mm, respectively. A granulomatous disease was strongly suspected based on the histological features of the transbronchial lung biopsy specimen. Results of smear examination for mycobacteria and genetic examination of the bronchial lavage aspirate by the transcription reverse transcription concerted (TRC) reaction method for Mycobacterium tuberculosis and M. avium complex (MAC), were both negative. However, three days after the bronchoscopic examination, an additional genetic examination by the TRC method confirmed the diagnosis of M. kansasii infection. About two weeks later, the culture results were positive and M. kansasii infection was re-confirmed with the DNA probe method. The patient responded well to treatment with a combination of isoniazid, rifampicin, and ethambutol. In Japan, among the nontuberculous mycobacterial infections, the prevalence of pulmonary M.kansasii disease is second only to infection with MAC. However, it is often difficult to distinguish this disease from pulmonary tuberculosis. In this patient, a genetic examination with the TRC method enabled a prompt diagnosis of M. kansasii infection. The TRC method appears to be a useful tool for diagnosing nontubercular mycobacterial infections. PMID:26665518

  5. Brazilian Adolescents' Conceptions of Autonomy and Parental Authority

    ERIC Educational Resources Information Center

    Milnitsky-Sapiro, Clary; Turiel, Elliot; Nucci, Larry

    2006-01-01

    Thirty-two middle class and 32 lower class southern Brazilian pre-adolescent (M=12.8 years) and adolescent (M=15.7 years) participants were individually interviewed regarding their perceptions of who (adolescent or parent) should determine the adolescent's actions in cases where the parents and adolescent disagree over the action choice.…

  6. Prevalence of precancerous skin lesions and non-melanoma skin cancer in Japanese-Brazilians in Bauru, São Paulo State, Brazil.

    PubMed

    Ishioka, Priscila; Marques, Sílvio Alencar; Hirai, Amélia Toyomi; Marques, Mariangela E A; Hirata, Sérgio Henrique; Yamada, Sérgio

    2009-05-01

    Precancerous lesions and skin cancer are infrequent in Asians, and have received little documentation in the literature. Brazil has the world's largest contingent of Japanese immigrants and their descendants, and 70% live in the State of São Paulo. The prevalence of such skin lesions in Japanese-Brazilians is unknown. This study aimed to assess the prevalence of actinic keratoses and non-melanoma skin cancer in first and second-generation Japanese-Brazilians over 30 years of age, without miscegenation, living in the city of Bauru, São Paulo State, in 2006. Of the 567 Japanese-Brazilians that underwent dermatological examination, actinic keratosis was diagnosed in 76, with a mean age of 68.9 years, and a single case of basal cell carcinoma was detected in a 39-year-old female patient. In Japan, prevalence of actinic keratosis varies from 0.76% to 5%, and the incidence of non-melanoma skin cancer is 1.2 to 5.4/100 thousand. Japanese-Brazilians from Bauru showed a 13.4% prevalence of actinic keratoses and earlier age at onset. Proximity to the Equator and a history of farming contribute to these higher rates. Presence of solar melanosis was associated with a 1.9-fold risk of developing actinic keratosis. PMID:19488481

  7. Brazilian Higher Education from a Post-Colonial Perspective

    ERIC Educational Resources Information Center

    Leite, Denise

    2010-01-01

    This article examines Brazilian higher education (HE) politics from a post-colonial perspective. The term "post-colonial" originally referred to a historical period of colonial empires established by European nations. Nowadays, the term commonly distinguishes a field of contemporary studies of "defamiliarisation of the imperial North" made up of…

  8. Reconceptualizing Educational Transfer: Brazilian Curriculum Field in the Nineties.

    ERIC Educational Resources Information Center

    Moreira, Antonio Flavio Barbosa; Macedo, Elizabeth

    A study examined the conception of educational transfer, considering the foreign influence in Brazilian curriculum throughout the 1990s. The study criticizes the literature on educational transfer produced in the 1970s, mainly the works of Martin Carnoy (1974) and Philip Altbach and Gail Kelly (1984), arguing that their two theories understress…

  9. Vowel Harmony: A Variable Rule in Brazilian Portuguese.

    ERIC Educational Resources Information Center

    Bisol, Leda

    1989-01-01

    Examines vowel harmony in the "Gaucho dialect" of the Brazilian state of Rio Grande do Sul. Informants from four areas of the state were studied: the capital city (Porto Alegre), the border region with Uruguay, and two areas of the interior populated by descendants of nineteenth-century immigrants from Europe, mainly Germans and Italians. (VWL)

  10. Thermoluminescence of brazilian topaz

    NASA Astrophysics Data System (ADS)

    Souza, Divanízia Do N.; de Lima, José F.; Valerio, Mário Ernesto G.

    Thermoluminiscence measurements were performed on samples of yellowish Brazilian Topaz from Acari, MG. Virgin samples revealed peaks 2 and 4 at about 150 and 300°C. respectively, while in samples with extra dose of y-rays, we observed another peak at 80°C. When topaz samples were thermally treated, peak 4 vanished and peak 3 at about 180°C, became visible. Isothermal decay of peak 2 performed on virgin samples showed that peak 3 is present on this samples too. The spectra of the first 3 peaks are very similar in the range of 350 to 500 nm indicating that the recombination processes related to these 3 peaks could be the same. The dose dependency of the TL intensity of the first 3 peaks was mesured from 0.5 to 400 Gy and it sems to start saturating above 400 Gy.

  11. Brazilian Eratosthenes Project

    NASA Astrophysics Data System (ADS)

    Langhi, R.; Vilaça, J.

    2014-10-01

    The objective of Brazilian Eratosthenes Project is the development and application of teaching training actions according the ``docent autonomy" concept to basic Astronomy Education. Argentina coordinates the project in South America, but Brazil works in this project since 2010 with the theme ``Projeto Eratóstenes Brasil" in the homepage: http://sites.google.com/site/projetoerato. Two schools measure a sticks shadow and communicate their results. After, they calculate an average radius of Earth. The stick (gnomon) should stay in vertical position in the leveled ground. Since 2010, the project received hundreds of Brazilian schools with different experiments that were constructed with autonomy, because our site doesn't show some itinerary pre-ready to elaborate the experiments. To collect data for our research, we will use interviews via Skype with the teachers. These data are useful to researches about Science Education area and the Teaching Formation. Teaching professional practice could change and we see modifications in the teachers work, what depends of their realities and context. This project intents to respect the docent autonomy. This autonomy to responsible modifications during continued formation is called ``activist formative model" according Langhi & Nardi (Educação em Astronomia: repensando a formação de professores. São Paulo: Escrituras Editora, 2012). This project discusses about researches in Astronomy Education - still extreme rare in Brazil, when we compare with other areas in Science Education. We believe that actions like this could motivate the students to learn more Astronomy. Furthermore, this national action can be a rich source of data to investigations about teaching formation and scientific divulgation.

  12. Examining One Traditional Classroom and One Progressive Classroom for the At-Risk Middle School Student: A Case Study of Two Rural Redesign Programs

    ERIC Educational Resources Information Center

    Taylor, Alvin Centrell, Sr.

    2011-01-01

    The purpose of this study is to examine the impact that the creation of programs or instructional strategies that were devised and designed solely for the purpose of improving academic achievement among at-risk students has on the at-risk middle school student. In this case study, educational success from school redesign programs was…

  13. Examining the Transition to a Four-Day School Week and Investigating Post-Change Faculty/Staff Work-Life Balance: A Community College Case Study

    ERIC Educational Resources Information Center

    Cardinale, Nelly

    2013-01-01

    This single descriptive embedded case study examined the process of implementing a four-day work/school week at a community college and investigated post-change faculty/staff work-life balance. All of the students attending this college live at home. The change was implemented due to state funding shortfalls, increasing college utility expenses…

  14. Examining the Relationship between Heart Rate and Problem Behavior: A Case Study of Severe Skin Picking in Prader-Willi Syndrome

    ERIC Educational Resources Information Center

    Hall, Scott S.; Hammond, Jennifer L.; Hustyi, Kristin M.

    2013-01-01

    Few studies have examined the relationship between heart rate and self-injurious behavior (SIB) shown by individuals with IDD (intellectual and developmental disabilities). In this single-case study, we simultaneously monitored heart rate and activity levels during a functional analysis of severe skin picking behavior exhibited by a young man with…

  15. Examining Struggling Male Adolescent Readers' Responses to Graphic Novels: A Multiple Case Study of Four, Eighth-Grade Males in a Graphic Novel Book Club

    ERIC Educational Resources Information Center

    Gavigan, Karen W.

    2010-01-01

    Although graphic novels are an increasingly popular literary format, there is currently little empirical research that documents their use with struggling male adolescent readers in school settings. The purpose of this multiple case study was to examine the ways in which four struggling, eighth-grade, male readers responded to graphic novels…

  16. An Examination of the Effects of State Level Policy in Changing Professional Preparation: A Case Study of Virginia Principal Preparation Programs and Regulatory Implementation

    ERIC Educational Resources Information Center

    Bost, Dana Nannette

    2009-01-01

    This is a case study of the implementation of 8 VAC 20-542-530(2), a state policy governing the internship component of Virginia principal preparation programs. The purpose of the study was to examine the implementation of the policy and its effectiveness for changing professional practice in Virginia. States hold the responsibility for…

  17. What We Can Learn from the Data: A Multiple-Case Study Examining Behavior Patterns by Students with Different Characteristics in Using a Serious Game

    ERIC Educational Resources Information Center

    Liu, Min; Lee, Jaejin; Kang, Jina; Liu, Sa

    2016-01-01

    Using a multi-case approach, we examined students' behavior patterns in interacting with a serious game environment using the emerging technologies of learning analytics and data visualization in order to understand how the patterns may vary according to students' learning characteristics. The results confirmed some preliminary findings from our…

  18. Case of pyoderma gangrenosum showing oral and genital ulcers, misdiagnosed as Behcet's disease at first medical examination.

    PubMed

    Tsuboi, Hiromi

    2008-05-01

    It is occasionally difficult to distinguish between Behcet's disease (BD) and pyoderma gangrenous (PG). Our case showed ulcers of the oral, vaginal and perineal areas, and in the ileum, thus resulting in our initial diagnosis of BD. However, the patient showed a continued leukopenia, and she was subsequently diagnosed by bone marrow biopsy as having a myelodysplastic syndrome, which will sometimes accompany PG. In addition, following a hysterectomy, the ulcers of the stump in the vagina and the perineum showed the characteristic findings of a PG-like destructive ulceration. Based on these findings, we finally diagnosed our case to have PG. PMID:18477229

  19. Scorpion envenoming caused by Tityus cf. silvestris evolving with severe muscle spasms in the Brazilian Amazon.

    PubMed

    Monteiro, Wuelton Marcelo; de Oliveira, Sâmella Silva; Pivoto, Guilherme; Alves, Eliane Campos; de Almeida Gonçalves Sachett, Jacqueline; Alexandre, Cleber Nunes; Fé, Nelson Ferreira; Barbosa Guerra, Maria das Graças Vale; da Silva, Iran Mendonça; Tavares, Antonio Magela; Ferreira, Luiz Carlos de Lima; Lacerda, Marcus Vinícius Guimarães

    2016-09-01

    Scorpion stings are a public health problem in the Brazilian Amazon. However, detailed clinical characterization with the proper animal identification is scarce. Here we report a confirmed case of envenoming by Tityus cf. silvestris in the Brazilian Amazon. The case evolved with generalized muscle spasms and was treated with antivenom and supportive therapy, requiring intensive care unit admission. The patient evolved favourably and was discharged after 9 days of hospitalization. PMID:27368713

  20. The dynamics of Brazilian protozoology over the past century.

    PubMed

    Elias, M Carolina; Floeter-Winter, Lucile M; Mena-Chalco, Jesus P

    2016-01-01

    Brazilian scientists have been contributing to the protozoology field for more than 100 years with important discoveries of new species such as Trypanosoma cruzi and Leishmania spp. In this work, we used a Brazilian thesis database (Coordination for the Improvement of Higher Education Personnel) covering the period from 1987-2011 to identify researchers who contributed substantially to protozoology. We selected 248 advisors by filtering to obtain researchers who supervised at least 10 theses. Based on a computational analysis of the thesis databases, we found students who were supervised by these scientists. A computational procedure was developed to determine the advisors' scientific ancestors using the Lattes Platform. These analyses provided a list of 1,997 researchers who were inspected through Lattes CV examination and allowed the identification of the pioneers of Brazilian protozoology. Moreover, we investigated the areas in which researchers who earned PhDs in protozoology are now working. We found that 68.4% of them are still in protozoology, while 16.7% have migrated to other fields. We observed that support for protozoology by national or international agencies is clearly correlated with the increase of scientists in the field. Finally, we described the academic genealogy of Brazilian protozoology by formalising the "forest" of Brazilian scientists involved in the study of protozoa and their vectors over the past century. PMID:26814646

  1. The dynamics of Brazilian protozoology over the past century

    PubMed Central

    Elias, M Carolina; Floeter-Winter, Lucile M; Mena-Chalco, Jesus P

    2016-01-01

    Brazilian scientists have been contributing to the protozoology field for more than 100 years with important discoveries of new species such asTrypanosoma cruzi and Leishmania spp. In this work, we used a Brazilian thesis database (Coordination for the Improvement of Higher Education Personnel) covering the period from 1987-2011 to identify researchers who contributed substantially to protozoology. We selected 248 advisors by filtering to obtain researchers who supervised at least 10 theses. Based on a computational analysis of the thesis databases, we found students who were supervised by these scientists. A computational procedure was developed to determine the advisors’ scientific ancestors using the Lattes Platform. These analyses provided a list of 1,997 researchers who were inspected through Lattes CV examination and allowed the identification of the pioneers of Brazilian protozoology. Moreover, we investigated the areas in which researchers who earned PhDs in protozoology are now working. We found that 68.4% of them are still in protozoology, while 16.7% have migrated to other fields. We observed that support for protozoology by national or international agencies is clearly correlated with the increase of scientists in the field. Finally, we described the academic genealogy of Brazilian protozoology by formalising the “forest” of Brazilian scientists involved in the study of protozoa and their vectors over the past century. PMID:26814646

  2. Occupational health profile of Brazilian immigrant housecleaners in Massachusetts.

    PubMed

    Siqueira, C Eduardo; Roche, Andrea Gouveia

    2013-01-01

    The occupational health and safety conditions of a sample of Brazilian housecleaners in Massachusetts are examined in this article. We administered a main survey to a convenience sample of 626 Brazilian immigrant workers of all trades and a supplemental survey to 163 Brazilian housecleaners in Massachusetts in 2005 and 2006. Survey questions addressed housecleaner demographics, socioeconomic status, working conditions, and hazards of housecleaning work. Housecleaners are exposed to a variety of ergonomic, chemical, and biological hazards. Professional housecleaners' work is fast-paced, requires awkward postures, and involves repetitive movements, use of force, and heavy lifting. The most common symptoms reported include back pain, and pain in the muscles, arms, legs, neck, shoulder, hands, fingers, and feet. To reduce exposures to occupational hazards, we propose the substitution of green cleaners for toxic chemical cleaning products, the use of ergonomic equipment, the use of personal protective equipment, and changes in work organization. PMID:24401486

  3. A Case Study to Examine Student Retention at a Less Selective University with a High Rate of Retention

    ERIC Educational Resources Information Center

    Palmisano, Victoria M.

    2012-01-01

    This case study sheds light on successful matriculation practices which emerge from the combination of institutional efforts and student needs. In order to discern successful matriculation data was collected in the form of interviews, observations, and documents at a less selective college with a high rate of retention. Mortimer Adler College…

  4. A New Model to Facilitate Individualized Case Conceptualization and Treatment of Social Phobia: An Examination and Reaction to Moscovitch's Model

    ERIC Educational Resources Information Center

    Heimberg, Richard G.

    2009-01-01

    Moscovitch's (2009) model of social phobia is put forth as an integration and extension of previous cognitive-behavioral models. The author asserts that his approach overcomes a number of shortcomings of previous models and will serve to better guide case conceptualization, treatment planning, and intervention implementation for clients with…

  5. A Case Study Examining the Influence of Dual Enrollment and High School Advising on Student Persistence in College

    ERIC Educational Resources Information Center

    Raia-Taylor, Maureen

    2012-01-01

    This qualitative,descriptive single case study describes the problem of student persistence in college through the theoretical lens of Alexander Astin's Theory of Student Involvement, and Vincent Tinto's Theory of Student Departure. The decline in the college retention rate in the United States over the last twenty years and the high…

  6. The Philosophical Foundation of the Lecture Method of Instruction and the Case Method of Instruction: Implications for Examinations

    ERIC Educational Resources Information Center

    Ardalan, Kavous

    2013-01-01

    Any adequate comparison between the lecture method of instruction and the case method of instruction necessarily requires a comparison of their underlying philosophical foundation and methodology. This is based on the premise that foundational philosophies or world views underlie educational philosophies, and each educational philosophy favors a…

  7. A Case Study of Teacher Reflection: Examining Teacher Participation in a Video-Based Professional Learning Community

    ERIC Educational Resources Information Center

    Steeg, Susanna M.

    2016-01-01

    Professional learning communities (PLCs) constitute worthwhile spaces in which to study teacher participation in the reflective practices that have potential to shift their teaching. This qualitative case study details the interactions between dual-language and ELL teachers in a grade-level PLC as they met together to confer over video-clips of…

  8. An Examination into the Factors Leading to Superintendent Longevity in Urban, Southern California School Districts: A Comparative Case Study

    ERIC Educational Resources Information Center

    Remland, Michael D.

    2012-01-01

    Within a modern context, superintendents walk a fine line in today's reform minded, accountability centered, sociopolitical setting. To many, the position of public school superintendent is perceived as a job where failure is inevitable. The purpose of this comparative case study was to understand the factors that contribute to superintendent…

  9. Who Is Responsible for a Fraud: An Exercise Examining Research Misconduct and the Obligations of Authorship through Case Studies

    ERIC Educational Resources Information Center

    Niece, Brian K.

    2005-01-01

    The importance of ethical scientific practice to maintain the highest professional standards among graduating students and future scientists is presented as a case study to students. The exercise enhanced the awareness of the importance of ethics in the practice of science among students.

  10. Methods and Challenges of Analyzing Spatial Data for Social Work Problems: The Case of Examining Child Maltreatment Geographically

    ERIC Educational Resources Information Center

    Freisthler, Bridget; Lery, Bridgette; Gruenewald, Paul J.; Chow, Julian

    2006-01-01

    Increasingly, social work researchers are interested in examining how "place" and "location" contribute to social problems. Yet, often these researchers do not use the specialized spatial statistical techniques developed to handle the analytic issues faced when conducting ecological analyses. This article explains the importance of these…

  11. An Exploratory Examination of Organizational Factors Leading to Transfer of Hispanic Students: A Case Study. ASHE Annual Meeting Paper.

    ERIC Educational Resources Information Center

    Laden, Berta Vigil

    Hispanics are the fastest growing ethnic group nationally, yet they continue to be undereducated and underemployed. This paper discusses one community college's success in preparing and transfering Hispanic students to 4-year institutions. The study examined a San Francisco Bay Area high transfer community college, which was experiencing an…

  12. Experiencing the Change and Continuity of the College Entrance Examination: A Case Study of "Gaokao" County, 1996-2010

    ERIC Educational Resources Information Center

    Wang, Yimin; Ross, Heidi

    2010-01-01

    Employing data from three encounters, during 1996, 2001, and 2010, with students and teachers in Huining, gansu, China's "Gaokao county," known for its striking contrast between poverty and the remarkable achievements of its College Entrance Examination (CEE) candidates, we explore the lived experiences of Huining students and teachers who embody…

  13. An Examination of Using Self-, Peer-, and Teacher-Assessment in Higher Education: A Case Study in Teacher Education

    ERIC Educational Resources Information Center

    Kiliç, Didem

    2016-01-01

    This study focuses on the process of implementing self-, peer- and teacher-assessment in teacher education in order to examine the ways of applying these assessment practices and specifically aims at finding out the level of agreement among pre-service teachers' self-, peer- and teacher-assessments of presentation performances. Pre-service…

  14. An Examination of Graduate Theses Related with Guitar in Terms of Methodology and Content: A Case of Turkey

    ERIC Educational Resources Information Center

    Yöndem, Sadik

    2015-01-01

    The aim of this study is to examine post-graduate thesis completed on guitar in Turkey. For this purpose, a total of 89 theses were investigated in terms of selected research topics, study participants, and methods for analysis. For the selection of the thesis included in this study three criteria were used; first, theses from 1990 (beginning time…

  15. Examining Education, Media, and Dialogue under Occupation: The Case of Palestine and Israel. Critical Language and Literacy Studies

    ERIC Educational Resources Information Center

    Nasser, Ilham; Berlin, Lawrence N.; Wong, Shelley

    2011-01-01

    This book is an in-depth examination of education and media under occupation. The contributors to this volume engage dialogue to explore these domains and their roles and functioning under occupation while keeping an eye toward resolution, using the on-going conflict between Palestine and Israel as the focus. The uniqueness of this collection is…

  16. Examining Behavioral, Relational, and Cognitive Engagement in Smaller Learning Communities: A Case Study of Reform in One Suburban District

    ERIC Educational Resources Information Center

    Davis, Heather A.; Chang, Mei-Lin; Andrzejewski, Carey E.; Poirier, Ryan R.

    2010-01-01

    The purpose of this project was to examine the impact of Smaller Learning Community reform on students' behavioral, relational, and cognitive engagement in a suburban school district experiencing urbanization. We describe a project in which we evaluated the engagement of a cohort of 8th grade students as they transitioned to high school (n = 605).…

  17. Student and Principal Perceptions of the California High School Proficiency Examination in Community Schools: A Case Study

    ERIC Educational Resources Information Center

    Born, Kimberly B.

    2012-01-01

    Prior to this research, limited research existed on the California High School Proficiency Examination (CHSPE) or perceptions community school student and principals have on alternative high school diploma options, such as the CHSPE. Grounded in the literature, the purpose of this study was to conduct a mixed methodology embedded multiple case…

  18. Examining the Effectiveness of Primary Sources during Close Reading in Social Studies: A Case Study of Middle School Resource Rooms

    ERIC Educational Resources Information Center

    Metzger, Stephen T.

    2014-01-01

    This study examined the effectiveness of using primary sources to support close reading in social studies among students with disabilities in grade 7 middle school resource rooms. The setting is a middle school in a suburban school district located in Western New York. Two resource rooms of 10 students with reading or writing difficulties were…

  19. Concepts and Skills in High School Calculus: An Examination of a Special Case in Japan and the United States

    ERIC Educational Resources Information Center

    Judson, Thomas W.; Nishimori, Toshiyuki

    2005-01-01

    In this study we investigated above-average high school calculus students from Japan and the United States in order to determine any differences in their conceptual understanding of calculus and their ability to use algebra to solve traditional calculus problems. We examined and interviewed 18 Calculus BC students in the United States and 26…

  20. An Examination of the Design, Development, and Implementation of an Internet Protocol Version 6 Network: The ADTRAN Inc. Case Study

    ERIC Educational Resources Information Center

    Perigo, Levi

    2013-01-01

    In this dissertation, the author examined the capabilities of Internet Protocol version 6 (IPv6) in regard to replacing Internet Protocol version 4 (IPv4) as the internetworking technology for Medium-sized Businesses (MBs) in the Information Systems (IS) field. Transition to IPv6 is inevitable, and, thus, organizations are adopting this protocol…

  1. An Examination of a Virtual Private Network Implementation to Support a Teleworking Initiative: The Marcus Food Company Inc. Case Study

    ERIC Educational Resources Information Center

    Ferguson, Jason W.

    2010-01-01

    In this dissertation, the author examined the capabilities of virtual private networks (VPNs) in supporting teleworking environments for small businesses in the food marketing sector. The goal of this research was to develop an implementation model for small businesses in the food marketing sector that use a VPN solution to support teleworker…

  2. An Examination of How Knowledgeable and Skilled Elementary Principals Lead Special Education Programs in Alabama: Four Case Studies

    ERIC Educational Resources Information Center

    Templeton, Richard Raymond

    2012-01-01

    The No Child Left Behind Act of 2001 increased the importance of having principals who are not only effective leaders of general education programs but knowledgeable and skilled in special education and able to effectively lead special education programs. The researcher examined four principals of elementary schools (i.e., kindergarten through…

  3. Does the Graduate Record Examination Predict Meaningful Success in the Graduate Training of Psychologists? A Case Study.

    ERIC Educational Resources Information Center

    Sternberg, Robert J.; Williams, Wendy M.

    1997-01-01

    Considers the empirical validity of the Graduate Record Examinations (GRE) as a predictor of performance in a graduate psychology program. Data for 167 graduate psychology students suggest that the GRE is predictive for first-year grades but not other kinds of performance, with the exception that male performance on the GRE Analytical test was…

  4. Spectrum of pathologies in cases of intestinal obstruction & perforation based on histopathological examination of resected intestine - Report from a third world country

    PubMed Central

    Wasim Yusuf, Noshin; Iqbal, Sehr; Sarfraz, Rahat; Khalid Sohail, Shezada; Imran, Mohammad

    2014-01-01

    Background and Objective: Cases presenting with intestinal perforation and obstruction constitute a substantial work load on our surgical service. Etiologies vary in underdeveloped and developed countries. Histopathological examination of resected intestine is expected to provide the definite evidence of the underlying etiology- guiding a better health care planning for preventive measures. Our objective was to study the spectrum of histopathological findings in resected intestines from cases of intestinal obstruction and perforation in our local population to document the underlying etiology. Methods: A total of 120 cases of intestinal resection were included. Detailed gross and microscopic examination with routine stains was performed. Definite evidence of any specific etiology on the basis of morphology was documented. Results: A total of 95 cases with clinical/radiological diagnosis of obstruction (79.2%) and 25 of intestinal, perforation (20.8%) were included. Tuberculous enteritis was the commonest etiology (n=41; 43.1%) in cases of intestinal obstruction followed by malignant tumours (n=30; 31.5%). ischemic infarct/gangrene, post op illeal adhesions, polyps and ulcerative colitis followed. In cases of perforation, Typhoid enteritis (n=15; 60%), was the commonest pathology followed by idiopathic perforation (n=5; 20%), tuberculous enteritis (n=3;12%), carcinoma (4%) and ulcerative coliti (4%). Conclusion : In developing countries infective etiology remains a dominant cause of intestinal obstruction and perforation. Its presentation in younger age leading to intestinal resection demands effective preventive measures in this part of the world to prevent morbidity and mortality. PMID:24772146

  5. Treatment of Concurrent Substance Dependence, Child Neglect and Domestic Violence: A Single Case Examination Involving Family Behavior Therapy

    PubMed Central

    Romero, Valerie; Allen, Daniel N.

    2012-01-01

    Although child neglect and substance abuse co-occur in greater than 60% of child protective service cases, intervention outcome studies are deplorably lacking. Therefore, a home-based Family Behavior Therapy is described in the treatment of a woman evidencing child neglect, substance dependence, domestic violence and other co-occurring problems. Treatment included contingency management, self control, stimulus control, communication and child management skills training exercises, and financial management components. Results indicated improvements in child abuse potential, home hazards, domestic violence, and drug use, which were substantiated by objective urinalysis testing, and tours of her home. Validity checks indicated the participant was being truthful in her responses to standardized questionnaires, and assessors were “blind” to study intent. Limitations (i.e., lack of experimental control and follow-up data collection) of this case example are discussed in light of these results. PMID:23226920

  6. Head-counting vs. heart-counting: an examination of the recent case of the conjoined twins from Malta.

    PubMed

    Barilan, Y Michael

    2002-01-01

    This paper reexamines the recent case of the conjoined twins from Malta. Survival was said to be possible only through separation, which would actually leave only one twin alive. The parents refused to allow the killing of one to save the other, but the court ruled that this would amount to the neglect of innocent life. The article questions the assumption that the case is indeed a struggle between two people. Further, it questions the assumption that a conjoined twin's natural interest and wish is separation. Historical evidence shows that many conjoined twins do not wish for separation, even when it becomes a question of survival.The article concludes with a critical evaluation of the tendency in contemporary society and particularly in bioethics to regard ethical challenges as rivalry between individuals competing for scarce resources. PMID:12388890

  7. Comparing Single Case Design Overlap-Based Effect Size Metrics From Studies Examining Speech Generating Device Interventions.

    PubMed

    Chen, Mo; Hyppa-Martin, Jolene K; Reichle, Joe E; Symons, Frank J

    2016-05-01

    Meaningfully synthesizing single case experimental data from intervention studies comprised of individuals with low incidence conditions and generating effect size estimates remains challenging. Seven effect size metrics were compared for single case design (SCD) data focused on teaching speech generating device use to individuals with intellectual and developmental disabilities (IDD) with moderate to profound levels of impairment. The effect size metrics included percent of data points exceeding the median (PEM), percent of nonoverlapping data (PND), improvement rate difference (IRD), percent of all nonoverlapping data (PAND), Phi, nonoverlap of all pairs (NAP), and Tau(novlap). Results showed that among the seven effect size metrics, PAND, Phi, IRD, and PND were more effective in quantifying intervention effects for the data sample (N = 285 phase or condition contrasts). Results are discussed with respect to issues concerning extracting and calculating effect sizes, visual analysis, and SCD intervention research in IDD. PMID:27119210

  8. A Case Study of Convective Transport of Trace Gases and Air Pollutants into the Lower Stratosphere Examined in Giovanni

    NASA Astrophysics Data System (ADS)

    Ahmad, S. P.; Leptoukh, G. G.; Johnson, J. E.; Gerasimov, I. V.; Kempler, S. J.

    2006-12-01

    Giovanni is the Web-based on-line data exploration and visualization tool that provides an easy access to the long-term datasets of atmospheric measurements from the past and current satellite missions (e.g. Aura OMI, MLS and HIRDLS, Aqua AIRS and MODIS, TOMS, UARS HALOE, TRMM) and data from assimilation models that are archived at the Goddard Earth Sciences Data Information Services Center (GES DISC). Giovanni ( http://giovanni.gsfc.nasa.gov/ ) has many built-in data analysis capabilities. Users donot need to learn data formats or retrieve large datasets and process it. One can examine and assess various geophysical phenomena interactively. In this presentation we demonstrate Giovanni data exploration capabilities by examining the convective transport of trace gases and air pollutants (water vapor, ozone, CO, NO2, etc) into the lower stratosphere, and seasonal variability of aerosols, cloud and precipitation, over the Tibetan Plateau and South Asian region.

  9. The role of the bone marrow examination in the diagnosis of immune thrombocytopenic purpura: case series and literature review.

    PubMed

    Jubelirer, Steven J; Harpold, Robert

    2002-01-01

    The need for a bone marrow examination was assessed in patients with clinical and laboratory features consistent with ITP; the literature was reviewed. The records of all patients undergoing a bone marrow examination between January 1988 to January 1998 were retrospectively reviewed to determine which were motivated by the suspicion of ITP. Data were collected from hospital and outpatient medical and pathology records. Eighty-six patients with isolated thrombocytopenia (i.e., normal white blood cell count, hemoglobin, peripheral smear and clotting studies) were studied. The bone marrow was consistent with ITP in 82 patients, (i.e., normal or increased megakaryocytes and other hemopoietic lineages normal.) Four patients had decreased megakaryocytes, but all patients responded to corticosteroids. All 86 patients were followed up for a median of 22 months after bone marrow aspiration (range, 2-76 months.) During that time, none of the patients developed features to suggest an alternative diagnosis to ITP. The initial clinical and laboratory findings of 99 patients with acute leukemia were also reviewed; all had features atypical of ITP. These data suggest that routine performance of a bone marrow examination for the diagnosis of ITP is not necessary, provided that a thorough history and physical examination are performed and that the complete blood cell count, peripheral blood smear, and routine clotting studies show no abnormalities apart from thrombocytopenia. The findings of seven prior retrospective studies, two in adults and five in children are consistent with the previous findings. However, the value of marrow investigation in ITP remains unresolved and data from a large prospective study would be helpful. PMID:11991243

  10. The role of pasture and soybean in deforestation of the Brazilian Amazon

    NASA Astrophysics Data System (ADS)

    Barona, Elizabeth; Ramankutty, Navin; Hyman, Glenn; Coomes, Oliver T.

    2010-04-01

    The dynamics of deforestation in the Brazilian Amazon are complex. A growing debate considers the extent to which deforestation is a result of the expansion of the Brazilian soy industry. Most recent analyses suggest that deforestation is driven by the expansion of cattle ranching, rather than soy. Soy seems to be replacing previously deforested land and/or land previously under pasture. In this study, we use municipality-level statistics on agricultural and deforested areas across the Legal Amazon from 2000 to 2006 to examine the spatial patterns and statistical relationships between deforestation and changes in pasture and soybean areas. Our results support previous studies that showed that deforestation is predominantly a result of pasture expansion. However, we also find support for the hypothesis that an increase of soy in Mato Grosso has displaced pasture further north, leading to deforestation elsewhere. Although not conclusive, our findings suggest that the debate surrounding the drivers of Amazon deforestation is not over, and that indirect causal links between soy and deforestation may exist that need further exploration. Future research should examine more closely how interlinkages between land area, prices, and policies influence the relationship between soy and deforestation, in order to make a conclusive case for 'displacement deforestation'.

  11. Implementation of ASME Code, Section XI, Code Case N-770, on Alternative Examination Requirements for Class 1 Butt Welds Fabricated with Alloy 82/182

    SciTech Connect

    Sullivan, Edmund J.; Anderson, Michael T.

    2012-09-17

    In May 2010, the NRC issued a proposed notice of rulemaking that includes a provision to add a new section to its rules to require licensees to implement ASME Code Case N-770, ‘‘Alternative Examination Requirements and Acceptance Standards for Class 1 PWR Piping and Vessel Nozzle Butt Welds Fabricated with UNS N06082 or UNS W86182 Weld Filler Material With or Without the Application of Listed Mitigation Activities, Section XI, Division 1,’’ with 15 conditions. Code Case N-770 contains baseline and inservice inspection (ISI) requirements for unmitigated butt welds fabricated with Alloy 82/182 material and preservice and ISI requirements for mitigated butt welds. The NRC stated that application of ASME Code Case N-770 is necessary because the inspections currently required by the ASME Code, Section XI, were not written to address stress corrosion cracking Alloy 82/182 butt welds, and the safety consequences of inadequate inspections can be significant. The NRC expects to issue the final rule incorporating this code case into its regulations in the spring 2011 time frame. This paper discusses the new examination requirements, the conditions that NRC is imposing , and the major concerns with implementation of the new Code Case.

  12. A phase I clinical trial of mefloquine in Brazilian male subjects

    PubMed Central

    de Souza, José-Maria

    1983-01-01

    A double-blind, randomized phase I clinical trial was carried out to compare mefloquine with sulfadoxine—pyrimethamine for safety and tolerance. Twenty adult male Brazilian subjects from areas endemic for malaria were studied for a period of 66 days, which included 2 days of basal studies and a 63-day follow-up after drug administration. Subjects received either mefloquine, given as a single oral dose of 1000 mg (4 × 250-mg tablets) or sulfadoxine—pyrimethamine (2 tablets, each containing 500 mg of sulfadoxine plus 25 mg of pyrimethamine). Clinical examination, electrocardiogram, chest X-ray, and haematological, biochemical, stool, and urine analyses were carried out before drug administration and at various intervals afterwards. Peripheral blood smears were examined for malarial parasites. Both drugs were well tolerated and safe as seen from the absence of drug-induced changes in the various laboratory assay results. There was an improvement in body weight, red blood cell count, haemoglobin, and erythrocyte volume fraction values for all patients during the study. In subjects who had positive smears for Plasmodium falciparum, mefloquine produced complete clearance on day 1 with an S-type response (3 cases). Sulfadoxine—pyrimethamine produced complete clearance on day 2 in 5 subjects, but a delayed RI-type response (recrudescence) was observed in 2 cases and an early RI response in one case. P. vivax relapses occurred in both groups. Side-effects of mefloquine included mild diarrhoea (20%) and dizziness (40%); dizziness was also observed with sulfadoxine—pyrimethamine (20%). In both groups, side-effects were mild, short-lived and needed no specific treatment. Thus, mefloquine in an oral dose of 1000 mg was found to be well tolerated and safe in adult male Brazilian volunteers from endemic areas. No drug-related adverse reactions were observed. In cases where P. falciparum infection was present, there was a complete parasite clearance with no recrudescence

  13. ‘Shell shock’ Revisited: An Examination of the Case Records of the National Hospital in London

    PubMed Central

    Linden, Stefanie Caroline; Jones, Edgar

    2014-01-01

    During the First World War the National Hospital for the Paralysed and Epileptic, in Queen Square, London, then Britain’s leading centre for neurology, took a key role in the treatment and understanding of shell shock. This paper explores the case notes of all 462 servicemen who were admitted with functional neurological disorders between 1914 and 1919. Many of these were severe or chronic cases referred to the National Hospital because of its acknowledged expertise and the resources it could call upon. Biographical data was collected together with accounts of the patient’s military experience, his symptoms, diagnostic interpretations and treatment outcomes. Analysis of the notes showed that motor syndromes (loss of function or hyperkinesias), often combined with somato-sensory loss, were common presentations. Anxiety and depression as well as vegetative symptoms such as sweating, dizziness and palpitations were also prevalent among this patient population. Conversely, psychogenic seizures were reported much less frequently than in comparable accounts from German tertiary referral centres. As the war unfolded the number of physicians who believed that shell shock was primarily an organic disorder fell as research failed to find a pathological basis for its symptoms. However, little agreement existed among the Queen Square doctors about the fundamental nature of the disorder and it was increasingly categorised as functional disorder or hysteria. PMID:25284893

  14. Nonlinear Heart Rate Variability features for real-life stress detection. Case study: students under stress due to university examination

    PubMed Central

    2011-01-01

    Background This study investigates the variations of Heart Rate Variability (HRV) due to a real-life stressor and proposes a classifier based on nonlinear features of HRV for automatic stress detection. Methods 42 students volunteered to participate to the study about HRV and stress. For each student, two recordings were performed: one during an on-going university examination, assumed as a real-life stressor, and one after holidays. Nonlinear analysis of HRV was performed by using Poincaré Plot, Approximate Entropy, Correlation dimension, Detrended Fluctuation Analysis, Recurrence Plot. For statistical comparison, we adopted the Wilcoxon Signed Rank test and for development of a classifier we adopted the Linear Discriminant Analysis (LDA). Results Almost all HRV features measuring heart rate complexity were significantly decreased in the stress session. LDA generated a simple classifier based on the two Poincaré Plot parameters and Approximate Entropy, which enables stress detection with a total classification accuracy, a sensitivity and a specificity rate of 90%, 86%, and 95% respectively. Conclusions The results of the current study suggest that nonlinear HRV analysis using short term ECG recording could be effective in automatically detecting real-life stress condition, such as a university examination. PMID:22059697

  15. Considering the Case for Biodiversity Cycles: Re-Examining the Evidence for Periodicity in the Fossil Record

    PubMed Central

    Lieberman, Bruce S.; Melott, Adrian L.

    2007-01-01

    We re-examine the evidence for a 62 million year (Myr) periodicity in biodiversity throughout the Phanerozoic history of animal life reported by [1], as well as related questions of periodicity in origination and extinction. We find that the signal is robust against variations in methods of analysis, and is based on fluctuations in the Paleozoic and a substantial part of the Mesozoic. Examination of origination and extinction is somewhat ambiguous, with results depending upon procedure. Origination and extinction intensity as defined by [1] may be affected by an artifact at 27 Myr in the duration of stratigraphic intervals. Nevertheless, when a procedure free of this artifact is implemented, the 27 Myr periodicity appears in origination, suggesting that the artifact may ultimately be based on a signal in the data. A 62 Myr feature appears in extinction, when this same procedure is used. We conclude that evidence for a periodicity at 62 Myr is robust, and evidence for periodicity at approximately 27 Myr is also present, albeit more ambiguous. PMID:17712407

  16. Examining Specific Effects of Context on Adaptive Behavior and Achievement in Rural Africa: Six Case Studies from Southern Province, Zambia

    PubMed Central

    Reich, Jodi; Hart, Lesley; Thuma, Philip E.

    2011-01-01

    Generally accepted as universal, the construct of adaptive behavior differs in its manifestations across different cultures and settings. The Vineland-II was translated into Chitonga and adapted to the setting of rural Southern Province, Zambia. This version was administered to the parents/caregivers of 114 children (grades 3-7, mean age = 12.94, sd = 2.34). The relationships between these children's adaptive behavior, academic achievement and cognitive ability indicators are compared to those usually observed in US samples. Results reflect no association between adaptive behavior and cognitive ability indicators, but a strong relationship between high adaptive behavior and reading-related measures. Six case studies of children with high and low scores on the Vineland-II are presented to illustrate the possible factors affecting these outcomes. PMID:22391811

  17. Combined examination of sequence and copy number variations in human deafness genes improves diagnosis for cases of genetic deafness

    PubMed Central

    2014-01-01

    Background Copy number variations (CNVs) are the major type of structural variation in the human genome, and are more common than DNA sequence variations in populations. CNVs are important factors for human genetic and phenotypic diversity. Many CNVs have been associated with either resistance to diseases or identified as the cause of diseases. Currently little is known about the role of CNVs in causing deafness. CNVs are currently not analyzed by conventional genetic analysis methods to study deafness. Here we detected both DNA sequence variations and CNVs affecting 80 genes known to be required for normal hearing. Methods Coding regions of the deafness genes were captured by a hybridization-based method and processed through the standard next-generation sequencing (NGS) protocol using the Illumina platform. Samples hybridized together in the same reaction were analyzed to obtain CNVs. A read depth based method was used to measure CNVs at the resolution of a single exon. Results were validated by the quantitative PCR (qPCR) based method. Results Among 79 sporadic cases clinically diagnosed with sensorineural hearing loss, we identified previously-reported disease-causing sequence mutations in 16 cases. In addition, we identified a total of 97 CNVs (72 CNV gains and 25 CNV losses) in 27 deafness genes. The CNVs included homozygous deletions which may directly give rise to deleterious effects on protein functions known to be essential for hearing, as well as heterozygous deletions and CNV gains compounded with sequence mutations in deafness genes that could potentially harm gene functions. Conclusions We studied how CNVs in known deafness genes may result in deafness. Data provided here served as a basis to explain how CNVs disrupt normal functions of deafness genes. These results may significantly expand our understanding about how various types of genetic mutations cause deafness in humans. PMID:25342930

  18. Examination of the observed synoptic scale cirrus cloud environment: The December 3-6 FIRE cirrus case study

    NASA Technical Reports Server (NTRS)

    Mace, Gerald G.; Ackerman, Thomas P.

    1993-01-01

    Recently, Sassen provided evidence for supercooled water droplets in cirrus uncinus cell heads at temperatures between 40 and -50 C. Chemistry related to volcanic aerosol of stratospheric origin was evoked as an explanation for this phenomenon. Sassen speculated that injections of sulfuric acid droplets into the upper troposphere were accomplished by tropopause folds associated with subtropical jet streams. He also postulated global climatic perturbations due to the effect of these cirrus microphysical perturbations on radiative fluxes. Using data processing and objective analysis techniques described by Mace and Ackerman, the synoptic scale environment was examined for evidence of tropopause folds that may have served as a source mechanism of stratospheric aerosol in the upper troposphere.

  19. Does the Graduate Record Examination predict meaningful success in the graduate training of psychologists? A case study.

    PubMed

    Sternberg, R J; Williams, W M

    1997-06-01

    The authors consider the empirical validity of the Graduate Record Examination (GRE) as a predictor of various kinds of performance in a graduate psychology program, including 1st- and 2nd-year grades; professors' ratings of students' dissertations; and professors' ratings of students' analytical, creative, practical, research, and teaching abilities. On the basis of the triarchic theory of intelligence, the GRE was predicted to be of some use in predicting graduate grades but of limited or no use in predicting other aspects of performance. In fact, the test was found to be useful in predicting 1st-year grades but not other kinds of performance, with one exception--performance on the GRE Analytical test was predictive, but only for men. The authors conclude that there is a need to develop better theory-based tests. PMID:9174399

  20. Hereditary neuropathy with liability to pressure palsy (HNPP) in childhood: a case study emphasizing the relevance of detailed electrophysiological examination for suspected HNPP in the first decade.

    PubMed

    Bayrak, Ayşe Oytun; Battaloglu, Esra; Turker, Hande; Baris, Ibrahim; Oztas, Gurkan

    2009-06-01

    Hereditary neuropathy with liability to pressure palsy (HNPP) is an autosomal dominant disorder characterized by recurrent mono-neuropathies secondary to minor trauma or compression. Whilst typical episodes of palsy generally become apparent during the second and the third decades, HNPP is rarely diagnosed in the first decade. We present the case of a 6-year-old patient to draw attention to the possibility of HNPP attacks in the first decade and the importance of detailed electrophysiological examination. PMID:18760885

  1. Public counselling: Brazilian Pentecostal intimate performances among urban women in Mozambique.

    PubMed

    van de Kamp, Linda

    2013-01-01

    Analysing the public character of Brazilian Pentecostal counselling sessions in urban Mozambique, this paper aims to examine the configurations of exposure through which counselling acquires and produces sociocultural forms of intimacy. During 'therapy of love' sessions held by the Brazilian Universal Church of the Kingdom of God, strict bodily acts need to be performed publicly to authorise love. Drawing on the notion of religious habitus, the paper focuses on how the performativity of Brazilian Pentecostal counselling practices responds to and shapes a public culture of love and intimacy among upwardly mobile women in urban Mozambique, and how the performative scripts converts carry out during therapy result in ambiguous relationships. PMID:23484450

  2. Anthropophagy: a singular concept to understand Brazilian culture and psychology as specific knowledge.

    PubMed

    Ferreira, Arthur Arruda Leal

    2015-11-01

    The aim of this work is to present the singularity of the concept of anthropophagy in Brazilian culture. This article examines its use in the Modernist Movement of the 1920s and explores the possibilities it creates for thinking about Brazilian culture in nonidentitarian terms. We then use the concept of anthropophagy in a broader, practical sense to understand psychology as a kind of anthropophagical knowledge. We do so because in many ways the discipline of psychology is similar to Brazilian culture in its plurality and complexity. PMID:26348627

  3. Examining the roles of victim-perpetrator relationship and emotional closeness in judgments toward a depicted child sexual abuse case.

    PubMed

    Davies, Michelle; Patel, Fehmida; Rogers, Paul

    2013-03-01

    The current study investigated the impact that respondent gender, victim-perpetrator relationship, and the level of emotional closeness had on attributions in a hypothetical child sexual abuse case. A total of 160 university students read a hypothetical scenario depicting a female child sexually abused by an adult male. The perpetrator was either the victim's biological father or her stepfather, with this relationship described as being either emotionally close or emotionally distant. Respondents read one of four (2 victim-perpetrator relationship × 2 emotional closeness) scenarios before completing 26 attribution items pertaining to credibility, blame, and severity. Principle components analysis yielded five factors, namely victim credibility, mother culpability, perpetrator culpability, assault severity, and victim culpability. Multivariate analysis of covariance--controlling for respondent (Caucasian vs. non-Caucasian) ethnicity--revealed, as predicted, significant main effects for respondent gender, victim-perpetrator relationship, and emotional closeness. In general, females assigned more provictim/ antiperpetrator/antimother attributions than males. Results were also suggested that both victim-perpetrator relationship and emotional closeness influence attributions made toward the victim, perpetrator, and nonoffending mother. Methodological issues and suggestions for future work are also discussed. PMID:23027835

  4. Finding the Little 'c' in Physics: A Multiple Case Study Examining the Development of Creative Activities in the Physics Classroom

    NASA Astrophysics Data System (ADS)

    Wheeler, Christopher

    This study focused on how physics teachers develop and implement activities that promote creative thinking strategies in the standards based physics classroom. A particular focus was placed on every day or little "c", creativity, which can be taught in the high school classroom. The study utilized a multiple case study design, which allows for in-depth study in a variety of settings. Four participants from various high schools were identified utilizing administrator recommendations. Data were then collected via interviews, observations, and documents. The data were coded and analyzed for emerging themes. The themes were then merged to determine findings to the stated research questions. The research demonstrated the importance of modifying activities for student interest and understanding through effective use of scientific inquiry. The past experiences and professional development of the participants served as a vital piece to the development of their educational pedagogy especially concerning inquiry and questioning strategies. It was also established that an unstructured, positive classroom environment is a vital aspect of teaching while supporting creative thinking skills.

  5. Adverse Outcome Pathways for Regulatory Applications: Examination of Four Case Studies With Different Degrees of Completeness and Scientific Confidence.

    PubMed

    Perkins, Edward J; Antczak, Philipp; Burgoon, Lyle; Falciani, Francesco; Garcia-Reyero, Natàlia; Gutsell, Steve; Hodges, Geoff; Kienzler, Aude; Knapen, Dries; McBride, Mary; Willett, Catherine

    2015-11-01

    Adverse outcome pathways (AOPs) offer a pathway-based toxicological framework to support hazard assessment and regulatory decision-making. However, little has been discussed about the scientific confidence needed, or how complete a pathway should be, before use in a specific regulatory application. Here we review four case studies to explore the degree of scientific confidence and extent of completeness (in terms of causal events) that is required for an AOP to be useful for a specific purpose in a regulatory application: (i) Membrane disruption (Narcosis) leading to respiratory failure (low confidence), (ii) Hepatocellular proliferation leading to cancer (partial pathway, moderate confidence), (iii) Covalent binding to proteins leading to skin sensitization (high confidence), and (iv) Aromatase inhibition leading to reproductive dysfunction in fish (high confidence). Partially complete AOPs with unknown molecular initiating events, such as 'Hepatocellular proliferation leading to cancer', were found to be valuable. We demonstrate that scientific confidence in these pathways can be increased though the use of unconventional information (eg, computational identification of potential initiators). AOPs at all levels of confidence can contribute to specific uses. A significant statistical or quantitative relationship between events and/or the adverse outcome relationships is a common characteristic of AOPs, both incomplete and complete, that have specific regulatory uses. For AOPs to be useful in a regulatory context they must be at least as useful as the tools that regulators currently possess, or the techniques currently employed by regulators. PMID:26500288

  6. Examination of land use change effect on extreme hydrological events. A case study of Gialias basin in Cyprus.

    NASA Astrophysics Data System (ADS)

    Grillakis, Manolis; Koutroulis, Aristeidis; Tsanis, Ioannis; Alexakis, Dimitrios; Hadjimitsis, Diofantos

    2013-04-01

    The effect of the abrupt urbanization on flood events is studied on Gialias basin in Cyprus. The Gialias watershed has been subject to flood events in recent years, due to the urbanization that took place within the basin. Satellite images of the years 2000 and 2010 were used to classify the land use within the basin and confirm the rapid urban development of the recent years. The land use map of 2000 was used in HEC-HMS hydrological model which was set up using the distributed modified Clark transform method (modClark) in a three sub basin setup. Four high flow events between 2000 and 2004 were used to calibrate and validate the rainfall runoff model. The Nash-Sutcliffe estimator was ranged between 0.877 and 0.432 among the calibration events and the three sub basins. For the validation event, it ranged between 0.57 and 0.655. The phase error ranged between -1 and 1 hour. Finally, the peak discharge error was kept under 15% in all sub basins and calibration events while for the validation event it ranged between -6% and 4%. The land use map of 2010 was then used to examine the effect of the land use on the past high flow events. The results indicate increase in the peak discharge, quicker response of the basin to the discharge process, and reduced infiltration. The increase in peak discharge was estimated at approximately 40%.

  7. Geochemistry of Brazilian oil shales

    SciTech Connect

    Neto, C.C.

    1983-02-01

    A general survey of the main brazilian oil shale formations presenting their location, oil reserve, age and stratigraphy introduces this paper. It is followed by a comparative survey of the data on chemical composition (elementary, minerals and organic constituents/biological markers) and of thermal alteration indexes in order to define their maturity. The geochemical phenomena involved with a large diabase intrusion in the Irati formation is particularly stressed. The analytical methods of Solid Phase Extraction and Functional Group Marker developed for the analysis of bitumens and kerogens and the results obtained from the application of these methods to brazilian oil shales are discussed. The paper ends with a brief description of a comprehensive analytical bibliography on brazilian oil shales prepared to serve as a data base for these organites.

  8. [Evaluation of Brazilian online pharmacies].

    PubMed

    Gondim, Ana Paula Soares; Falcão, Cláudio Borges

    2007-04-01

    The growing number of Internet users brought forth an increase in the search for Brazilian online pharmacy services. Aiming at evaluating the validity of information disseminated in these websites, a descriptive study was carried out in 18 virtual pharmacies concerning legal aspects, accessibility, sources of information and drug advertising. It was found 15 pharmacies did not have authorization of the Brazilian National Health Surveillance Agency; the manager pharmaceutical officer's name could not be found in 17 of them; 17 pharmacies marketed drugs with no registration, especially herbal medicines, and did not show either information on adverse drug reactions or this agency's alerts and health recommendations. Since health control and drug commerce in Brazilian online pharmacies have not been yet regulated by proper government agencies, these gaps found in the sites can pose risk to the users' health. PMID:17384808

  9. Re-examining the case for neutral gas near the redshift 7 quasar ULAS J1120+0641

    NASA Astrophysics Data System (ADS)

    Bosman, Sarah E. I.; Becker, George D.

    2015-09-01

    Signs of damping-wing absorption attenuating the Lyman α emission line of the first known z ˜ 7 quasar, ULAS J1120+0641, recently provided exciting evidence of a significantly neutral intergalactic medium (IGM). This long-awaited signature of reionization was inferred, in part, from a deficit of flux in the quasar's Lyman α emission line based on predictions from a composite of lower redshift quasars. The composite sample was chosen based on its C IV emission line properties; however, as the original study by Mortlock et al. noted, the composite contained a slight velocity offset in C IV compared to ULAS J1120+0641. Here we test whether this offset may be related to the predicted strength of the Lyman α emission line. We confirm the significant (˜10 per cent at rms) scatter in Lyman α flux for quasars of a given C IV velocity and equivalent width found by Mortlock et al. We further find that among lower redshift objects chosen to more closely match the C IV properties of ULAS J1120+0641, its Lyman α emission falls within the observed distribution of fluxes. Among lower redshift quasars chosen to more closely match in C IV velocity and equivalent width, we find that ULAS J1120+0641 falls within the observed distribution of Lyman α emission line strengths. This suggests that damping-wing absorption may not be present, potentially weakening the case for neutral gas around this object. Larger samples of z > 7 quasars may therefore be needed to establish a clearer picture of the IGM neutral fraction at these redshifts.

  10. Brazilian Mothers' Socialization Goals: Intracultural Differences in Seven Brazilian Cities

    ERIC Educational Resources Information Center

    Seidl-de-Moura, Maria Lucia; Lordelo, Eulina; Vieira, Mauro Luis; Piccinini, Cesar Augusto; Siqueira, Jose de Oliveira; Magalhaes, Celina Maria Colino; Pontes, Fernando Augusto Ramos; Salomao, Nadia Maria; Rimoli, Adriana

    2008-01-01

    The present study aimed to investigate Brazilian mothers' socialization goals. The participants in the study were 349 primiparous mothers, whose ages ranged from 17 to 47 years (mean = 26.6 years), who had children aged between 1 and 48 months (mean = 16.4 months). The families were living in seven different cities representing each of the five…

  11. [Clinical study of 48 cases of viper (Agkistrodon halys blomhoffii "Mamu shi") bite--Does the swelling at the first medical examination reflect the seriousness of the envenomation?].

    PubMed

    Naito, Hiromichi; Matsumoto, Kazuyuki; Nagae, Masaharu; Kasai, Shinya; Shiraishi, Kensuke; Morimoto, Naoki; Hagioka, Shingo; Sugiyama, Masatoshi

    2007-01-01

    We have evaluated 48 cases of viper (Agkistrodon halys blomhoffii "Mamushi") bite treated in our hospital from 2001 to 2005. Of all the patients, 21 were bitten in rice field/farm, 10 were in path, 9 were in yard and 8 were in other places. Most cases occurred between July and September. The most frequently bitten regions were fingers and toes. Because swelling reached its maximum at 1.1+/-0.5 day, it was difficult to judge the severity of Mamushi bite by the degree of swelling at the first examination. There was no significant relation between the grade classification of swelling and CPK values. Value of CPK became its peek at 2.0+/-1.1 days after bites. Some reports recommend giving antivenin judging from the grade classification. However we could not estimate the severity of Mamushi bite from the degree of swelling and CPK values at the first examination. The degree of swelling and CPK values at the first examination will not be an index to determine the choice of the treatment including use of the antivenin. PMID:17319499

  12. Configurations of power relations in the Brazilian emergency care system: analyzing a context of visible practices.

    PubMed

    Velloso, Isabela; Ceci, Christine; Alves, Marilia

    2013-09-01

    In this paper, we make explicit the changing configurations of power relations that currently characterize the Brazilian Emergency Care System (SAMU) team in Belo Horizonte, Brazil. The SAMU is a recent innovation in Brazilian healthcare service delivery. A qualitative case study methodology was used to explore SAMU's current organizational arrangements, specifically the power relations that have developed and that demonstrate internal team struggles over space and defense of particular occupational interests. The argument advanced in this paper is that these professionals are developing their work in conditions of exposure, that is, they are always being observed by someone, and that such observational exposure provides the conditions whereby everyday emergency care practices are enacted such that practice is shaped by, as well as shapes, particular, yet recognizable power relationships. Data were collected through the observation of the SAMU's work processes and through semi-structured interviews. Research materials were analyzed using discourse analysis. In the emergency care process of work, visibility is actually embedded in the disciplinary context and can thus be analyzed as a technique applied to produce disciplined individuals through the simple mechanisms elaborated by Foucault such as hierarchical surveillance, normalizing judgment, and the examination. PMID:22591246

  13. Bioethics, biolaw, (bio)constitutional interpretation and biopatents under the light of Brazilian law.

    PubMed

    Myszczuk, Ana Paula; de Meirelles, Jussara Maria Leal

    2010-01-01

    The article briefly analyzes the concepts of the Bioethics, the Biolaw, the Bio-Constitution and the Biopatent. In order to do so, we will check some principles of the Bioethics, the newly added term the Biolaw, the concept of the Bio-Constitution or the Constitutional Biolaw, all used as means to solve conflicts of bio-juridical norms. Besides it formulates some questions about biopatents. It is here understood that the 1988 Brazilian Federal Constitution chose the human dignity principle as the core to be used in any Biomedicine related matter and this Law acts to bring some tools into a bio-constitutional interpretation. Among those tools are the fundamental rights and the protection of the environment. Some juridical limits to the private appropriation of the human genome, via patenting, are examined. The article considers the requirements imposed by the Law Act no 9279/96 (novelty, invention and industrial use), as well as some Brazilian constitutional dispositions concerning biopatents. In the conclusion, we argue that the Bioethics and the Biolaw principles are valuable instruments to support juridical decisions and to guide the establishment of possible limits on the use and/or development of the Biomedicine. Consequently when interpreting a concrete case, besides having a multidisciplinary analysis, we have refreshed classic juridical concepts. This is achieved by rethinking juridical fundamentals and opening up the space for the conceptualization of a Bio-Constitution interpretation. PMID:21510136

  14. Jorge de Lima: Brazilian Poet

    ERIC Educational Resources Information Center

    Kennedy, James H.

    1973-01-01

    Discusses Jorge de Lima--born in Uniao dos Palmares, Brazil on April 23, 1893, died in Rio de Janeiro on November 15, 1953--who during the Twenties became an important member of the literary movement known as Modernism and wrote both religious and regional poetry constituting the beginnings of a Afro-Brazilian poetry. (Author/JM)

  15. Sustainability in Brazilian Federal Universities

    ERIC Educational Resources Information Center

    Palma, Lisiane Celia; de Oliveira, Lessandra M.; Viacava, Keitiline R.

    2011-01-01

    Purpose: The purpose of this paper is to identify the number of courses related to sustainability offered in bachelor degree programs of business administration in Brazilian federal universities. Design/methodology/approach: An exploratory research was carried out based on a descriptive scope. The process of mapping federal universities in Brazil…

  16. Gramscian Thought and Brazilian Education

    ERIC Educational Resources Information Center

    Dore, Rosemary

    2009-01-01

    In the history of Brazilian education, it is only since the 1980s, during the redemocratization of Brazil, that proposals for public education in a socialist perspective have been presented. The past two decades have been marked by a growing interest in Gramscian thought, mainly in the educational field, making possible the elaboration of…

  17. Remittance Activity among Brazilians in the US and Canada

    PubMed Central

    Goza, Franklin; Ryabov, Igor

    2011-01-01

    This comparative study uses data collected in 1990 and 1991 to examine the remittance behavior of Brazilians who had recently arrived in Canada and the United States. These data permit an examination of remittance activity among immigrants relatively soon after their arrival in a pair of host destinations. Prior to contrasting the remittance activity of these newly arrived immigrants, we first document the high degree of similarity between the two groups at their time of arrival; a point that becomes important when contrasting their divergent outcomes. Next, this study contributes to the research literature on micro-level remittance patterns and behaviors by focusing on three policy relevant dependant variables. More specifically, multivariate analyses are undertaken to examine those individual-level factors that best determine: (1) who remits, (2) how much they remit, and (3) when funds are remitted for productive purposes. Because the data analyzed were collected with the same instrument, results are then contrasted for the two destinations. One major finding to emerge from this cross-national study was that even immigrants who are extremely similar on all socio-economic measures at time of arrival may soon manifest divergent outcomes due to their distinctive country of destination experiences. Consequently, although some common predictors were found in both locales, there were far fewer than expected. For example, family obligation variables were usually significant in the predicted directions for the United States data, while this was almost never the case for the Canadian data. Furthermore, some variables often assumed to predict remittance behavior were insignificant in both locations. This study concludes by considering possible explanations for these results, as well as discussing the need for additional theoretical work and data collection in the area of immigrant remittance activity. PMID:23264698

  18. Citations of Brazilian physical therapy journals in national publications

    PubMed Central

    Teixeira, Renan K. C.; Yamaki, Vitor N.; Botelho, Nara M.; Teixeira, Renato C.

    2014-01-01

    Background Quotations in Brazilian journals are mainly obtained from national articles (articles from Brazilian journals); thus, it is essential to determine how frequently these articles reference Brazilian journals. Objective This study sought to verify how frequently national papers are cited in the references of three Brazilian physical therapy journals. Method All references for articles published in Fisioterapia em Movimento, Fisioterapia e Pesquisa and Revista Brasileira de Fisioterapia between 2010 and 2012 were evaluated. In particular, the numbers of national articles and international articles (articles from international journals) cited in these references were determined. Results A total of 13,009 references cited by 456 articles were analyzed, and 2,924 (22.47%) of the cited works were national articles. There were no significant differences among the three examined years. A total of 36 (7.89%) articles did not cite national articles, whereas 65 (13.25%) articles cited more national articles than international articles. Conclusion On average, 22.47% of the works cited by the evaluated articles were national articles. No significant differences were detected among the three analyzed years. PMID:24675917

  19. Clinico-pathologic, dermoscopic and ultrasound examination of a rare acral tumour involving the nail - case report and review of the literature

    PubMed Central

    GRIGORE, LAVINIA ELENA; BAICAN, CORINA IULIA; BOTAR-JID, CAROLINA; ROGOJAN, LILIANA; LETCA, ALINA FLORENTINA; UNGUREANU, LOREDANA; COSGAREA, RODICA

    2016-01-01

    There is a large spectrum of tumors presenting as nodular lesions that may affect the subungual space. We report the case of a 62-year-old woman presenting with a rapidly growing nodular lesion under the nail of the first left toe. Non-invasive examinations using dermoscopy, ultrasonography and elastography were performed for the preoperative assessment of the lesion. The biopsy of the lesion revealed superficial acral fibromyxoma, a benign tumor with predisposition for acral sites. The patient underwent radical surgery with wide resection margins. This is the first case report of a superficial acral fibromyxoma affecting the subungual region characterized by dermoscopic, ultrasonographic and elastographic features. We also performed a short review of the literature. PMID:27004040

  20. Alcohol fuels: the Brazilian experience and its implications for the United States

    SciTech Connect

    Nemir, A.S.

    1983-01-01

    Brazil's experience in the use of ethyl alcohol, produced from sugar cane, as a motor fuel in the pure form or in the form of a 20 percent additive to gasoline, is examined. The production of ethanol was 4.2 billion liters from 1981 to 1982 and the plan calls for the production of 5.2 billion liters between 1982 and 1983. The total number of motor vehicles in Brazil which operate on pure alcohol reached 900,000 by the end of 1983 and the expenditure of alcohol in them reached 3 billion liters. The expansion of the use of ethanol as a motor fuel must substantially reduce Brazilian expenditures on the import of oil products, improve the use of agricultural resources and increase the labor force in agriculture. An analogous experience is justified for the U.S.A., but sugar beets must serve as the raw material for the production of ethanol in their case.

  1. [Nursing history research groups: a Brazilian reality].

    PubMed

    Padilha, Maria Itayra; Borenstein, Miriam Susskind; Carvalho, Maria Aline Lima; Ferreira, Aline Coelho

    2012-02-01

    The objective of this study is to examine the activities of Nursing History research groups in Brazil and their relationships with the nursing undergraduate and graduate courses. This exploratory, descriptive, qualitative documental study was performed from July 2008 to March 2010. We identified 34 research groups that had Nursing History as the focus of at least one of the lines of research. Results showed that the groups have produced a great amount of bibliographical material, research lines and broad participation of undergraduate and graduate students. It was also found that there is a communication network among groups working within the same line of research. In conclusion, there is a need to increase interdisciplinarity and also strengthen some lines of research in order to support knowledge of the history of Brazilian nursing. PMID:22441284

  2. Diagnostic correlation between RET proto-oncogene mutation, imaging techniques, biochemical markers and morphological examination in MEN2A syndrome: case report and literature review.

    PubMed

    Sovrea, Alina Simona; Dronca, Eleonora; Galatâr, Mihaela; Radian, Serban; Vornicescu, Corina; Georgescu, Carmen

    2014-01-01

    Multiple endocrine neoplasia type 2 (MEN2) is a rare autosomal dominant monogenic disorder caused mostly by missense mutations in the RET (REarranged during Transfection) proto-oncogene on chromosome 10q11.2. MEN2A represents more than 50% of all MEN2 cases, having a regular pattern with medullary thyroid carcinoma (MTC) incidence of 90-100%, bilateral pheochromocytoma (PCC) incidence of 40-50% and primary hyperparathyroidism (HPT) incidence of 10-25%. Until recently, the diagnosis of MTC was most frequently based on fine-needle aspiration of thyroid nodules, after an ultrasound examination and endocrine evaluation of serum calcitonin levels. Nowadays, RET gene screening (starting with exons 10 and 11) is a mandatory test used for identification of both symptomatic and non-symptomatic MTC carriers or for exclusion of healthy individuals from subsequent periodical clinical/biochemical screening. In this context, and in the idea of PCC preceding MTC, the early detection of germline RET mutations are highly suggestive for hereditary disease. PCC diagnosis is established in classical manner by abdominal ultrasound imaging or computed tomography confirming the presence of adrenal gland masses, elevated plasma metanephrines and normetanephrines values and histopathological examination. Additional HPT diagnosis is acknowledged by serum ionized calcium and parathormone levels. Here we report a hereditary case of MEN2A in a two-generation Romanian family, along with data presenting the importance of correlative plurifactorial diagnostic scheme in this syndrome and a short literature review. PMID:24969991

  3. Ear examination

    MedlinePlus

    ... page: //medlineplus.gov/ency/article/003340.htm Ear examination To use the sharing features on this page, ... ear References King EF, Couch ME. History, physical examination, and the preoperative evaluation. In: Flint PW, Haughey ...

  4. A case-control study to examine the association between breastfeeding during late pregnancy and risk of a small-for-gestational-age birth in Lima, Peru.

    PubMed

    Pareja, Rossina G; Marquis, Grace S; Penny, Mary E; Dixon, Philip M

    2015-04-01

    Excessive demands on maternal nutritional status may be a risk factor for poor birth outcomes. This study examined the association between breastfeeding during late pregnancy (≥ 28 weeks) and the risk of having a small-for-gestational-age (SGA) newborn, using a matched case-control design (78 SGA cases: birthweight <10th percentile for gestational age; 150 non-SGA controls: 50th percentile cases and matched controls based on hospital, gestational age, and inter-gestational period. Mothers were interviewed and clinical chart extractions were completed. Factors associated with risk of SGA were assessed by their adjusted odds ratios (aOR) from conditional logistic regression. Exposure to an overlap of breastfeeding during late pregnancy was not associated with an increased risk of having a SGA newborn [aOR=0.58, 95% confidence interval (CI): 0.10-3.30]. However, increased risk was associated with having a previous low-birthweight birth (aOR=6.53; 95% CI: 1.43-29.70) and a low intake of animal source foods (<25th percentile; aOR=2.26; 95% CI: 1.01-5.04), and tended to be associated with being short (<150 cm; aOR=2.05; 95% CI: 0.92-4.54). This study found no evidence to support the hypothesis that breastfeeding during late pregnancy increases the risk for SGA; however, studies with greater statistical power are needed to definitively examine this possible association and clarify whether there are other risks to the new baby, the toddler and the pregnant woman. PMID:23020780

  5. Impact of single photon emission tomography combined with computed tomography (SPECT/CT) in pulmonary examinations--short review with two case reports.

    PubMed

    Garcheva, Marina

    2014-01-01

    The hybrid ventilation/perfusion (V/P) examination SPECT/CT improves the diagnostic accuracy of lung scintigraphy for pulmonary embolism (PE). It reduces the false-positive results and increases the specificity of examinations. The co-registered V/P and CT scans provide more precise functional information, as well as additional data about pulmonary parenchyma, pleural and mediastinal structures. The CT acquisition is typically low-dose and can be implemented with little additional acquisition time and radiation exposure. It is convenient as a primary examination for patients with contrast-related contraindications, young patients and premenopausal women, because of the low whole body and breast exposure. It can be also used for the follow-up of the patients’ recovery, for functional quantification, radiotherapy planning and for the prediction of radiation-associated complications. Two clinical cases from our practice present the impact of SPECT/CT application in the primary diagnosis and in the follow-up of patients with pulmonary embolism. PMID:25088111

  6. Exploring the applicability of analysing X chromosome STRs in Brazilian admixed population.

    PubMed

    Auler-Bittencourt, Eloisa; Iwamura, Edna Sadayo Miazato; Lima, Maria Jenny Mitraud; da Silva, Ismael Dale Cotrim Guerreiro; dos Santos, Sidney Emannuel Batista

    2015-09-01

    Kinship and parentage analyses always involve one sample being compared to another sample or a few samples with a specific relationship question in mind. In most cases, the analysis of autosomal STR markers is sufficient to determine the genetic kinship. However, when genetic profiles are reconstructed from supposed relatives, for whom the family configuration available for analysis is deficient, the examination may be inconclusive. This study reports practical examples of actual cases analysing the efficiency of the chromosome X STR (STR-ChrX) markers. Three cases with different degrees of efficiency and impact were selected as follows: the identification of two charred bodies in a traffic accident, in which the family setting available was not complete, and one filiation analysis resulting from rape. This is the first paper reporting the use of the multiplex STR 12 ChrX in actual cases using the software Familias 1.8 and Brazilian regional frequency data. Our study clarifies the complex analysis using this powerful tool for professionals in the forensic science community, for both civil and criminal justice. We also discuss state-of-the-art ChrX STR markers and its implications and applications for legal procedures. The data presented here should be used in other studies of complex cases to improve the progress of the current justice system. PMID:26385714

  7. Brazilian coal mining residues and sulphide oxidation by Fenton's reaction: an accelerated weathering procedure to evaluate possible environmental impact.

    PubMed

    Silva, L F O; Querol, X; da Boit, K M; Fdez-Ortiz de Vallejuelo, S; Madariaga, J M

    2011-02-15

    Fenton's reaction is proposed as an accelerated weathering test for sulphides associated with Brazilian Coal Mining Residues (CMR), that are exposed to oxygen and water during the mining of coal. TEM and SEM/EDX were used to evaluate the nature, occurrence and distribution of minerals in remaining coals and other lithological units, before and after applying the test. Oxidation of CMRs was examined by analyzing soluble sulphur (sulphate) and dissolved metals by ICP-MS or ICP OES. As dissolved sulphate increases, dissolved Zn, Cd, Cu and Co concentrations increase, leading to undetectable amounts in the remaining solid phases; dissolved Ni and Mn also increase with the mobilized sulphur, but the remainder in the solids is the most important fraction; Fe and Pb are not mobilized due to precipitation as jarosite or hematite in the case of Fe or as sulphate in the case of Pb. Agreement between the observed results and the predictions by geochemical modelling is discussed. PMID:21145167

  8. Concurrent Treatment of Substance Abuse, Child Neglect, Bipolar Disorder, Post-Traumatic Stress Disorder, and Domestic Violence: A Case Examination Involving Family Behavior Therapy

    PubMed Central

    Donohue, Brad C.; Romero, Valerie; Herdzik, Karen; Lapota, Holly; Al, Ruwida Abdel; Allen, Daniel N.; Azrin, Nathan H.; Van Hasselt, Vincent B.

    2012-01-01

    High rates of co-occurrence between substance abuse and child neglect have been well documented and especially difficult to treat. As a first step in developing a comprehensive evidence-based treatment for use in this population, the present case examination underscores Family Behavior Therapy (FBT) in the treatment of a mother who evidenced Substance Dependence, child neglect, Post-Traumatic Stress Disorder, Bipolar I Disorder, and domestic violence. Utilizing psychometrically validated self-report inventories and objective urinalysis, treatment was found to result in the cessation of substance use, lower risk of child maltreatment, improved parenting attitudes and practices, and reduced instances of violence in the home. The importance of utilizing validity scales in the assessment of referrals from child welfare settings is discussed, and future directions are reported in light of the results. PMID:23457426

  9. Work-Family Conflict, Perceived Supervisor Support and Organizational Commitment among Brazilian Professionals

    ERIC Educational Resources Information Center

    Casper, Wendy Jean; Harris, Christopher; Taylor-Bianco, Amy; Wayne, Julie Holliday

    2011-01-01

    The current study examines a variety of relationships pertaining to work-family conflict among a sample of Brazilian professionals, in order to shed light on work-family issues in this cultural context. Drawing from the cultural values of Brazil and social identity theory, we examine the relationships of two directions of work-family conflict…

  10. Phylogeny of culturable cyanobacteria from Brazilian mangroves.

    PubMed

    Silva, Caroline Souza Pamplona; Genuário, Diego Bonaldo; Vaz, Marcelo Gomes Marçal Vieira; Fiore, Marli Fátima

    2014-03-01

    The cyanobacterial community from Brazilian mangrove ecosystems was examined using a culture-dependent method. Fifty cyanobacterial strains were isolated from soil, water and periphytic samples collected from Cardoso Island and Bertioga mangroves using specific cyanobacterial culture media. Unicellular, homocytous and heterocytous morphotypes were recovered, representing five orders, seven families and eight genera (Synechococcus, Cyanobium, Cyanobacterium, Chlorogloea, Leptolyngbya, Phormidium, Nostoc and Microchaete). All of these novel mangrove strains had their 16S rRNA gene sequenced and BLAST analysis revealed sequence identities ranging from 92.5 to 99.7% when they were compared with other strains available in GenBank. The results showed a high variability of the 16S rRNA gene sequences among the genotypes that was not associated with the morphologies observed. Phylogenetic analyses showed several branches formed exclusively by some of these novel 16S rRNA gene sequences. BLAST and phylogeny analyses allowed for the identification of Nodosilinea and Oxynema strains, genera already known to exhibit poor morphological diacritic traits. In addition, several Nostoc and Leptolyngbya morphotypes of the mangrove strains may represent new generic entities, as they were distantly affiliated with true genera clades. The presence of non-ribosomal peptide synthetase, polyketide synthase, microcystin and saxitoxin genes were detected in 20.5%, 100%, 37.5% and 33.3%, respectively, of the 44 tested isolates. A total of 134 organic extracts obtained from 44 strains were tested against microorganisms, and 26% of the extracts showed some antimicrobial activity. This is the first polyphasic study of cultured cyanobacteria from Brazilian mangrove ecosystems using morphological, genetic and biological approaches. PMID:24461713

  11. [Treatment of epilepsy: consensus of the Brazilian specialists].

    PubMed

    Betting, Luiz Eduardo; Kobayashi, Eliane; Montenegro, Maria Augusta; Min, Li Li; Cendes, Fernando; Guerreiro, Marilisa M; Guerreiro, Carlos A M

    2003-12-01

    Epilepsy is a frequent condition in the world. Recently a study in Brazil showed prevalence of 18/1000 inhabitants in São José do Rio Preto, São Paulo State. In the last decade, new therapeutic options were discovered or developed. The main therapeutic decision method is based on randomized clinical trials. This method represents the higher level of evidence. However, even these studies have limitations and in some cases the treatment of choice remains controversial. In these instances, the epilepsy experts' opinions become helpful. In 2001 a similar study had been conducted in USA. The aim of this study is to create guidelines for epilepsy treatment based on the opinion of the Brazilian experts. These guidelines can be used to create manuals and strategies for the treatment of some epileptic syndromes according to Brazilian experts. As compared to the North-American guidelines our study better reflects the resources available in our country. PMID:14762617

  12. Implementing the Brazilian Database on Orofacial Clefts

    PubMed Central

    Monlleó, Isabella Lopes; Fontes, Marshall Ítalo Barros; Ribeiro, Erlane Marques; de Souza, Josiane; Leal, Gabriela Ferraz; Félix, Têmis Maria; Fett-Conte, Agnes Cristina; Bueno, Bruna Henrique; Magna, Luis Alberto; Mossey, Peter Anthony; Gil-da Silva-Lopes, Vera

    2013-01-01

    Background. High-quality clinical and genetic descriptions are crucial to improve knowledge of orofacial clefts and support specific healthcare polices. The objective of this study is to discuss the potential and perspectives of the Brazilian Database on Orofacial Clefts. Methods. From 2008 to 2010, clinical and familial information on 370 subjects was collected by geneticists in eight different services. Data was centrally processed using an international system for case classification and coding. Results. Cleft lip with cleft palate amounted to 198 (53.5%), cleft palate to 99 (26.8%), and cleft lip to 73 (19.7%) cases. Parental consanguinity was present in 5.7% and familial history of cleft was present in 26.3% subjects. Rate of associated major plus minor defects was 48% and syndromic cases amounted to 25% of the samples. Conclusions. Overall results corroborate the literature. Adopted tools are user friendly and could be incorporated into routine patient care. The BDOC exemplifies a network for clinical and genetic research. The data may be useful to develop and improve personalized treatment, family planning, and healthcare policies. This experience should be of interest for geneticists, laboratory-based researchers, and clinicians entrusted with OC worldwide. PMID:23577250

  13. Inequitable walking conditions among older people: examining the interrelationship of neighbourhood socio-economic status and urban form using a comparative case study

    PubMed Central

    2010-01-01

    Background Supportive neighbourhood walking conditions are particularly important for older people as they age and who, as a group, prefer walking as a form of physical activity. Urban form and socio-economic status (SES) can influence neighbourhood walking behaviour. The objectives of this study were: a) to examine how urban form and neighbourhood SES inter-relate to affect the experiences of older people who walk in their neighbourhoods; b) to examine differences among neighbourhood stakeholder key informant perspectives on socio-political processes that shape the walkability of neighbourhood environments. Methods An embedded comparative case study examined differences among four Ottawa neighbourhoods that were purposefully selected to provide contrasts on urban form (inner-urban versus suburban) and SES (higher versus lower). Qualitative data collected from 75 older walkers and 19 neighbourhood key informants, as well as quantitative indicators were compared on the two axes of urban form and SES among the four neighbourhoods. Results and discussion Examining the inter-relationship of neighbourhood SES and urban form characteristics on older people's walking experiences indicated that urban form differences were accentuated positively in higher SES neighbourhoods and negatively in lower SES neighbourhoods. Older people in lower SES neighbourhoods were more affected by traffic hazards and more reliant on public transit compared to their higher SES counterparts. In higher SES neighbourhoods the disadvantages of traffic in the inner-urban neighbourhood and lack of commercial destinations in the suburban neighbourhood were partially offset by other factors including neighbourhood aesthetics. Key informant descriptions of the socio-political process highlighted how lower SES neighbourhoods may face greater challenges in creating walkable places. These differences pertained to the size of neighbourhood associations, relationships with political representatives

  14. Examining exclusionary conduct of HMOs and PPOs: a case comment on Northwest Medical Laboratories v. Blue Cross and Blue Shield of Oregon.

    PubMed

    Levitt, D M

    1991-01-01

    As the climate of the health care industry has changed to one of cost-containment and competition through the growth of HMOs and PPOs, health care providers have become the subjects of antitrust litigation. One such case, Northwest Medical Laboratories v. Blue Cross and Blue Shield of Oregon, involved a medical laboratory and a radiology center who claimed that they were victims of an illegal group boycott after defendant's pre-paid health plan denied them preferred provider status. The Oregon Court of Appeals, using the traditional antitrust analysis applied to other industries for decades, failed to consider the intricacies that exist within the health care industry. This result led to an inaccurate market share computation and an inadequate rule of reason analysis. This Comment examines the shortcomings of the Northwest Medical opinion and argues that, in applying the antitrust laws to the health care industry, courts in future cases must recognize and respect the unique features of the business of providing health care. PMID:1785621

  15. PERSPECTIVE: Learning from the Brazilian biofuel experience

    NASA Astrophysics Data System (ADS)

    Wang, Michael

    2006-11-01

    In the article `The ethanol program in Brazil' [1] José Goldemberg summarizes the key features of Brazil's sugarcane ethanol program—the most successful biofuel program in the world so far. In fact, as of 2005, Brazil was the world's largest producer of fuel ethanol. In addition to providing 40% of its gasoline market with ethanol, Brazil exports a significant amount of ethanol to Europe, Japan, and the United States. The success of the program is attributed to a variety of factors, including supportive governmental policies and favorable natural conditions (such as a tropical climate with abundant rainfall and high temperatures). As the article points out, in the early stages of the Brazilian ethanol program, the Brazilian government provided loans to sugarcane growers and ethanol producers (in most cases, they are the same people) to encourage sugarcane and ethanol production. Thereafter, ethanol prices were regulated to ensure that producers can economically sustain production and consumers can benefit from using ethanol. Over time, Brazil was able to achieve a price for ethanol that is lower than that for gasoline, on the basis of energy content. This lower cost is largely driving the widespread use of ethanol instead of gasoline by consumers in Brazil. In the United States, if owners of E85 flexible-fuel vehicles (FFVs) are expected to use E85 instead of gasoline in their FFVs, E85 will have to be priced competitively against gasoline on an energy-content basis. Compared with corn-based or sugar beet-based ethanol, Brazil's sugarcane-based ethanol yields considerably more favorable results in terms of energy balance and reductions in greenhouse gas emissions. These results are primarily due to (i) the dramatic increase of sugarcane yield in Brazil in the past 25 years and (ii) the use of bagasse instead of fossil fuels in ethanol plants to provide the heat needed for ethanol plant operations and to generate electricity for export to electric grids

  16. A case of galactosialidosis with novel mutations of the protective protein/cathepsin a gene: diagnosis prompted by trophoblast vacuolization on placental examination.

    PubMed

    Kostadinov, Stefan; Shah, Birju A; Alroy, Joseph; Phornphutkul, Chanika

    2014-01-01

    Galactosialidosis (GS) is a rare autosomal recessive lysosomal storage disease caused by a combined deficiency of lysosomal β-galactosidase and neuraminidase as a result of a genetic defect in the protective protein/cathepsin A gene. We report a case of unsuspected fetal galactosialidosis presenting as severe intrauterine growth restriction and oligohydramnios prenatally and as hyperinsulinemic hypoglycemia in the immediate postnatal period. Placental pathology examination showed striking vacuolations of the villous syncytiotrophoblast, extravillous trophoblast, and villous Hofbauer cells. Electron microscopy revealed numerous membrane-bound electron-lucent lysosomes, mainly within the syncytiotrophoblast. The characteristic histologic and ultrastructural placental findings prompted biochemical and molecular genetic testing for fetal storage disease. Enzyme activity of β-galactosidase was decreased in leukocytes and fibroblasts. Sialic acid content was elevated. Molecular genetic studies revealed 3 variants--c.108, 110delGCT(L37del), c.1045T>A (C349S), and c.1321C>T(R441C)--of the cathepsin A gene, the latter 2 of which have not been previously reported. These findings are consistent with galactosialidosis. We emphasize the importance of following the accepted practice guideline for the examination of the placenta in discovering unsuspected fetal metabolic disorders. PMID:25075748

  17. Transcatheter arterial chemoembolization as an examination method for hepatocellular carcinoma undetected by B-mode ultrasound, computed tomography and digital subtratcion angiography: A case report

    PubMed Central

    XU, ZONGQUAN; YU, CHEN; WANG, SHUFANG; XU, GUOHUI

    2015-01-01

    Transcatheter arterial chemoembolization (TACE) is the conventional treatment for patients with unresectable hepatocellular carcinoma (HCC), but few studies to date have demonstrated the use of TACE as an examination method for uneasily detected HCC. The present study describes an unusual case of HCC with TACE as an examination method. A 41-year-old male presented with an elevated α-fetoprotein level (AFP) of 3,635 ng/ml, however, no tumor lesions were detected by B-mode ultrasound, computed tomography (CT) or digital subtraction angiography. During TACE treatment, two tumor lesions of ~0.5 and 0.8 cm were revealed in the right liver lobe, with no tumors in the left liver lobe. A month after TACE, a liver CT scan found 11 lesions (8 in the right liver lobe and 3 in the left liver lobe). The HCC patient's AFP levels decreased to an almost normal level following the TACE treatment. This study provokes consideration of the application of TACE in the diagnosis and treatment of HCC patients with liver lesions that are hard to detect by conventional means. PMID:26622746

  18. Ear examination

    MedlinePlus

    King EF, Couch ME. History, physical examination, and the preoperative evaluation. In: Flint PW, Haughey BH, Lund LJ, et al, eds. Cummings Otolaryngology: Head & Neck Surgery . 6th ed. Philadelphia, ...

  19. [Examination procedures].

    PubMed

    Vassault, A; Arnaud, J; Szymanovicz, A

    2010-12-01

    Examination procedures have to be written for each examination according to the standard requirements. Using CE marked devices, technical inserts can be used, but because of their lack of homogeneity, it could be easier to document their use as a standard procedure. Document control policy applies for those procedures, the content of which could be as provided in this document. Electronic manuals can be used as well. PMID:21613016

  20. Working conditions of Brazilian immigrants in Massachusetts.

    PubMed

    Eduardo Siqueira, C; Jansen, Tiago

    2012-06-01

    Brazilian immigration to Massachusetts and other states in the US grew significantly in the last two decades. There is a lack of data about the working conditions and health and safety hazards faced by Brazilian immigrant workers. We surveyed over 500 workers in Eastern Massachusetts through a community-based participatory research project to explore occupational and immigration factors that may represent a risk to the health of Brazilian immigrant workers, who mostly work in the construction, housecleaning, and food services segments of the state labor force. Our pilot study suggests that Brazilian immigrant workers are exposed to chemical, ergonomic, physical, and psychosocial job hazards and have experienced a variety of health symptoms that may be associated with these work environment exposures. Since most Brazilian workers have not received proper training to recognize the hazards, there is an urgent need for the implementation of culturally adequate training programs and enforcement of safety and health regulations to prevent occupational injuries and fatalities. PMID:21643725

  1. The first Brazilian Dinosaur Symposium

    NASA Astrophysics Data System (ADS)

    dos Anjos Candeiro, Carlos Roberto; da Silva Marinho, Thiago

    2015-08-01

    The 1st Brazilian Dinosaur Symposium gathered paleontologists, geologists, and paleoartists in the city of Ituiutaba, Minas Gerais State, Brazil, from April 21st to 24th, 2013. The Dinosaur Symposium in the Pontal Campus of the Universidade Federal de Uberlândia, Minas Gerais State, Brazil provided an opportunity to share many new results of dinosaur research being conducted around the world. The symposium coincided with a new dawn of scientific advances in dinosaur paleontology further expanding its importance, interest and credibility worldwide.

  2. Federative coordination and decentralization: Brazilian experience in health.

    PubMed

    Viana, Ana Luiza d'Avila; Machado, Cristiani Vieira

    2009-01-01

    This article deals with intergovernmental relations in health within the 20 years of implantation of the Unified Health System (SUS), in the light of the historical course of Brazilian federalism and its implications to health. Initially, a theoretical-conceptual review was carried out on the topic of federalism, social welfare and federative coordination of health, considering the international debate and the historical analysis of the Brazilian case. Following, the article analyzes the federal performance in the intergovernmental coordination of national health policy during the period of implantation of SUS, based on a research about the role of the Brazilian Ministry of Health from 1990 to 2002, which involved documental analysis and interviews with federal officers and other players in national politics. It was observed that health policies registered, in the past 20 years, changes in five relevant aspects that characterize federalism: institutional arrangements and rules for decisions in the federal government; the set of players with territorial basis; legal arrangements to define responsibilities among government levels; intergovernmental tax arrangements; informal arrangements among governments - vertically and horizontally. PMID:19547780

  3. The phylogeography of Brazilian Y-chromosome lineages.

    PubMed

    Carvalho-Silva, D R; Santos, F R; Rocha, J; Pena, S D

    2001-01-01

    We examined DNA polymorphisms in the nonrecombining portion of the Y-chromosome to investigate the contribution of distinct patrilineages to the present-day white Brazilian population. Twelve unique-event polymorphisms were typed in 200 unrelated males from four geographical regions of Brazil and in 93 Portuguese males. In our Brazilian sample, the vast majority of Y-chromosomes proved to be of European origin. Indeed, there were no significant differences when the haplogroup frequencies in Brazil and Portugal were compared by means of an exact test of population differentiation. Y-chromosome typing was quite sensitive in the detection of regional immigration events. Distinct footprints of Italian immigration to southern Brazil, migration of Moroccan Jews to the Amazon region, and possible relics of the 17th-century Dutch invasion of northeast Brazil could be seen in the data. In sharp contrast with our mtDNA data in white Brazilians, which showed that > or =60% of the matrilineages were Amerindian or African, only 2.5% of the Y-chromosome lineages were from sub-Saharan Africa, and none were Amerindian. Together, these results configure a picture of strong directional mating between European males and Amerindian and African females, which agrees with the known history of the peopling of Brazil since 1500. PMID:11090340

  4. Stress and quality of life of senior Brazilian police officers.

    PubMed

    Lipp, Marilda E Novaes

    2009-11-01

    This study examines levels of occupational stress, quality of life, work-related stressors, and coping strategies among senior police officers in Brazil. A quantitative questionnaire survey conducted among 418 senior members of the São Paulo Police Force reveals that high-ranking Brazilian police officers perceive their profession as being very stressful. A large proportion (43%) of police officers are found to have significant stress symptoms. A greater proportion of females (54%) than males (40%) are found to have stress. The most frequently reported stressor is interaction with other departments within the police force. Quality of life is found to be deficient in the 'professional' and 'health' areas. This study is the first to show a clear association between high levels of emotional stress and poor quality of life in Brazilian police officers. The large number of stress symptoms and poor quality of life identified in the present study indicates that there is a need for preventive actions inside the Brazilian police force to motivate lifestyle changes, improve stress-management skills, and promote a better quality of life among high-ranking police officers. PMID:19899660

  5. The Phylogeography of Brazilian Y-Chromosome Lineages

    PubMed Central

    Carvalho-Silva, Denise R.; Santos, Fabrício R.; Rocha, Jorge; Pena, Sérgio D. J.

    2001-01-01

    We examined DNA polymorphisms in the nonrecombining portion of the Y-chromosome to investigate the contribution of distinct patrilineages to the present-day white Brazilian population. Twelve unique-event polymorphisms were typed in 200 unrelated males from four geographical regions of Brazil and in 93 Portuguese males. In our Brazilian sample, the vast majority of Y-chromosomes proved to be of European origin. Indeed, there were no significant differences when the haplogroup frequencies in Brazil and Portugal were compared by means of an exact test of population differentiation. Y-chromosome typing was quite sensitive in the detection of regional immigration events. Distinct footprints of Italian immigration to southern Brazil, migration of Moroccan Jews to the Amazon region, and possible relics of the 17th-century Dutch invasion of northeast Brazil could be seen in the data. In sharp contrast with our mtDNA data in white Brazilians, which showed that ⩾60% of the matrilineages were Amerindian or African, only 2.5% of the Y-chromosome lineages were from sub-Saharan Africa, and none were Amerindian. Together, these results configure a picture of strong directional mating between European males and Amerindian and African females, which agrees with the known history of the peopling of Brazil since 1500. PMID:11090340

  6. Reduced Investment in Science: An Examination of the Current Federal Budget and a Case Study on Its Impact on the Scientific Community

    NASA Astrophysics Data System (ADS)

    Uhlenbrock, K.; Landau, E. A.; Hankin, E. R.

    2013-12-01

    Federally funded scientific research is one of the building blocks of technological advancement and economic growth. This research can also lead to transformational ideas and discoveries. In our current fiscal environment, strategies to rein in federal spending have become a priority, although they have proven to be complex. The possible deals and negotiations to reduce federal spending may hinder the work of the scientific community to serve society. Since 2005 federal investment in research and development has slowed. The average annual growth in federal funding for scientific research from 2004 - 2009 was 0.9% as compared to 3.3% over the previous 20 years. What does the current budget situation mean for science? It means reductions in basic and applied research, interruptions in long-term monitoring and data collection, an inability to repair or build infrastructure, and less federal grant support for current and future scientists. I will first provide an update on the current federal budget situation and examples of how current policies are impacting the scientific community. Second, I will present a case study of the effect of reduced federal investment in science. Specifically, I will discuss how investments in research and development have far-reaching impacts on society and examine how reduced funding impairs valuable research efforts.

  7. Genetic diversity among brazilian isolates of beauveria bassiana: comparisons with non-brazilian isolates and other beauveria species

    USGS Publications Warehouse

    Fernandes, E.K.K.; Moraes, A.M.L.; Pacheco, R.S.; Rangel, D.E.N.; Miller, M.P.; Bittencourt, V.R.E.P.; Roberts, D.W.

    2009-01-01

    Aims: The genetic diversity of Beauveria bassiana was investigated by comparing isolates of this species to each other (49 from different geographical regions of Brazil and 4 from USA) and to other Beauveria spp. Methods and Results: The isolates were examined by multilocus enzyme electrophoresis (MLEE), amplified fragment length polymorphism (AFLP), and rDNA sequencing. MLEE and AFLP revealed considerable genetic variability among B. bassiana isolates. Several isolates from South and Southeast Brazil had high similarity coefficients, providing evidence of at least one population with clonal structure. There were clear genomic differences between most Brazilian and USA B. bassiana isolates. A Mantel test using data generated by AFLP provided evidence that greater geographical distances were associated with higher genetic distances. AFLP and rDNA sequencing demonstrated notable genotypic variation between B. bassiana and other Beauveria spp. Conclusion: Geographical distance between populations apparently is an important factor influencing genotypic variability among B. bassiana populations in Brazil. Significance and Impact of the Study: This study characterized many B. bassiana isolates. The results indicate that certain Brazilian isolates are considerably different from others and possibly should be regarded as separate species from B. bassiana sensu latu. The information on genetic variation among the Brazilian isolates, therefore, will be important to comprehending the population structure of B. bassiana in Brazil. ?? 2009 The Society for Applied Microbiology.

  8. [Analysis of the implementation of the Tuberculosis Control Program in Brazilian prisons].

    PubMed

    Oliveira, Luisa Gonçalves Dutra de; Natal, Sonia; Camacho, Luiz Antonio Bastos

    2015-03-01

    Tuberculosis control measures in Brazil's prison population have been regulated for ten years under the National Prison Health System Plan. Brazilian states have different organizational models for the Tuberculosis Control Program (TCP) in their prison systems. This study evaluated TCP implementation in prisons in two Brazilian states, using a multiple case study design with a qualitative approach and a log-frame analysis and assessment. According to predefined criteria, two state cases were selected, with two analytical units for each case and one prison hospital in Case 2. We identified partial program implementation in the Case 1 prisons and prison hospital and low implementation in non-hospital prison health services in Case 2. Lack of financial investment and resources, lack of integration between the courts and law enforcement system and health institutions, and poor access to health services in prisons were adverse factors for program implementation. PMID:25859721

  9. Scientometrics: Nature Index and Brazilian science.

    PubMed

    Silva, Valter

    2016-09-01

    A recent published newspaper article commented on the (lack of) quality of Brazilian science and its (in) efficiency. The newspaper article was based on a special issue of Nature and on a new resource for scientometrics called Nature Index. I show here arguments and sources of bias that, under the light of the principle in dubio pro reo, it is questionable to dispute the quality and efficiency of the Brazilian science on these grounds, as it was commented on the referred article. A brief overview of Brazilian science is provided for readers to make their own judgment. PMID:27627071

  10. Perception of Learners on Electronic Examination in Open and Distance Learning Institutions: A Case Study of National Open University of Nigeria

    ERIC Educational Resources Information Center

    Adewale, Olubiyi Adeniyi; Ajadi, Timothy Olugbenga; Inegbedion, Juliet O.

    2011-01-01

    In mid-2009, the NOUN (National Open University of Nigeria) reached the decision to shift from conventional (that is, pen-and-paper) examination to electronic examination in the conduct of the end of semester examinations. One of the major factors prompting this decision is the inability of the university to release the results of past…

  11. Organizational Learning and Power Dynamics: A Study in a Brazilian University

    ERIC Educational Resources Information Center

    Santos, Jane Lucia Silva; Steil, Andrea Valéria

    2015-01-01

    Purpose: This paper aims to describe and analyze organizational learning processes and power dynamics during the adoption and use of an information system (IS) at a Brazilian public organization. Design/methodology/approach: A case study was chosen as the research method. Data were gathered from documents and interviews with key informants.…

  12. Learning experience in endodontics: Brazilian students' perceptions.

    PubMed

    Seijo, Marilia O S; Ferreira, Efigênia F; Ribeiro Sobrinho, Antônio P; Paiva, Saul M; Martins, Renata C

    2013-05-01

    Including students' perceptions in the educational process is considered a key component in monitoring the quality of academic programs. This study aimed to evaluate the concept of one's learning experience in endodontic teaching from the perspective of a group of Brazilian students. A total of 126 self-administered, structured questionnaires were distributed to undergraduate dental students enrolled in endodontics courses during the second semester of the 2009 academic year. The questionnaires were administered during final examinations and focused on students' opinions concerning learning during endodontic treatments, time spent during endodontic treatments, difficulties found during endodontic treatments, quality of endodontic treatments performed, characteristics of the technique employed, and suggestions to improve endodontic teaching. Ninety-one percent of the questionnaires were returned for evaluation. The obtained answers were discussed and analyzed, thereby generating quantitative and qualitative data showing students' perceptions of their experiences in endodontics courses. The main points that can affect the teaching of endodontics, according to the undergraduate students, included patients' absences and delays, selection of patients, preclinical and clinical training, difficulties found, type of technique employed, and teachers' orientation during endodontic treatment. The students' perceptions provided valuable information about the development of the course and the teacher-student relationship, together with the added intention of enhancing the teaching of endodontics as well as other courses. PMID:23658412

  13. Strategy, Structure and Style in Brazilian Universities. ASHE Annual Meeting Paper.

    ERIC Educational Resources Information Center

    Hardy, Cynthia; Zammuto, Ray

    Configuration, strategy, and leadership style in five Brazilian universities are examined. Though research tends to focus on the university as a professional bureaucracy, it is demonstrated that other configurations are also applicable. The link between configuration and strategy making is traced, with insights into how strategies are formed in…

  14. Overt vs. Null Direct Objects in Spoken Brazilian Portuguese: A Semantic/Pragmatic Account.

    ERIC Educational Resources Information Center

    Schwenter, Scott A.; Silva, Glaucia

    2002-01-01

    Examines the semantic/pragmatic constraints on null objects spoken in Brazilian Portuguese (BP) in detail, and situates BP null objects in the broader crosslinguistic perspective of differential object marking. Demonstrates that semantic/pragmatic dimensions of animacy and specificity, and in particular their interaction, must be taken into…

  15. Not Just Racial Quotas: Affirmative Action in Brazilian Higher Education 10 Years Later

    ERIC Educational Resources Information Center

    Schwartzman, Luisa Farah; Paiva, Angela Randolpho

    2016-01-01

    This paper examines how affirmative action in Brazilian public universities has evolved from the start of the new millennium up to recent years. After an overview of the existing policies in public universities, we explain these patterns based on an analysis of the processes internal and external to the universities. Although these policies were…

  16. The effect of Brazilian Propolis on leg health in broilers reared under heat stress

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Exposing broiler chickens to heat stress increases leg abnormalities and Gait Score, also it reduced the time of Latency to Lie Test. This experiment was conducted to examine the effect of dietary supplemention with green Brazilian propolis on Latency to Lie Test for leg strength and leg abnormaliti...

  17. From Mistress to Servant: Downward Mobility among Brazilian Immigrants in New York City.

    ERIC Educational Resources Information Center

    Margolis, Maxine L.

    1990-01-01

    Examines the lives of New York's new Brazilian immigrants, typically undocumented, White middle class refugees from hyperinflation, who find temporary work as maids, gogo dancers, busboys, and waiters. Finds that most are disheartened by their change in status; predicts that many will decide that their future lies in this country. (DM)

  18. Using Item Response Theory Methods with the Brazilian Temperament Scale for Students

    ERIC Educational Resources Information Center

    Primi, Ricardo; Wechsler, Solange Muglia; de Cassia Nakano, Tatiana; Oakland, Thomas; Guzzo, Raquel Souza Lobo

    2014-01-01

    The development and validation of the Brazilian Temperament Scale for Students (BTSS) are examined through the use of data from 1,258 children and adolescents, ages 10 through 21 (M = 15.0, SD = 2.1, 56% females). Three psychometric properties of BTSS are reported: its internal structure (e.g., validity), its reliability, and cut points to best…

  19. Buttercups and Daisies: Building a Community of Practice amongst Teachers in a Brazilian University

    ERIC Educational Resources Information Center

    do Nascimento Botelho, Marcel; Kowalski, Robert; Bartlett, Steve

    2010-01-01

    This article examines the promotion and adoption of action research as an instrument of institutional change by academic staff in a Brazilian rural university. The results of the research are presented showing the mobilisation of a group of volunteers, the implementation of their action research projects and the sustainability of the process.…

  20. Learning about the Letter Name Subset of the Vocabulary: Evidence from US and Brazilian Preschoolers

    ERIC Educational Resources Information Center

    Treiman, Rebecca; Kessler, Brett; Pollo, Tatiana Cury

    2006-01-01

    To examine the factors that affect the learning of letter names, an important foundation for literacy, we asked 318 US and 369 Brazilian preschoolers to identify each uppercase letter. Similarity of letter shape was the major determinant of confusion errors in both countries, and children were especially likely to interchange letters that were…

  1. The Brazilian Synchrotron Light Source

    SciTech Connect

    Brum, J. A.; Tavares, P. F.

    2007-01-19

    The Brazilian Synchrotron Light Laboratory has been operating the only light source in the southern hemisphere since July 1997. During this period, approximately 28000 hours of beam time were delivered reaching more than 1000 users per year from all over Brazil as well as from 10 other countries. In this paper, we briefly recall the history of the project and describe the present configuration of the machine and associated instrumentation, focusing on improvements and upgrades of the various light source subsystems and beamlines implemented in recent years. Finally, we report on the use of the facility by the national and international scientific communities, its impact on the scientific and technological scene in Brazil and present perspectives for future improvements of the machine.

  2. ERICA: prevalence of asthma in Brazilian adolescents

    PubMed Central

    Kuschnir, Fábio Chigres; Gurgel, Ricardo Queiroz; Solé, Dirceu; Costa, Eduardo; Felix, Mara Morelo Rocha; de Oliveira, Cecília Lacroix; de Vasconcellos, Maurício Teixeira Leite; Kuschnir, Maria Cristina Caetano

    2016-01-01

    ABSTRACT OBJECTIVE To describe the prevalence of asthma and physician-diagnosed asthma in Brazilian adolescents. METHODS Cross-sectional, national, school-based study with adolescents from 12 to 17 years old, participants in the Study of Cardiovascular Risks in Adolescents (ERICA). The study stratified the sample by region and grouped according to schools and classes with representativeness to the set of cities with more than 100,000 inhabitants of the Country, macro-regions, capitals, and Federal District. A questionnaire collected data through a self-filled in method. We calculated the prevalences and their confidence intervals of 95% (95%CI) according to sex, age group, type of school and skin color. RESULTS Between 2013 and 2014, 74,589 adolescents were evaluated, 55.3% of the female sex. The total prevalence of active asthma was of 13.1% (95%CI 12.1-13.9), being higher in girls (14.8%; 95%CI 13.7-16.0) when compared to boys (11.2%; 95%CI 10.3-12.2) in all geographical strata examined. It was also higher between students of private schools (15.9%; 95%CI 14.2-17.7) when compared to public ones (12.4%; 95%CI 11.4-13.4). It was higher in the Southeast region (14.5%; 95%CI 12.9-16.1), and in the city of Sao Paulo (16.7%; 95%CI 14.7-18.7). The lowest prevalence was observed in North region (9.7%; 95%CI 9.7-10.5), and in Teresina (6.3%; 95%CI 4.9-7.7). The prevalence of physician-diagnosed asthma was of 8.7% (95%CI 8.2-9.1); higher in the North region (13.5%; 95%CI 12.7-14.2), and in Porto Alegre (19.8%; 95%CI 17.5-22.3). It was lower in the Midwest (6.9%; 95%CI 6.0-7.8), and in Cuiaba (4.8%; 95%CI 3.8-5.9). We found no significant difference in the expression of this rate between the sexes, as well as in other variables evaluated by the study. CONCLUSIONS The prevalence of asthma in Brazilian adolescents is high. Rates of active asthma and physician-diagnosed asthma vary widely in different regions and capitals evaluated by the ERICA. These results may assist in the

  3. ERICA: prevalence of asthma in Brazilian adolescents.

    PubMed

    Kuschnir, Fábio Chigres; Gurgel, Ricardo Queiroz; Solé, Dirceu; Costa, Eduardo; Felix, Mara Morelo Rocha; Oliveira, Cecília Lacroix de; Vasconcellos, Maurício Teixeira Leite de; Kuschnir, Maria Cristina Caetano

    2016-02-01

    OBJECTIVE To describe the prevalence of asthma and physician-diagnosed asthma in Brazilian adolescents. METHODS Cross-sectional, national, school-based study with adolescents from 12 to 17 years old, participants in the Study of Cardiovascular Risks in Adolescents (ERICA). The study stratified the sample by region and grouped according to schools and classes with representativeness to the set of cities with more than 100,000 inhabitants of the Country, macro-regions, capitals, and Federal District. A questionnaire collected data through a self-filled in method. We calculated the prevalences and their confidence intervals of 95% (95%CI) according to sex, age group, type of school and skin color. RESULTS Between 2013 and 2014, 74,589 adolescents were evaluated, 55.3% of the female sex. The total prevalence of active asthma was of 13.1% (95%CI 12.1-13.9), being higher in girls (14.8%; 95%CI 13.7-16.0) when compared to boys (11.2%; 95%CI 10.3-12.2) in all geographical strata examined. It was also higher between students of private schools (15.9%; 95%CI 14.2-17.7) when compared to public ones (12.4%; 95%CI 11.4-13.4). It was higher in the Southeast region (14.5%; 95%CI 12.9-16.1), and in the city of Sao Paulo (16.7%; 95%CI 14.7-18.7). The lowest prevalence was observed in North region (9.7%; 95%CI 9.7-10.5), and in Teresina (6.3%; 95%CI 4.9-7.7). The prevalence of physician-diagnosed asthma was of 8.7% (95%CI 8.2-9.1); higher in the North region (13.5%; 95%CI 12.7-14.2), and in Porto Alegre (19.8%; 95%CI 17.5-22.3). It was lower in the Midwest (6.9%; 95%CI 6.0-7.8), and in Cuiaba (4.8%; 95%CI 3.8-5.9). We found no significant difference in the expression of this rate between the sexes, as well as in other variables evaluated by the study. CONCLUSIONS The prevalence of asthma in Brazilian adolescents is high. Rates of active asthma and physician-diagnosed asthma vary widely in different regions and capitals evaluated by the ERICA. These results may assist in the

  4. ASTER: A Brazilian Mission to an Asteroid.

    NASA Astrophysics Data System (ADS)

    Winter, O. C.; Macau, E. E. N.; de Campos Velho, H.; Carruba, V.

    2012-05-01

    The first Brazilian mission to an asteroid is being planned. The target is the asteroid 2001 SN263, which has a NEA orbit of class AMOR. The mission is scheduled to be launched in 2015, reaching the asteroid in 2019.

  5. Effects of the Deregulation on the Concentration of the Brazilian Air Transportation Industry

    NASA Technical Reports Server (NTRS)

    Guterres, Marcelo Xavier; Muller, Carlos

    2003-01-01

    This paper addresses the effects of the deregulation of the Brazilian air transportation industry in terms of the concentration of the market. We will show some metrics that are commonly used to study the concentration of the industry. This paper uses the Herfindhal- Hirschman Index. This index tends to zero in the competitive scenario, with a large number of small firms, and to one in case of a monopolistic scenario. The paper analyses the dynamics of the concentration of the Brazilian domestic air transportation market, in order to evaluate the effects of deregulation. We conclude that the Brazilian market presents oligopoly characteristics and aspects in its current structure that maintain the market concentrated in spite of the Deregulation measures adopted by the aeronautical authority. Keywords: Herfindhal-Hirschman Index, concentration, Deregulation

  6. [Identification of Psychotropic Drugs Attributed to Fatal Overdose--A Case-control Study by Data from the Tokyo Medical Examiner's Office and Prescriptions].

    PubMed

    Hikiji, Wakako; Okumura, Yasuyuki; Matsumoto, Toshihiko; Tanifuji, Takanobu; Suzuki, Hideto; Takeshima, Tadashi; Fukunaga, Tatsushige

    2016-01-01

    Drug overdose is a serious public health issue and fatal cases have been reported from various fields of medicine. This case-control analysis assessed the comparison between fatal overdose cases in the special wards of Tokyo Metropolitan area and prescribed psychotropic drugs in Tokyo in 2009-2010. It was suggested that the prescribed drugs serve as a direct cause of death in overdose cases. Furthermore, pentobarbital calcium, chlorpromazine-promethazine-phenobarbital, levomepromazine and flunitrazepam were identified as drugs with a high risk of fatal overdose. It is encouraged to prudently verify the intended application and usage of such psychotropic drugs in each case upon their prescription. This is the first study in Japan to identify psychotropic drugs with a high risk of fatal overdose by case-control study. PMID:27192786

  7. Modelling in Action. Examining How Students Approach Modelling Real Life Situations. Three Case Studies. Model of the Movement of an Elevator

    ERIC Educational Resources Information Center

    Rivas, Eugenia Marmolejo

    2015-01-01

    By means of three case studies, we will present two mathematical modelling activities that are suitable for students enrolled in senior high school and the first year of mathematics at university level. The activities have been designed to enrich the learning process and promote the formation of vital modelling skills. In case studies one and two,…

  8. A Case Study of Online Instructional Collaborative Discussion Activities for Problem-Solving Using Situated Scenarios: An Examination of Content and Behavior Cluster Analysis

    ERIC Educational Resources Information Center

    Hou, Huei-Tse

    2011-01-01

    In some higher education courses that focus on case studies, teachers can provide situated scenarios (such as business bottlenecks and medical cases) and problem-solving discussion tasks for students to promote their cognitive skills. There is limited research on the content, performance, and behavioral patterns of teaching using online…

  9. The Securitisation of Refugee Flows and the Schooling of Refugees: Examining the Cases of North Koreans in South Korea and Iraqis in Jordan

    ERIC Educational Resources Information Center

    Collet, Bruce A.; Bang, Hyeyoung

    2016-01-01

    Drawing on data collected in South Korea, Jordan and the USA, this paper examines the degree to which security concerns impact the schooling of North Korean refugees in South Korea and Iraqi refugees in Jordan. Operating from a framework examining the intersection of migration and securitisation, the authors find that accounts of negative images…

  10. Assessing Chemistry-Learning Competencies of Students in Isolated Rural Senior High Schools by Using the National Examination: A Case Study of Simeulue Island, Indonesia

    ERIC Educational Resources Information Center

    Adlim, M-; Soewarno, S.; Ali, Hasbi; Ibrahim, Armia; Umar, Hasmunir; Ismail, Khairil; Gani, Usman A.; Hasan, Ishak; Yasin, Burhanuddin

    2014-01-01

    This study explored learning competency based on the Indonesian National Examination focusing especially on chemistry performance and the circumstances of senior high school students and teachers in rural areas of Simeulue Island, Indonesia. The National Examination total score and chemistry score for students in rural areas were consistently…

  11. Brazilian Cerrado Soil Actinobacteria Ecology

    PubMed Central

    Suela Silva, Monique; Naves Sales, Alenir; Teixeira Magalhães-Guedes, Karina; Ribeiro Dias, Disney; Schwan, Rosane Freitas

    2013-01-01

    A total of 2152 Actinobacteria strains were isolated from native Cerrado (Brazilian Savannah) soils located in Passos, Luminárias, and Arcos municipalities (Minas Gerais State, Brazil). The soils were characterised for chemical and microbiological analysis. The microbial analysis led to the identification of nine genera (Streptomyces, Arthrobacter, Rhodococcus, Amycolatopsis, Microbacterium, Frankia, Leifsonia, Nakamurella, and Kitasatospora) and 92 distinct species in both seasons studied (rainy and dry). The rainy season produced a high microbial population of all the aforementioned genera. The pH values of the soil samples from the Passos, Luminárias, and Arcos regions varied from 4.1 to 5.5. There were no significant differences in the concentrations of phosphorus, magnesium, and organic matter in the soils among the studied areas. Samples from the Arcos area contained large amounts of aluminium in the rainy season and both hydrogen and aluminium in the rainy and dry seasons. The Actinobacteria population seemed to be unaffected by the high levels of aluminium in the soil. Studies are being conducted to produce bioactive compounds from Actinobacteria fermentations on different substrates. The present data suggest that the number and diversity of Actinobacteria spp. in tropical soils represent a vast unexplored resource for the biotechnology of bioactives production. PMID:23555089

  12. Extractive reserves in Brazilian Amazonia

    SciTech Connect

    Fearnside, P.M )

    1989-06-01

    In 1985 an opportunity arose for maintaining tracts of Amazonian forest under sustainable use. Brazil's National Council of Rubber Tappers and the Rural Worker's Union proposed the creation of a set of reserves of a new type, called extractive reserves. The first six are being established in one of the Brazilian states most threatened by deforestatation. The creation of extractive reserves grants legal protection to forest land traditionally used by rubber tappers, Brazil-nut gatherers, and other extractivists. The term extrativismo (extractivism) in Brazil refers to removing nontimber forest products, such as latex, resins, and nuts, without felling the trees. Approximately 30 products are collected for commercial sale. Many more types of forest materials are gathered, for example as food and medicines, for the extractivists' own use. The reserve proposal is attractive for several reasons related to social problems. It allows the rubber tappers to continue their livelihood rather than be expelled by deforestation. However, it is unlikely that sufficient land will be set aside as extractive reserves to employ all the tappers. Displaced rubber tappers already swell the ranks of urban slum dwellers in Brazil's Amazonian cities, and they have become refugees to continue their profession in the forests of neighboring countries, such as Bolivia.

  13. Brazilian Cerrado soil Actinobacteria ecology.

    PubMed

    Suela Silva, Monique; Naves Sales, Alenir; Teixeira Magalhães-Guedes, Karina; Ribeiro Dias, Disney; Schwan, Rosane Freitas

    2013-01-01

    A total of 2152 Actinobacteria strains were isolated from native Cerrado (Brazilian Savannah) soils located in Passos, Luminárias, and Arcos municipalities (Minas Gerais State, Brazil). The soils were characterised for chemical and microbiological analysis. The microbial analysis led to the identification of nine genera (Streptomyces, Arthrobacter, Rhodococcus, Amycolatopsis, Microbacterium, Frankia, Leifsonia, Nakamurella, and Kitasatospora) and 92 distinct species in both seasons studied (rainy and dry). The rainy season produced a high microbial population of all the aforementioned genera. The pH values of the soil samples from the Passos, Luminárias, and Arcos regions varied from 4.1 to 5.5. There were no significant differences in the concentrations of phosphorus, magnesium, and organic matter in the soils among the studied areas. Samples from the Arcos area contained large amounts of aluminium in the rainy season and both hydrogen and aluminium in the rainy and dry seasons. The Actinobacteria population seemed to be unaffected by the high levels of aluminium in the soil. Studies are being conducted to produce bioactive compounds from Actinobacteria fermentations on different substrates. The present data suggest that the number and diversity of Actinobacteria spp. in tropical soils represent a vast unexplored resource for the biotechnology of bioactives production. PMID:23555089

  14. The Brazilian "Indian Emancipation Decree": Emancipation or Genocide?

    ERIC Educational Resources Information Center

    Shand, Hope

    1978-01-01

    Reviewing the proposed Brazilian "Indian Emancipation Decree," a recent development in Brazilian Indian policy, this article asserts there is no evidence that this legislation was either proposed or petitioned by Indian people in their own self-interest. (RTS)

  15. Psychiatric examinations on handcuffed convicts in Brazil: ethical concerns.

    PubMed

    Filho, Elias Abdalla; Garrafa, Volnei

    2002-05-01

    Psychiatric examinations in official institutions of the Brazilian government include examinations of individual convicts--some of whom are highly dangerous--carried out by court decision. These individuals are taken handcuffed under police escort from penitentiaries to the examination site. In most Brazilian states, medical examiners or experts adopt the basic procedure of asking the police officers to remove the handcuffs from the convict for the examination to be carried out. This article analyzes, from the bioethical standpoint, the behavior of 49 forensic psychiatrists in eight Brazilian states in relation to procedures adopted as protection measures against any possible danger posed by their examinees. In the context of a developing country, where sophisticated protection means are not available, the practice of keeping convicts handcuffed during such examinations is compared to other measures and more advisable alternatives are discussed from the ethical standpoint. Considering the dilemma between showing minimum respect for the autonomy of examinees and ensuring the security of examiners, the need to adopt equitable procedures based on the recognition of the different needs of examiners and examinees is addressed. PMID:12872768

  16. American and Brazilian Children With Primary Urolithiasis

    PubMed Central

    Tavares, Marcelo de Sousa; Guimarães, Milena Maria Moreira; Srivastava, Tarak; Alon, Uri Saggie

    2014-01-01

    Objectives. Considering the differences in location, socioeconomic background, and cultural background, the aim of this study was to try to identify possible factors associated with the increased incidence of urolithiasis by comparing American and Brazilian children with stones. Methods. Data of 222 American and 190 Brazilian children with urolithiasis were reviewed including age, gender, body mass index, imaging technique used (ultrasound and computed tomography), and 24-hour urine volume and chemistries. Results. There were no differences between age and gender at diagnosis. Brazilian children were leaner but in no population did obesity rate exceed that of the general population. Ultrasound was most commonly used to diagnose stones, even more so in Brazilians. Decreased urine flow was more common among Americans (P = .004), hypercalciuria among Brazilians (P = .001), and elevated Ca/citrate ratio among Americans (P = .009). There were no differences between the groups in the frequency of hypocitraturia, hyperuricosuria, absorptive hyperoxaluria, and cystinuria. Conclusions. Despite some differences between the populations, the leading causes of urolithiasis among both were “oliguria,” hypercalciuria, and high Ca/citrate ratio. In neither country was obesity the reason for the increase in incidence of urolithiasis, nor was the use of computed tomography. The similarities between the 2 populations call for combining efforts in addressing the leading causes of pediatric urolithiasis.

  17. An Examination of the Shared Challenges That Impede Success in the Lives of Single, Multi-Cultural Mothers Enrolled at a Two-Year Community College: A Case Study

    ERIC Educational Resources Information Center

    Gibson, Cheryl

    2012-01-01

    Single mothers struggle with balancing life challenges and childcare necessities while attending college. Consequently, students who are single mothers experience psychological distress. The purpose of this qualitative case study was to examine the common, life and resiliency factors shared by single mothers who are students. The study was…

  18. A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data.

    PubMed

    Serrano, Carlos; Rocha e Silva, Mauricio

    2010-04-01

    Research in the field of cardiopulmonary disease in Brazil has been very active in recent decades. The combination of PUBMED, SCieLO, open access and online searching has provided a significant increase in the visibility of Brazilian journals. This newly acquired international visibility has in turn resulted in the appearance of more original research reports in the Brazilian scientific press. This review is intended to highlight part of this work for the benefit of the readers of "Clinics." We searched through PUBMED for noteworthy articles published in Brazilian medical journals included in the Journal of Citation Reports of the Institute of Scientific Information to better expose them to our readership. The following journals were examined: "Arquivos Brasileiros de Cardiologia," "Arquivos Brasileiros de Endocrinologia e Metabologia," "Brazilian Journal of Medical and Biological Reviews," "Jornal Brasileiro de Pneumologia," "Jornal de Pediatria," "Revista Brasileira de Cirurgia Cardiovascular," "Revista da Associação Médica Brasileira," Revista da Escola de Enfermagem U.S.P." and "São Paulo Medical Journal." These journals publish original investigations in the field of cardiopulmonary disease. The search produced 71 references, which are briefly examined. PMID:20454503

  19. A review of cardiopulmonary research in Brazilian medical journals: clinical, surgical and epidemiological data

    PubMed Central

    Serrano, Carlos; Rocha e Silva, Mauricio

    2010-01-01

    Research in the field of cardiopulmonary disease in Brazil has been very active in recent decades. The combination of PUBMED, SCieLO, open access and online searching has provided a significant increase in the visibility of Brazilian journals. This newly acquired international visibility has in turn resulted in the appearance of more original research reports in the Brazilian scientific press. This review is intended to highlight part of this work for the benefit of the readers of “Clinics.” We searched through PUBMED for noteworthy articles published in Brazilian medical journals included in the Journal of Citation Reports of the Institute of Scientific Information to better expose them to our readership. The following journals were examined: “Arquivos Brasileiros de Cardiologia,” “Arquivos Brasileiros de Endocrinologia e Metabologia,” “Brazilian Journal of Medical and Biological Reviews,” “Jornal Brasileiro de Pneumologia,” “Jornal de Pediatria,” “Revista Brasileira de Cirurgia Cardiovascular,” “Revista da Associação Médica Brasileira,” Revista da Escola de Enfermagem U.S.P.” and “São Paulo Medical Journal.” These journals publish original investigations in the field of cardiopulmonary disease. The search produced 71 references, which are briefly examined. PMID:20454503

  20. Thermal windows on Brazilian free-tailed bats facilitate thermoregulation during prolonged flight.

    PubMed

    Reichard, Jonathan D; Prajapati, Suresh I; Austad, Steven N; Keller, Charles; Kunz, Thomas H

    2010-09-01

    The Brazilian free-tailed bat (Tadarida brasiliensis) experiences challenging thermal conditions while roosting in hot caves, flying during warm daylight conditions, and foraging at cool high altitudes. Using thermal infrared cameras, we identified hot spots along the flanks of free-ranging Brazilian free-tailed bats, ventral to the extended wings. These hot spots are absent in syntopic cave myotis (Myotis velifer), a species that forages over relatively short distances, and does not engage in long-distance migration. We hypothesized that the hot spots, or "radiators," on Brazilian free-tailed bats may be adaptations for migration, particularly in this long-distance, high-flying species. We examined the vasculature of radiators on Brazilian free-tailed bats with transillumination to characterize the unique arrangements of arteries and veins that are positioned perpendicular to the body in the proximal region of the wing. We hypothesized that these radiators aid in maintaining heat balance by flushing the uninsulated thermal window with warm blood, thereby dissipating heat while bats are flying under warm conditions, but shunting blood away and conserving heat when they are flying in cooler air at high altitudes. We also examined fluid-preserved specimens representing 122 species from 15 of 18 chiropteran families and radiators appeared present only in species in the family Molossidae, including both sedentary and migratory species and subspecies. Thus, the radiator appears to be a unique trait that may facilitate energy balance and water balance during sustained dispersal, foraging, and long-distance migration. PMID:20811514

  1. Trends in water balance components across the Brazilian Cerrado

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The Brazilian Cerrado (Savanna) is considered one of the most important biomes for Brazilian water resources; however, little is known about the components of the water balance in this biome. In this study, we reviewed the available literature on the water balance components in the Brazilian Cerrado...

  2. Factors Affecting Student Engagement: A Case Study Examining Two Cohorts of Students Attending a Post-1992 University in the United Kingdom

    ERIC Educational Resources Information Center

    Groves, Mark; Sellars, Christopher; Smith, Julian; Barber, Alison

    2015-01-01

    Issues relating to student retention and student engagement remain high on the agendas of higher education institutions worldwide. This case study considers the factors that impact on student engagement within a sample of first year undergraduate sports students attending a post 1992 university in the West Midlands region of the United Kingdom.…

  3. A Case Study Examining How Students Make Meaning out of Using Facebook as a Virtual Learning Community at a Midwestern University

    ERIC Educational Resources Information Center

    Hilscher, Jerome

    2013-01-01

    The purpose of this qualitative case study was to explore how peer mentors make meaning out of using Facebook as a virtual learning community. With the prevalence of Facebook usage by college students, and the introduction of Facebook into academic settings by educators, program facilitators, administrators, and recruiters, researchers have begun…

  4. The Historical Scene Investigation (HSI) Project: Examining the Use of Case Based Historical Instruction in the Fifth Grade Social Studies Classroom

    ERIC Educational Resources Information Center

    Swan, Kathleen Owings; Hofer, Mark; Lacascio, David

    2008-01-01

    The Historical Scene Investigation (HSI) project is designed to help teachers integrate historical investigations into their K-12 history instruction. The HSI project materials provide streamlined and aesthetically engaging Web-based historical investigation exercises. Each case exercise engages students in a historical investigation using rich…

  5. A Case Study Examining the Influence of Black Greek Letter Fraternal Presence, Policies, and Practices on African American Male Student Success at a Predominantly White Institution

    ERIC Educational Resources Information Center

    Singleton, Stanley Duane

    2010-01-01

    This qualitative case study was conducted at a mid-sized university in the southeastern United States to determine if a nexus existed among BGLF presence, policies, and practices at a PWI that influences the student success of African American males. This research focused on the analysis of two direct associations--the association between the BGLF…

  6. How Well Does the GRE Work for Your University? An Empirical Institutional Case Study of the Graduate Record Examination across Multiple Disciplines.

    ERIC Educational Resources Information Center

    Rubio, Doris McGartland; Rubin, Robert S.; Brennan, Donald G.

    2003-01-01

    This case study was designed to demonstrate how an institution could use readily available archival data to produce a simple yet informative validity study as a necessary step in understanding the effectiveness of their selection process. Results indicated the GRE does not significantly predict graduate school success across all disciplines…

  7. An Assessment of the Management of KCSE Examination and Its Influence on Irregularities among Students: A Case of Secondary Schools in Mandera County, Kenya

    ERIC Educational Resources Information Center

    Adow, Issak Maalim; Alio, Abdikadir Adan; Thinguri, Ruth

    2015-01-01

    Irregularities in examinations at all levels including internationally, regionally and locally have become a major concern for all the major stakeholders in education including the policy makers, students, teachers, political leaders and the general society. A number of mitigation measures and strategies have been put in place in the past…

  8. Improving clinical examination in acute tibial fractures by enhancing visual cues: the case for always 'cutting back' a tibial back-slab and marking the dorsalis pedis pulse.

    PubMed

    Thomas, Alasdair; Kimber, Cheryl; Bramwell, Donald; Jaarsma, Ruurd

    2016-08-01

    Look, feel, move is a simple and widely taught sequence to be followed when undertaking a clinical examination in orthopaedics (Maher et al., 1994; McRae, 1999; Solomon et al., 2010). The splinting of an acute tibial fracture with a posterior back-slab is also common practice; with the most commonly taught design involving covering the dorsum of the foot with bandaging (Charnley, 1950; Maher et al., 1994; McRae, 1989). We investigated the effect of the visual cues provided by exposing the dorsum of the foot and marking the dorsalis pedis pulse. We used a clinical simulation in which we compared the quality of the recorded clinical examination undertaken by 30 nurses. The nurses were randomly assigned to assess a patient with either a traditional back-slab or one in which the dorsal bandaging had been cut back and the dorsalis pedis pulse marked. We found that the quality of the recorded clinical examination was significantly better in the cut-back group. Previous studies have shown that the cut-back would not alter the effectiveness of the back-slab as a splint (Zagorski et al., 1993). We conclude that all tibial back-slabs should have the bandaging on the dorsum of the foot cut back and the location of the dorsalis pedis pulse marked. This simple adaptation will improve the subsequent clinical examinations undertaken and recorded without reducing the back-slab's effectiveness as a splint. PMID:27236718

  9. Standard Setting in Relation to the Common European Framework of Reference for Languages: The Case of the State Examination of Dutch as a Second Language

    ERIC Educational Resources Information Center

    Bechger, Timo M.; Kuijper, Henk; Maris, Gunter

    2009-01-01

    This article reports on two related studies carried out to link the State examination of Dutch as a second language to the Common European Framework of Reference for languages (CEFR). In the first study, key persons from institutions for higher education were asked to determine the minimally required language level of beginning students. In the…

  10. How They Decide: A Case Study Examining the Decision-Making Process for Keeping or Cutting Music in a K-12 Public School District

    ERIC Educational Resources Information Center

    Major, Marci L.

    2013-01-01

    This study was designed to examine the decision-making process for keeping or cutting the music program in one selected public school district. Lekbery School District, in the Detroit suburb of Lekbery, Michigan, had not made extreme cuts to the music program in over 10 years, nor had it specifically targeted the music program when budgets cuts…

  11. Examination of the Relationship between Internet Attitudes and Internet Addictions of 13-18-Year-Old Students: The Case of Kahramanmaras

    ERIC Educational Resources Information Center

    Ilhan, Aziz; Çelik, H. Coskun; Gemcioglu, Muharrem; Çiftaslan, Malik Ejder

    2016-01-01

    This study aims to determine internet attitudes and internet addiction levels of 13-18-year-old students and examine the relationship between these variables. The "internet attitude scale", developed by Tavsancil and Keser (2002) and the "internet addiction scale", developed by Hahn and Jerusalem and adapted into Turkish by…

  12. A University--School Partnership to Examine the Adoption and Implementation of the Ohio Community Collaboration Model in One Urban School District: A Mixed-Method Case Study

    ERIC Educational Resources Information Center

    Anderson-Butcher, Dawn; Iachini, Aidyn L.; Ball, Annahita; Barke, Susan; Martin, Lloyd D.

    2016-01-01

    School improvement models are expanding to incorporate priorities around positive youth development, safe and supportive school climates, school mental health, and school-family community partnerships. A partnership was formed between researchers and district/school leaders to examine the 3-year adoption and implementation of 1 such exemplary…

  13. Examining Participation in Relation to Students' Development of Health-Related Action Competence in a School Food Setting: LOMA Case Study

    ERIC Educational Resources Information Center

    Ruge, Dorte; Nielsen, Morten Kromann; Mikkelsen, Bent Egberg; Bruun-Jensen, Bjarne

    2016-01-01

    Purpose: The purpose of this paper is to examine how students' participation in an integrated school food program was related to the development of components of food and health-related action competence (F & HRAC). These components were understood to be the knowledge, insight, motivation, ownership and social skills that made students able to…

  14. Colonoscopy and Colorectal Cancer Screening in Adults with Intellectual and Developmental Disabilities: Review of a Series of Cases and Recommendations for Examination

    ERIC Educational Resources Information Center

    Fischer, Leonard S.; Becker, Andrew; Paraguya, Maria; Chukwu, Cecilia

    2012-01-01

    Adults with intellectual and developmental disabilities (IDD) frequently have comorbidities that might interfere with colonoscopy preparation and examination. In this article, the authors review their experience with colonoscopies performed from 2002 through 2010 on adults with IDD at a state institution to evaluate quality and safety of…

  15. How They Decide: A Case Study Examining the Decision Making Process for Keeping or Cutting Music Education in a K-12 Public School District

    ERIC Educational Resources Information Center

    Major, Marci L.

    2010-01-01

    The purpose of this study was to examine and understand the decision making process for keeping or cutting music programs in one selected public school district. Berkley School District, in the Detroit suburb of Berkley, Michigan, has not made extreme cuts to the music program in over ten years, nor have they specifically targeted their music…

  16. Examining the Effectiveness of the In-Service Training Program for the Education of the Academically Gifted Students in Turkey: A Case Study

    ERIC Educational Resources Information Center

    Tortop, Hasan Said

    2014-01-01

    In this study, examining the effectiveness of in-service training for gifted education has been conducted. In the study, 30 Classroom, Science, Mathematics and Preschool teachers working at schools in different cities of Turkey, took part as volunteer participants. Moreover, some criteria were specified for determining the participants. In this…

  17. Using Social Modeling to Inform Community College Student Behavior: A Case Study Examining Embedded Interventions in a Basic Skills Math Class

    ERIC Educational Resources Information Center

    Esposito-Noy, Celia

    2013-01-01

    The purpose of this study was to examine the experiences of students enrolled in a basic skills math class at a California community college and the role of the peer model in informing their college-going behaviors. There is significant interest in increasing the number of students who complete basic skills courses and make progress towards a…

  18. Timing of the Medical Examination

    ERIC Educational Resources Information Center

    Christian, Cindy W.

    2011-01-01

    The medical examination of the sexually abused child may have evidentiary, medical, and therapeutic purposes, and the timing of the examination requires consideration of each of these objectives. In cases of acute sexual assault, emergent examinations may be needed to identify injury, collect forensic evidence, and provide infection and pregnancy…

  19. Climate change in the Brazilian northeast

    NASA Astrophysics Data System (ADS)

    Rodrigues, Regina R.; Haarsma, Reindert J.; Hoelzemann, Judith J.

    2012-10-01

    Climate Change, Impacts and Vulnerabilities in Brazil: Preparing the Brazilian Northeast for the Future; Natal, Brazil, 27 May to 01 June 2012 The variability of the semiarid climate of the Brazilian northeast has enormous environmental and social implications. Because most of the population in this area depends on subsistence agriculture, periods of severe drought in the past have caused extreme poverty and subsequent migration to urban centers. From the ecological point of view, frequent and prolonged droughts can lead to the desertification of large areas. Understanding the causes of rainfall variability, in particular periods of severe drought, is crucial for accurate forecasting, mitigation, and adaptation in this important region of Brazil.

  20. Scrupulous Monitoring of Physician-Assisted Dying: The Case for Mandatory Reporting to Coroners and Medical Examiners of All Physician-Assisted Deaths in Canada.

    PubMed

    Guichon, Juliet; Alakija, Pauline; Doig, Christopher; Mitchell, Jan; Thibeault, Pascal

    2016-02-01

    Although the practice of physician-assisted dying (hereinafter "PAD") will soon be lawful in Canada, opponents of PAD claim that it might result in involuntary deaths. The Supreme Court of Canada in Carter v. Canada (Attorney General) rejected such arguments holding that involuntary deaths are preventable provided that jurisdictions devise stringent limits to the practice of PAD and that these stringent limits are "scrupulously monitored and enforced". This article examines the question of how best to engage in scrupulous monitoring of physician-assisted dying. At present, the province of Quebec has legislated, and three expert groups have proposed the creation of new administrative offices to monitor the practice of PAD (these groups are the Provincial-Territorial Expert Advisory Group on Physician-Assisted Dying, the External Panel on Options for a Legislative Response to Carter v. Canada, and the Canadian Medical Association). This article argues that scrupulous monitoring can be better achieved by requiring explicit mandatory notification of all physician-assisted deaths to coroners and medical examiners, rather than by creating new administrative offices. It is more effective, efficient and prudent to use already existing coroner and medical examiner death reporting and investigative frameworks to report physician-assisted deaths than to create new, untried, parallel and potentially more expensive administrative offices. In Canada, almost all provincial and territorial statutes that govern the official actions of coroners and medical examiners currently require the reporting of non-natural deaths, which include those that will be attributable to PAD. To achieve the scrupulous monitoring of PAD required by the Supreme Court, provincial and territorial governments, in collaboration with the federal government, should. 1. review their coroner and fatality statutes to clarify that physician-assisted deaths (as non-natural deaths) are mandatorily notifiable; 2

  1. PERSPECTIVE: Learning from the Brazilian biofuel experience

    NASA Astrophysics Data System (ADS)

    Wang, Michael

    2006-11-01

    In the article `The ethanol program in Brazil' [1] José Goldemberg summarizes the key features of Brazil's sugarcane ethanol program—the most successful biofuel program in the world so far. In fact, as of 2005, Brazil was the world's largest producer of fuel ethanol. In addition to providing 40% of its gasoline market with ethanol, Brazil exports a significant amount of ethanol to Europe, Japan, and the United States. The success of the program is attributed to a variety of factors, including supportive governmental policies and favorable natural conditions (such as a tropical climate with abundant rainfall and high temperatures). As the article points out, in the early stages of the Brazilian ethanol program, the Brazilian government provided loans to sugarcane growers and ethanol producers (in most cases, they are the same people) to encourage sugarcane and ethanol production. Thereafter, ethanol prices were regulated to ensure that producers can economically sustain production and consumers can benefit from using ethanol. Over time, Brazil was able to achieve a price for ethanol that is lower than that for gasoline, on the basis of energy content. This lower cost is largely driving the widespread use of ethanol instead of gasoline by consumers in Brazil. In the United States, if owners of E85 flexible-fuel vehicles (FFVs) are expected to use E85 instead of gasoline in their FFVs, E85 will have to be priced competitively against gasoline on an energy-content basis. Compared with corn-based or sugar beet-based ethanol, Brazil's sugarcane-based ethanol yields considerably more favorable results in terms of energy balance and reductions in greenhouse gas emissions. These results are primarily due to (i) the dramatic increase of sugarcane yield in Brazil in the past 25 years and (ii) the use of bagasse instead of fossil fuels in ethanol plants to provide the heat needed for ethanol plant operations and to generate electricity for export to electric grids

  2. The Case for Examining and Treating the Combined Effects of Parental Drug Use and Interparental Violence on Children in their Homes

    PubMed Central

    Kelley, Michelle L.; Klostermann, Keith; Doane, Ashley N.; Mignone, Theresa; Lam, Wendy K.K.; Fals-Stewart, William; Padilla, Miguel A.

    2009-01-01

    This review examines what have been, to this point, generally two divergent lines of research: (a) effects of parental drug abuse on children, and (b) effects of children’s exposure to interparental violence. A small, but growing body of literature has documented the robust relationship between drug use and intimate partner violence. Despite awareness of the interrelationship, little attention has been paid to the combined effect of these deleterious parent behaviors on children in these homes. Thus, we argue for the need to examine the developmental impact of these behaviors (both individually and combined) on children in these homes and for treatment development to reflect how each of these parent behaviors may affect children of substance abusers. PMID:20161505

  3. Examining the prevalence, role and impact of evidence regarding Antisocial Personality, sociopathy and psychopathy in capital cases: a survey of defense team members.

    PubMed

    Edens, John F; Cox, Jennifer

    2012-01-01

    Although anecdotal case accounts suggest that evidence concerning Antisocial Personality Disorder (APD), sociopathy and psychopathy is frequently introduced by the prosecution in capital murder trials, to date there has been no systematic research to determine the actual prevalence, role, or perceived impact of such evidence in these cases. Survey data collected from attendees at a national capital mitigation conference (n=41) indicated that prosecution evidence concerning APD was quite prevalent, with "sociopath" and "psychopath" labels being introduced less frequently. Evidence concerning these disorders, which were assessed primarily via DSM criteria and self-report personality inventories, was most often introduced by the prosecution in the sentencing phase to address a defendant's ostensible risk of future dangerousness and/or to rebut mitigating evidence-although it was also introduced frequently in the guilt/innocence phase of these trials to rebut mental health evidence offered by the defense. Survey respondents believed that evidence concerning APD, sociopathy, and psychopathy had a considerable impact on trial outcomes. Also, although defense objections were common, such evidence was rarely ruled to be inadmissible in these cases. PMID:22374708

  4. Profile of the Brazilian scientific production in multiple sclerosis.

    PubMed

    Araujo, C R; Moreira, M A; Lana-Peixoto, M A

    2006-09-01

    This paper analyzes the profile of the Brazilian output in the field of multiple sclerosis from 1981 to 2004. The search was conducted through the MEDLINE and LILACS databases, selecting papers in which the term "multiple sclerosis" was defined as the main topic and "Brazil" or "Brasil" as others. The data were analyzed regarding the themes, the state in Brazil and institution where the papers were produced, the journals where the papers were published, journal's impact factor, and language. The search disclosed 141 documents (91 from MEDLINE and LILACS, and 50 from LILACS only) published in 44 different journals (23 of them MEDLINE-indexed). A total of 111 documents were produced by 17 public universities, 29 by 3 private medical schools and 1 by a non-governmental organization. There were 65 original contributions, 37 case reports, 20 reviews, 6 PhD dissertations, 5 guidelines, 2 validation studies, 2 clinical trials, 2 chapters in textbooks, 1 Master of Science thesis, and 1 patient education handout. The journal impact factor ranged from 0.0217 to 6.039 (median 3.03). Of 91 papers from MEDLINE, 65 were published by Arquivos de Neuro-Psiquiatria. More than 90% of the papers were written in Portuguese. São Paulo was the most productive state in the country, followed by Rio de Janeiro, Minas Gerais and Paraná. Eighty-two percent of the Brazilian output came from the Southeastern region. PMID:16981042

  5. Thunderstorm Tracking Using Data from the Brazilian Lightning Detection Network

    NASA Astrophysics Data System (ADS)

    Bourscheidt, V.; Pinto, O.; Naccarato, K.

    2011-12-01

    Severe weather has been noticed as an increasing environmental hazard in the last years. In the same way, pronounced improvements have been made in the forecast and tracking of extreme weather by integrating the meteorological information with lightning data. Thunderstorm tracking software/algorithms using integrated meteorological information and lightning data are nowadays a useful tool to the government and civil defense agencies, with several examples of those systems around the world. Thunderstorm tracking systems that use only lightning data are also available for different regions and give reliable results in general. On the other hand, storm tracking based on lightning data depends on the system characteristics (system performance, number of sensors, detection technology etc.). In the Brazilian case, with a hybrid network with different technologies, a careful analysis is necessary to determine the tracking boundary conditions (distinction of thunderstorm cell, cell life cycle, flash rate, prevailing displacement direction etc). Thus, our goal is to evaluate, based on the already available tracking algorithms, these boundary conditions to find the best approach for a Brazilian lightning-based thunderstorm tracking algorithm/system. This tracking system might help (mainly) on the severe weather forecast/warning, reducing the human/economic damages related to it.

  6. Gathering Occupational Health Data from Informal Workers: The Brazilian Experience.

    PubMed

    Santana, Vilma Sousa; Ferrite, Silvia; Galdino, Adriana; Peres Moura, Maria Cláudia; Machado, Jorge Mesquita Huet

    2016-08-01

    This study describes how occupational health data have been gathered by the Brazilian Unified Health System (SUS) to provide morbidity and mortality estimates for formal and informal workers. In 2007, data on work-related diseases and injuries was incorporated into the compulsory notification system (SINAN) and analyzed by the SUS occupational health service network, which covers all Brazilian states. However, this work has not been fully implemented, resulting in the large-scale undercounting and underreporting of cases, particularly in relation to informal workers. This is suggestive of barriers that prevent access to services and good quality health care. The inclusion of work-related diseases and injuries in SINANs appears to be a feasible strategy for the collection of useful data for the surveillance of the entire universe of workers, particularly in countries where informal workers prevail within the labor force. Attention needs to be paid to the disparities in access and quality that affect low-paid, informal workers. PMID:27235998

  7. HLA Haplotypes and Genotypes Frequencies in Brazilian Chronic Periodontitis Patients

    PubMed Central

    Sippert, Emília Ângela; Silva, Cléverson de Oliveira e; Ayo, Christiane Maria; Marques, Silvia Barbosa Dutra; Visentainer, Jeane Eliete Laguila; Sell, Ana Maria

    2015-01-01

    Human leukocyte antigens (HLA) have a pivotal role in immune response and may be involved in antigen recognition of periodontal pathogens. However, the associations of HLA with chronic periodontitis (CP) have not been previously studied in the Brazilian population. In an attempt to clarify the issue of genetic predisposition to CP, we examined the distribution of HLA alleles, genotypes, and haplotypes in patients from Southern Brazil. One hundred and eight CP patients and 151 healthy and unrelated controls with age-, gender-, and ethnicity-matched were HLA investigated by polymerase chain reaction with sequence specific oligonucleotides. To exclude smoking as a predisposing factor, statistical analyses were performed in the total sample and in nonsmoking individuals. The significant results showed a positive association of the A∗02/HLA-B∗40 haplotype with CP (total samples: 4.2% versus 0%, Pc = 0.03; nonsmokers: 4.3% versus 0%, Pc = 0.23) and a lower frequency of HLA-B∗15/HLA-DRB1∗11 haplotype in CP compared to controls (total samples: 0.0% versus 4.3%, Pc = 0.04; nonsmokers: 0 versus 5.1%, Pc = 1.0). In conclusion, the HLA-A∗02/B∗40 haplotype may contribute to the development of CP, while HLA-B∗15/DRB1∗11 haplotype might indicate resistance to disease among Brazilians. PMID:26339134

  8. The neurologic examination.

    PubMed

    Averill, D R

    1981-08-01

    With practice, an orderly routine, and a basic understanding of neuroanatomy, the clinician should be able to tentatively localize lesions in the nervous system. Once the lesion is localized, ancillary studies are usually necessary to identify the disease process. In difficult cases when referral is impractical, an accurate description of the findings from the neurologic examination will greatly improve the value of consultation. PMID:6977917

  9. The functional EGF+61 polymorphism and nonsyndromic oral clefts susceptibility in a Brazilian population.

    PubMed

    Falagan-Lotsch, Priscila; Lopes, Talíria Silva; Küchler, Erika Calvano; Tannure, Patrícia Nivoloni; Costa, Marcelo de Castro; Amorim, Lidia Maria da Fonte de; Granjeiro, José Mauro

    2015-01-01

    Nonsyndromic oral clefts are considered a problem of public health in Brazil, presenting a multifactorial etiology that involves genetic and environmental components, such as maternal alcohol consumption. Several candidate genes have been investigated to identify some association with nonsyndromic clefts risk. The epidermal growth factor (EGF) gene is implicated in the normal craniofacial development and its functional +61 A>G polymorphism has been related to cancer susceptibility. It has been suggested that cancer and oral clefts may share the same molecular pathways.Objective Our goal was to evaluate the association between the EGF+61 A>G polymorphism and nonsyndromic oral clefts susceptibility.Material and Methods The case-control study included 218 cleft cases and 253 controls from Brazil. The control group was comprised of individuals without congenital malformations, dental anomalies and family history of clefts. The cleft phenotypes and subphenotypes were determined based on clinical examination. Genomic DNA was extracted from oral mucosa cells obtained by mouthwash. The EGF+61 A>G polymorphism genotype was determined by polymerase chain reaction-restriction fragment length polymorphism.Results We noticed the association between maternal alcohol consumption during pregnancy and cleft occurrence. The A allele and AA genotype were over-represented in cleft cases compared with control group when we considered the bilateral cleft lip with or without cleft palate (CL±P) cases, cleft cases with tooth agenesis and cleft cases presenting family history of cleft, but the differences were not statistically significant. Contradictorily, the G allele was higher in cleft palate only (CP) cases than in control group, showing a borderline p value. Comparing the different cleft phenotypes, we observed statistical differences between CP and CL±P cases. Our data suggest the EGF+61 A>G polymorphism was not related with nonsyndromic oral clefts susceptibility in a Brazilian

  10. The functional EGF+61 polymorphism and nonsyndromic oral clefts susceptibility in a Brazilian population

    PubMed Central

    FALAGAN-LOTSCH, Priscila; LOPES, Talíria Silva; KÜCHLER, Erika Calvano; TANNURE, Patrícia Nivoloni; COSTA, Marcelo de Castro; de AMORIM, Lidia Maria da Fonte; GRANJEIRO, José Mauro

    2015-01-01

    Nonsyndromic oral clefts are considered a problem of public health in Brazil, presenting a multifactorial etiology that involves genetic and environmental components, such as maternal alcohol consumption. Several candidate genes have been investigated to identify some association with nonsyndromic clefts risk. The epidermal growth factor (EGF) gene is implicated in the normal craniofacial development and its functional +61 A>G polymorphism has been related to cancer susceptibility. It has been suggested that cancer and oral clefts may share the same molecular pathways. Objective Our goal was to evaluate the association between the EGF+61 A>G polymorphism and nonsyndromic oral clefts susceptibility. Material and Methods The case-control study included 218 cleft cases and 253 controls from Brazil. The control group was comprised of individuals without congenital malformations, dental anomalies and family history of clefts. The cleft phenotypes and subphenotypes were determined based on clinical examination. Genomic DNA was extracted from oral mucosa cells obtained by mouthwash. The EGF+61 A>G polymorphism genotype was determined by polymerase chain reaction-restriction fragment length polymorphism. Results We noticed the association between maternal alcohol consumption during pregnancy and cleft occurrence. The A allele and AA genotype were over-represented in cleft cases compared with control group when we considered the bilateral cleft lip with or without cleft palate (CL±P) cases, cleft cases with tooth agenesis and cleft cases presenting family history of cleft, but the differences were not statistically significant. Contradictorily, the G allele was higher in cleft palate only (CP) cases than in control group, showing a borderline p value. Comparing the different cleft phenotypes, we observed statistical differences between CP and CL±P cases. Our data suggest the EGF+61 A>G polymorphism was not related with nonsyndromic oral clefts susceptibility in a

  11. Termination I in Brazilian speleothems

    NASA Astrophysics Data System (ADS)

    Wang, X.; Edwards, R.; Auler, A.; Kong, X.; da Cruz, F.; Cheng, H.; Wang, Y.; Broecker, W. S.

    2009-12-01

    We have extended the high-resolution oxygen isotopic record of cave calcite from Gruta do Padre (PAD), central Brazil, now from 20 through 10 thousand years (ky) ago to characterize the abrupt climate events during Termination I. The chronology was determined by U-Th ages from 2 stalagmites. Tests for equilibrium conditions show that oxygen isotopic variations are primarily caused by climate change. We therefore interpreted the PAD record in terms of meteoric precipitation changes at this low-latitude location. The oxygen isotopic profile shows clear abrupt millennial-scale variations with amplitudes as large as 5 per mil during the last deglacial period. Using independent age scales, we compare the record to contemporaneous records from caves in northeastern and southern Brazil (Botuvera), eastern China (Hulu/Dongge) and high latitude ice cores. During the last deglaciation, PAD d18O positively correlates with the speleothem record from Botuvera, however anti-correlates remarkably with the Hulu/Dongge monsoon records and northern high-latitude ice core records. This is likely related to the displacement of the mean position of the intertropical convergence zone and associated asymmetry of Hadley cells, consistent with an oceanic meridional overturning circulation mechanism for driving the abrupt climate events. With improvement on both the chronology and d18O resolution, we identified finer structures in the PAD abrupt climatic transitions. For instance, the “Heinrich Stadial 1” (HS1) equivalent event in the record is characterized with relatively high d18O in the early interval, but low value after ~16 ky until an abrupt increase of 2 per mill at ~14.6 ky, the interval that coincides with the resumption of stalagmite growth in northeastern Brazil. The “Younger Dryas” equivalent event in PAD has amplitude half of that in HS1. This pattern is consistent with the observations in Chinese and other Brazilian speleothem records, but different from those in the

  12. Examining Implementation of Tobacco Control Policy at the District Level: A Case Study Analysis from a High Burden State in India

    PubMed Central

    Persai, Divya; Panda, Rajmohan; Gupta, Adyya

    2016-01-01

    Introduction. While extensive scientific evidence exists on the tobacco epidemic, a lack of understanding of both policies and their appropriate way of implementation continues to hinder effective tobacco control. This is especially so in the developing countries such as India. The present study aims to understand current implementation practices and the challenges faced in mainstreaming tobacco control policy and program. Methods. We chose a qualitative study design to conduct the case analysis. A total of 42 in-depth interviews were undertaken with seven district officials in six districts of Andhra Pradesh. A conceptual framework was developed by applying grounded theory for analysis. Analysis was undertaken using case analysis approach. Results and Discussion. Our study revealed that most program managers were unfamiliar with the comprehensive tobacco control policy. Respondents have an ambiguous opinion regarding integration of tobacco control program into existing health and development programs. Respondents perceive lack of resources, low prioritization of tobacco control, and lack of monitoring and evaluation of smoke-free laws as limiting factors affecting implementation of tobacco control policy. Conclusion. The findings of this study highlighted the need for a systematic, organized action plan for effective implementation of tobacco control policy and program. PMID:26933512

  13. [Two Cases of Primary Intracranial Solitary Fibrous Tumor:Genetic Examination of NAB2-STAT6 Fusion and Its Association with Hemangiopericytoma].

    PubMed

    Kikuchi, Asami; Fujita, Toshiyuki; Takahashi, Yuichi; Yokosako, Suguru; Yoshimura, Chika; Akagawa, Hiroyuki; Fujibayashi, Mariko; Kubo, Osami; Onda, Hideaki; Kasuya, Hidetoshi

    2015-07-01

    Using whole exome and transcriptome sequencing, NAB2-STAT6 gene fusions have recently been identified in patients with solitary fibrous tumors (SFT). We report two cases of SFT in which NAB2-STAT6 fusions were identified. The patients were a 32-year-old man with a parasagittal tumor involving the superior sagittal sinus, and a 40-year-old man with a cerebellar convexity tumor partially involving the transverse sinus. Their tumors were gross totally resected and diagnosed to be SFT according to the following pathological findings:the tumors were composed of spindle cells with a patternless architecture, with prominent stromal collagen and staghorn vessels. An immunohistochemical study yielded positive results for CD34, CD99, and Bcl-2 and negative results for EMA, GFAP, and S100. The MIB-1 indexes were 13 and 7%, respectively. NAB2-STAT6 fusions were detected in both cases with a common fusion variant, NAB2ex6-STAT6ex16/17. We also identified NAB2-STAT6 fusions in two hemangiopericytomas diagnosed in the past with a common variant of NAB2ex6-STAT6ex16/17. These findings suggest that solitary fibrous tumor and hemangiopericytoma may be diagnosed based on the presence of NAB2-STAT6 fusion, and not classified separately because of the same genetic background. PMID:26136329

  14. Motor Acquisition Rate in Brazilian Infants

    ERIC Educational Resources Information Center

    Lopes, Virlaine Bardella; de Lima, Carolina Daniel; Tudella, Eloisa

    2009-01-01

    This study used the Alberta Infant Motor Scale (AIMS) with the aim of characterizing motor acquisition rate in 70 healthy 0-6-month-old Brazilian infants, as well as comparing both emergence (initial age) and establishment (final age) of each skill between the study sample and the AIMS normative data. New motor skills were continuously acquired…

  15. Bullying in Brazilian Schools and Restorative Practices

    ERIC Educational Resources Information Center

    Grossi, Patricia Krieger; dos Santos, Andreia Mendes

    2012-01-01

    Bullying is a widespread phenomenon that affects many children and adolescents in Brazilian schools. A pilot research study was carried out in four schools (one private and three public) located in Porto Alegre, RS, Brazil. A combination of self-administered questionnaires and focus groups with students as well as interviews with teachers were…

  16. Transcultural Diabetes Nutrition Algorithm: Brazilian Application

    PubMed Central

    Moura, Fabio; Salles, João; Hamdy, Osama; Coutinho, Walmir; Regina Baptista, Deise; Benchimol, Alexander; Marchetti, Albert; Hegazi, Refaat A.; Mechanick, Jeffrey I.

    2015-01-01

    The prevalence of obesity, pre-diabetes, and type 2 diabetes (T2D) is increasing worldwide, especially in the developing nations of South America. Brazil has experienced an exponential increase in the prevalence of these chronic non-communicable diseases. The rising prevalence is probably due to changing eating patterns, sedentary living, and a progressive aging of the population. These trends and their underlying causes carry untoward consequences for all Brazilians and the future of Brazilian public health and the healthcare system. Lifestyle changes that include healthy eating (nutrition therapy) and regular physical activity (structured exercise) represent efficient inexpensive measures to prevent and/or treat the aforementioned disorders and are recommended for all afflicted patients. Regrettably, the implementation of lifestyle changes is fraught with clinical and personal challenges in real life. The transcultural Diabetes Nutrition Algorithm (tDNA) is a therapeutic tool intended to foster implementation of lifestyle recommendations and to improve disease-related outcomes in common clinical settings. It is evidence-based and amenable to cultural adaptation. The Brazilian Diabetes Association, Society of Cardiology and Ministry of Health guidelines for nutrition therapy and physical exercise were considered for the Brazilian adaptation. The resultant tDNA-Brazil and its underlying recommendations are presented and explained. PMID:26340638

  17. XXXIVth Brazilian Workshop on Nuclear Physics

    NASA Astrophysics Data System (ADS)

    This meeting is held each year to bring together the Brazilian Nuclear Physics community. This year's event, in particular, seeks to attract the Latin American community in addition to many other researchers around the world. The main conference topics are fundamental and applied nuclear physics, heavy ion collisions at high energies, nuclear astrophysics and recent research related to reactions with exotic beams.

  18. Translating Ovide Decroly's Ideas to Brazilian Teachers

    ERIC Educational Resources Information Center

    Hai, Alessandra Arce; Simon, Frank; Depaepe, Marc

    2015-01-01

    This article seeks to analyse, comprehend and apprehend the appropriation processes of Ovide Decroly's ideas in Brazil through the translation of his books and that of Amélie Hamaïde into Portuguese. The article discusses the following questions. Why did Brazilian intellectuals and teachers need to import Decroly's ideas to be applied in Brazilian…

  19. A Grammar of Spoken Brazilian Portuguese.

    ERIC Educational Resources Information Center

    Thomas, Earl W.

    This is a first-year text of Portuguese grammar based on the Portuguese of moderately educated Brazilians from the area around Rio de Janeiro. Spoken idiomatic usage is emphasized. An important innovation is found in the presentation of verb tenses; they are presented in the order in which the native speaker learns them. The text is intended to…

  20. Effects of Brazilian Schools on Student Learning

    ERIC Educational Resources Information Center

    Soares, José Francisco; Alves, Maria Teresa Gonzaga; Xavier, Flavia Pereira

    2016-01-01

    The objective of this study is to evaluate the effect of Brazilian elementary schools on the chances of their students achieving at different levels of mathematics proficiency. Since student proficiency is classified at three levels--Insufficient, Basic and Proficient--the chosen model of analysis was the hierarchical multinomial model. The…

  1. The Brazilian investment in science and technology.

    PubMed

    Pinheiro-Machado, R; De Oliveira, P L

    2001-12-01

    An analysis of Brazilian federal expenditures in science and technology is presented is this study. The 1990-1999 data were compiled from records provided by two federal agencies (MCT and CNPq) responsible for managing most of the national budget related to these activities. The results indicate that the federal investments in Brazilian science and technology stagnated during the last decade (US$ 2.32 billion in 1990, US$ 2.39 billion in 1996, and US$ 2.36 billion in 1999). In contrast, a great increase in private investments in research was acknowledged both by industry and by the government during the same period, from US$ 2.12 to US$ 4.64 billion. However, this investment did not result in an increase in invention patents granted to residents (492 in 1990 and only 232 in 1997) or in a reduction of patent costs. Despite this unfavorable scenario, the number of graduate programs in the country has increased two-fold in the last decade and the contribution of Brazilians to the database of the Institute for Scientific Information has increased 4.7-fold from 1990 (2,725 scientific publications) to 2000 (12,686 scientific publications). Unstable federal resources for science, together with the poor returns of private resources in terms of developing new technologies, may jeopardize the future of Brazilian technological development. PMID:11717704

  2. Evaluating Legal Compliance in Brazilian Teacher Education.

    ERIC Educational Resources Information Center

    Bastos, Lilia da Rocha; And Others

    1980-01-01

    By 1976, compliance of 13 Brazilian teacher education institutions in Rio de Janeiro and Sao Paulo with the Educational Reform Law of 1971 was judged as poor. The law demanded radical institutional change and created a teacher profile which was too comprehensive and complex. (CP)

  3. Virus infections in Brazilian honey bees

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Brazilian honey bees are famously resistant to disease, perhaps because of long-term introgression from Apis mellifera subsp. scutellata. Recently, colony losses were observed in the Altinópolis region of southeastern Brazil. We sampled 200 colonies from this region for Israeli acute paralysis vir...

  4. Brazilian cuts put projects in peril

    NASA Astrophysics Data System (ADS)

    José Lopes, Reinaldo

    2015-10-01

    The soap opera surrounding Brazil's participation in the European Southern Observatory (ESO) has taken another twist after the Ministry of Science, Technology and Innovation said that the government is still “considering” what to do, even though physicist Sérgio Rezende - a former science minister - was behind the push for Brazilian membership.

  5. Internet Implementation in Brazilian K-12 Schools.

    ERIC Educational Resources Information Center

    Joia, Luiz Antonio

    1997-01-01

    Presents a framework for implementing the Internet in Brazilian elementary and secondary schools. Topics include schools as assembly lines in the information society; pedagogical uses of the Internet, including research, educational projects, and video conferences; and obstacles to implementing the Internet, including cost, cultural differences,…

  6. Color and genomic ancestry in Brazilians

    PubMed Central

    Parra, Flavia C.; Amado, Roberto C.; Lambertucci, José R.; Rocha, Jorge; Antunes, Carlos M.; Pena, Sérgio D. J.

    2003-01-01

    This work was undertaken to ascertain to what degree the physical appearance of a Brazilian individual was predictive of genomic African ancestry. Using a panel of 10 population-specific alleles, we assigned to each person an African ancestry index (AAI). The procedure was able to tell apart, with no overlaps, 20 males from northern Portugal from 20 males from São Tomé Island on the west coast of Africa. We also tested 10 Brazilian Amerindians and observed that their AAI values fell in the same range as the Europeans. Finally, we studied two different Brazilian population samples. The first consisted of 173 individuals from a rural Southeastern community, clinically classified according to their Color (white, black, or intermediate) with a multivariate evaluation based on skin pigmentation in the medial part of the arm, hair color and texture, and the shape of the nose and lips. In contrast to the clear-cut results with the African and European samples, our results showed large variances and extensive overlaps among the three Color categories. We next embarked on a study of 200 unrelated Brazilian white males who originated from cosmopolitan centers of the four major geographic regions of the country. The results showed AAI values intermediate between Europeans and Africans, even in southern Brazil, a region predominantly peopled by European immigrants. Our data suggest that in Brazil, at an individual level, color, as determined by physical evaluation, is a poor predictor of genomic African ancestry, estimated by molecular markers. PMID:12509516

  7. Validity of the Psychosocial Impact of Dental Aesthetics Questionnaire for use on Brazilian adolescents

    PubMed Central

    Santos, Paula Mendes; Gonçalves, Alcides Ricardo; Marega, Tatiane

    2016-01-01

    ABSTRACT Introduction: The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is a multi-item psychometric instrument used to assess patients' perspective of the impact specifically related to Orthodontics. The cross-culturally adapted Brazilian version of the PIDAQ has demonstrated good reliability, validity and acceptability. Objective: The aim of the present study was to test the validity and reliability of the Brazilian version of the PIDAQ for use among adolescents aged between 11 and 14 years old. Methods: Having established the possibility of maintaining the operational characteristics of the Brazilian version of PIDAQ for the target age group, 194 individuals in the city of Belo Horizonte, Brazil, completed the questionnaire. The subjects were examined for the presence/absence of malocclusion based on the criteria of the Dental Aesthetic Index (DAI) to test discriminant validity. Internal consistency was measured by means of Cronbach's alpha coefficient which ranged from 0.59 to 0.86 for the subscales. Test-retest reliability was assessed by means of intraclass correlation coefficient which ranged from 0.54 to 0.89 for aesthetic concern and psychological impact. Results: Discriminant validity revealed that subjects without malocclusion had different PIDAQ scores in comparison to those with malocclusion. Conclusion: These findings suggest that the Brazilian version of PIDAQ for adolescents has satisfactory psychometric properties and is applicable to this age group in Brazil. PMID:27409655

  8. Enabling international communication among Brazilian occupational therapists: seeking consensus on occupational terminology.

    PubMed

    Magalhaes, Lilian; Galheigo, Sandra Maria

    2010-09-01

    The purpose of this study was to examine how key occupational therapy terminologies are used by Brazilian occupational therapists. A nominal group approach combined with a Delphi technique involving 31 Brazilian occupational therapists was applied. A sociolinguistic approach was adopted since it broadens our understanding of the social and cultural determinants of terminology consolidation. Brazilian occupational therapists were found to adopt the term activity more often than human action or doing. Even less often were praxis and occupation applied. No consensus was reached regarding which of the terms is most preferred. While Brazilian occupational therapists have been developing their profession from international standards, it is still embedded in local demands and policies. Additionally, the political context must be considered when building an international dialogue between members of a professional body. Such a dialogue could engage professionals from different countries in meaningful exchanges about their practices. These exchanges may lead to the development of solid professional communities that can contribute meaningfully to social change. PMID:20564687

  9. Clinical observation of the adverse drug reactions caused by non-ionic iodinated contrast media: results from 109,255 cases who underwent enhanced CT examination in Chongqing, China

    PubMed Central

    Li, X; Chen, J; Zhang, L; Liu, H; Wang, S; Chen, X; Fang, J; Wang, S

    2015-01-01

    Objective: To analyse the pattern and factors that influence the incidence of adverse drug reactions (ADRs) induced by non-ionic iodinated contrast media and to evaluate their safety profiles. Methods: Data from 109,255 cases who underwent enhanced CT examination from 1 January 2008 to 31 August 2013 were analysed. ADRs were classified according to the criteria issued by the American College of Radiology and the Chinese Society of Radiology. Results: A total of 375 (0.34%) patients had ADRs, including 281 mild (0.26%); 80 moderate (0.07%); and 14 severe (0.01%) ADRs; no death was found. 302 (80.53%) of the ADRs occurred within 15 min after examination. Patients aged 40–49 years (204 cases, 0.43%; p < 0.01) or who underwent coronary CT angiography (93 cases, 0.61%; p < 0.01) were at a higher risk of ADRs. Female patients (180 cases, 0.40%; p < 0.01) or outpatients had significantly higher incidence rates of ADRs. The symptoms and signs of most of the ADRs were resolved spontaneously within 24 h after appropriate treatment without sequelae. Conclusion: The occurrence of ADRs is caused by the combined effects of multiple factors. The ADRs induced by non-ionic iodinated contrast media are mainly mild ones, while moderate or severe ADRs are relatively rare, suggesting that enhanced CT examination with non-ionic iodinated contrast media is highly safe, and severe adverse events will seldom occur under appropriate care. Advances in knowledge: The study included 109,255 patients enrolled in various types of enhanced CT examinations, which could reflect ADR conditions and regulations in Chinese population accurately and reliably. PMID:25582519

  10. Measuring and modeling nitrous oxide and methane emissions from beef cattle feedlot manure management: First assessments under Brazilian condition.

    PubMed

    Costa, Ciniro; Li, Changsheng; Cerri, Carlos E P; Cerri, Carlos C

    2014-01-01

    Intensive beef production has increased during recent decades in Brazil and may substantially increase both methane (CH(4)) and nitrous oxide (N(2)O) emissions from manure management. However, the quantification of these gases and methods for extrapolating them are scarce in Brazil. A case study examines CH(4) and N(2)O emissions from one typical beef cattle feedlot manure management continuum in Brazil and the applicability of Manure-DNDC model in predicting these emissions for better understand fluxes and mitigation options. Measurements track CH(4) and N(2)O emissions from manure excreted in one housing floor holding 21 animals for 78 days, stockpiled for 73 days and field spread (360 kg N ha(-1)). We found total emissions (CH(4) + N(2)O) of 0.19 ± 0.10 kg CO(2)eq per kg of animal live weight gain; mostly coming from field application (73%), followed housing (25%) and storage (2%). The Manure-DNDC simulations were generally within the statistical deviation ranges of the field data, differing in -28% in total emission. Large uncertainties in measurements showed the model was more accurate estimating the magnitude of gases emissions than replicate results at daily basis. Modeled results suggested increasing the frequency of manure removal from housing, splitting the field application and adopting no-tillage system is the most efficient management for reducing emissions from manure (up to about 75%). Since this work consists in the first assessment under Brazilian conditions, more and continuous field measurements are required for decreasing uncertainties and improving model validations. However, this paper reports promising results and scientific perceptions for the design of further integrated work on farm-scale measurements and Manure-DNDC model development for Brazilian conditions. PMID:25035919

  11. Land reform policies, the sources of violent conflict, and implications for deforestation in the Brazilian Amazon

    SciTech Connect

    Alston, L.J.; Libecap, G.D.; Mueller, B.

    2000-03-01

    The authors examine land reform policies and their implications for violent conflict and resource use in the Brazilian Amazon. They identify the protagonists (land owners and squatters), derive their incentives to use violence, and show the role of legal inconsistencies as a basis for conflict. The authors describe the government agency involved in land reform, INCRA, and show that its intervention critically affects the actions of both squatters and land owners. Further, they point out the incentives for deforestation under land reform and associated insecure property rights to land. Forested lands are vulnerable to invasion by squatters and redistribution by INCRA. Using data from the Brazilian census and the Pastoral Land Commission, the authors examine the characteristics of regions where violent conflict predominates.

  12. Examining uncertainties in the linkage between global climate change and potential human health impacts in the western USA -- Hexachlorobenzene (HCB) as a case study

    SciTech Connect

    McKone, T.E.; Daniels, J.I.; Goldman, M.

    1994-09-30

    Industrial societies have altered the earth`s environment in ways that could have important, long-term ecological, economic, and health implications. In this paper the authors define, characterize, and evaluate parameter and outcome uncertainties using a model that links global climate change with predictions of chemical exposure and human health risk in the western region of the US. They illustrate the impact of uncertainty about global climate change on such potential secondary outcomes using as a case study the public health consequences related to the behavior environmentally of hexachlorobenzene (HCB), an ubiquitous multimedia pollutant. They begin by constructing a matrix that reveals the linkage between global environmental change and potential regional human-health effects that might be induced directly and/or indirectly by HCB released into the air and water. This matrix is useful for translating critical uncertainties into terms that can be understood and used by policy makers to formulate strategies against potential adverse irreversible health and economic consequences. Specifically, the authors employ a combined uncertainty/sensitivity analysis to investigate how the HCB that has been released is affected by increasing atmospheric temperature and the accompanying climate alterations that are anticipated and how such uncertainty propagates to affect the expected magnitude and calculational precision of estimates of associated potential human exposures and health effects.

  13. Short-chain acyl-CoA dehydrogenase (SCAD) deficiency: An examination of the medical and neurodevelopmental characteristics of 14 cases identified through newborn screening or clinical symptoms

    PubMed Central

    Waisbren, S.E.; Levy, H.L.; Noble, M.; Matern, D.; Gregersen, N.; Pasley, K.; Marsden, D.

    2014-01-01

    The medical and neurodevelopmental characteristics of 14 children with short-chain acyl-CoA dehydrogenase deficiency (SCADD) are described. Eight were detected as neonates by newborn screening. Three children diagnosed on the basis of clinical symptoms had normal newborn screening results while 3 were born in states that did not screen for SCADD. Treatment included frequent feedings and a low fat diet. All children identified by newborn screening demonstrated medical and neuropsychological development within the normative range on follow-up, although one child had a relative weakness in the motor area and another child exhibited mild speech delay. Of the 3 clinically identified children with newborn screening results below the cut-off value, 2 were healthy and performed within the normal range on cognitive and motor tests at follow-up. Four clinically identified children with SCADD experienced persistent symptoms and/or developmental delay. However, in each of these cases, there were supplementary or alternative explanations for medical and neuropsychological deficits. Results indicated no genotype-phenotype correlations. These findings suggest that SCADD might be benign and the clinical symptoms ascribed to SCADD reflective of ascertainment bias or that early identification and treatment prevented complications that may have occurred due to interaction between genetic susceptibility and other genetic factors or environmental stressors. PMID:18676165

  14. Predicted and measured concentrations of pharmaceuticals in hospital effluents. Examination of the strengths and weaknesses of the two approaches through the analysis of a case study.

    PubMed

    Verlicchi, Paola; Zambello, Elena

    2016-09-15

    This study deals with the chemical characterization of hospital effluents in terms of the predicted and measured concentrations of 38 pharmaceuticals belonging to 11 different therapeutic classes. The paper outlines the strengths and weaknesses of the two approaches through an analysis of a case study referring to a large hospital. It highlights the observed (and expected) ranges of variability for the parameters of the adopted model, presents the results of an uncertainty analysis of direct measurements (due to sampling mode and frequency and chemical analysis) and a sensitivity analysis of predicted concentrations (based on the annual consumption of pharmaceuticals, their excretion rate and annual wastewater volume generated by the hospital). Measured concentrations refer to two sampling campaigns carried out in summer and winter in order to investigate seasonal variability of the selected compounds. Predicted concentrations are compared to measured ones in the three scenarios: summer, winter and the whole year. It was found that predicted and measured concentrations are in agreement for a limited number of compounds (namely atenolol, atorvastatin and hydrochlorothiazide), and for most compounds the adoption of the model leads to a large overestimation in all three periods. Uncertainties in predictions are mainly due to the wastewater volume and excretion factor, whereas for measured concentrations, uncertainties are mainly due to sampling mode. PMID:27161130

  15. Dental anthropology of a Brazilian sample: Frequency of nonmetric traits.

    PubMed

    Tinoco, Rachel Lima Ribeiro; Lima, Laíse Nascimento Correia; Delwing, Fábio; Francesquini, Luiz; Daruge, Eduardo

    2016-01-01

    Dental elements are valuable tools in a study of ancient populations and species, and key-features for human identification; among the dental anthropology field, nonmetric traits, standardized by ASUDAS, are closely related to ancestry. This study aimed to analyze the frequency of six nonmetric traits in a sample from Southeast Brazil, composed by 130 dental casts from individuals aged between 18 and 30, without foreign parents or grandparents. A single examiner observed the presence or absence of shoveling, Carabelli's cusp, fifth cusp, 3-cusped UM2, sixth cusp, and 4-cusped LM2. The frequencies obtained were different from the ones shown by other researches to Amerindian and South American samples, and related to European and sub-Saharan frequencies, showing the influence of this groups in the current Brazilian population. Sexual dimorphism was found in the frequencies of Carabelli's cusp, 3-cusped UM2, and sixth cusp. PMID:26628292

  16. Analysis of Vaginal Lactobacilli from Healthy and Infected Brazilian Women▿ †

    PubMed Central

    Martinez, Rafael C. R.; Franceschini, Sílvio A.; Patta, Maristela C.; Quintana, Silvana M.; Nunes, Álvaro C.; Moreira, João L. S.; Anukam, Kingsley C.; Reid, Gregor; De Martinis, Elaine C. P.

    2008-01-01

    Culture-dependent PCR-amplified rRNA gene restriction analysis and culture-independent (PCR-denaturing gradient gel electrophoresis) methodologies were used to examine vaginal lactobacilli from Brazilian women who were healthy or had been diagnosed with vulvovaginal candidiasis (VVC) or bacterial vaginosis. Only Lactobacillus crispatus was detected accordingly by both methods, and H2O2-producing lactobacilli were not associated with protection against VVC. PMID:18502927

  17. Evidences of Validity of a Scale for Mapping Professional as Defining Competences and Performance by Brazilian Tutors

    ERIC Educational Resources Information Center

    Coelho, Francisco Antonio, Jr.; Ferreira, Rodrigo Rezende; Paschoal, Tatiane; Faiad, Cristiane; Meneses, Paulo Murce

    2015-01-01

    The purpose of this study was twofold: to assess evidences of construct validity of the Brazilian Scale of Tutors Competences in the field of Open and Distance Learning and to examine if variables such as professional experience, perception of the student´s learning performance and prior experience influence the development of technical and…

  18. The Effect of Instruction on Musicians' and Non-Musicians' Aesthetic Response to Brazilian and African Music

    ERIC Educational Resources Information Center

    DeKaney, Elisa M.; Coggiola, John C.; Macedo, Elizeu C.

    2010-01-01

    This study examined aesthetic response to Brazilian and African music experienced with and without instruction received prior to the listening session. In addition, there was an attempt to determine if there was a difference in response between musicians (music therapy majors) and non-musicians (psychology majors). The participants (N = 44) were…

  19. Self-Perceptions of Competence in Brazilian, Canadian, Chinese and Italian Children: Relations with Social and School Adjustment

    ERIC Educational Resources Information Center

    Chen, Xinyin; Zappulla, Carla; Coco, Alida Lo; Schneider, Barry; Kaspar, Violet; De Oliveira, Ana Maria; He, Yunfeng; Li, Dan; Li, Boshu; Bergeron, Natasha; Tse, Hennis Chi-Hang; DeSouza, Amanda

    2004-01-01

    The purpose of the present study was to examine relations between self-perceptions of competence and social, behavioural, and school adjustment in Brazilian, Canadian, Chinese, and Italian children. Self-perception data were collected through children's self-reports. Information about social behaviours, peer acceptance, and school achievement was…

  20. Approaches and Methodologies for a Course on History and Epistemology of Physics: Analyzing the Experience of a Brazilian University

    ERIC Educational Resources Information Center

    Rosa, Katemari; Martins, Maria Cristina

    2009-01-01

    This paper is an analysis of inserting history and philosophy of science (HPS) in a physics undergraduate program at a Brazilian university. It is an examination of the approaches and methodologies adopted by professors of a History and Epistemology course. The course aims to have an explicit approach to HPS. The results suggest a concern of the…

  1. rRNA gene restriction patterns of Haemophilus influenzae biogroup aegyptius strains associated with Brazilian purpuric fever.

    PubMed Central

    Irino, K; Grimont, F; Casin, I; Grimont, P A

    1988-01-01

    The rRNA gene restriction patterns of 92 isolates of Haemophilus influenzae biogroup aegyptius, associated with conjunctivitis or Brazilian purpuric fever in the State of São Paulo, Brazil, were studied with 16 + 23S rRNA from Escherichia coli as a probe. All strains were classified into 15 patterns. Isolates from Brazilian purpuric fever cases were seen only in patterns 3 (most frequently) and 4 (rarely), whereas isolates from conjunctivitis were found in all 15 patterns. The study demonstrated that rRNA from E. coli can serve as a probe for molecular epidemiology. Images PMID:2459153

  2. Using the Community Readiness Model to Examine the Built and Social Environment: A Case Study of the High Point Neighborhood, Seattle, Washington, 2000–2010

    PubMed Central

    Sharify, Denise Tung; Blake, Bonita; Phillips, Tom; Whitten, Kathleen

    2014-01-01

    Background Residents of many cities lack affordable, quality housing. Economically disadvantaged neighborhoods often have high rates of poverty and crime, few institutions that enhance the quality of its residents’ lives, and unsafe environments for walking and other physical activity. Deteriorating housing contributes to asthma-related illness. We describe the redevelopment of High Point, a West Seattle neighborhood, to improve its built environment, increase neighborhood physical activity, and reduce indoor asthma triggers. Community Context High Point is one of Seattle’s most demographically diverse neighborhoods. Prior to redevelopment, it had a distressed infrastructure, rising crime rates, and indoor environments that increased asthma-related illness in children and adolescents. High Point residents and partners developed and implemented a comprehensive redevelopment plan to create a sustainable built environment to increase outdoor physical activity and improve indoor environments. Methods We conducted a retrospective analysis of the High Point redevelopment, organized by the different stages of change in the Community Readiness Model. We also examined the multisector partnerships among government and community groups that contributed to the success of the High Point project. Outcome Overall quality of life for residents improved as a result of neighborhood redevelopment. Physical activity increased, residents reported fewer days of poor physical or mental health, and social connectedness between neighbors grew. Asthma-friendly homes significantly decreased asthma-related illness among children and adolescents. Interpretation Providing affordable, quality housing to low-income families improved individual and neighborhood quality of life. Efforts to create social change and improve the health outcomes for entire populations are more effective when multiple organizations work together to improve neighborhood health. PMID:25376016

  3. Making tenofovir accessible in the brazilian public health system: patent conflicts and generic production.

    PubMed

    Veras, Juliana

    2014-08-01

    In May 2011, the Brazilian Ministry of Health announced the distribution of the first batch of locally produced generic tenofovir disoproxil fumarate (TDF) to support its program of universal and free access for the treatment of HIV/AIDS. The inclusion of TDF in the public health program illustrates what has been considered the 'Brazilian model' of HIV/AIDS response, as it illustrates the current phase of the Brazilian pharmaceutical economy. Brazil is known for having managed to control the expansion of HIV/AIDS through a unique initiative combining the public health and the industrial production of generics. But, if at first local manufacturers could freely copy ARVs and produce cheaper generic versions that were delivered to the Ministry of Health, since the country started to grant patents on drugs in 1996, the sustainability of this policy has been challenged by the high cost of patented second-line HIV/AIDS treatments. In order to assure continuity of the local production of ARVs, and keep the program of public health alive, Brazilians are now forced to deal with conflicts of drugs' intellectual property rights in order to open the path to generic production. This article aims to describe the experiences surrounding TDF in Brazil and the unprecedented conflicts and challenges it has brought for our different interviewees. Blurring the frontier between the public and the private, the TDF case was driven at the same time by an ethic of drug access and regulation of drug quality, which has inspired Brazilians to intervene and transform the world they live in. PMID:24889312

  4. [Brazilian colonization in the Paraguayan agricultural frontier].

    PubMed

    Neupert, R F

    1991-04-01

    This work briefly describes Brazilian colonization of the Paraguayan agricultural frontier, analyzes factors responsible for expelling population from Brazil and for attracting Brazilians to Paraguay, and assesses the economic and social consequences of immigration to the area. Paraguay's vast and sparsely populated agricultural frontier in areas outside the Central subregion underwent a process of intense colonization from the early 1960s to the mid-1980s. The Paraguayan government initiated an ambitious colonization program in 1963 to increase production, relieve population pressure and subdivision of small parcels in the Central subregion, encourage agricultural modernization, and produce a more diversified agriculture. Paraguayan agriculture in the early 1960s suffered from excessive concentration of land in a few hands and resulting exclusion of around 3/4 of workers from ownership and from any possibility of obtaining credit to fund technological improvements. Results of studies 2 decades after implementation of the colonization plan suggest that it has failed in significant areas. Although a considerable population redistribution alleviated pressure in the Central subregion, it apparently resulted more from spontaneous movement of peasants outside the colonization areas than from the official program. Concentration of lands is now occurring in the colonization area. Assistance for agricultural modernization and diversification of production in the peasant sector has been minimal. On the other hand, production of soy, wheat, and cotton for export increased substantially, because of an entrepreneurial agriculture capitalized by foreign as well as national interests The unmet goals of the colonization program would have required structural reforms rather than simple spatial redistribution of the population. Many of the colonists in the 1970s were Brazilian families displaced by mechanized agriculture in the southern states of Parana, Santa Catarina, and Rio

  5. Bibliometric analysis of scientific articles published in Brazilian and international orthodontic journals over a 10-year period

    PubMed Central

    Primo, Neudí Antonio; Gazzola, Vivian Bertoglio; Primo, Bruno Tochetto; Tovo, Maximiano Ferreira; Faraco Junior, Italo Medeiros

    2014-01-01

    Objective This study aimed at describing the profiles of Brazilian and international studies published in orthodontic journals. Methods The sample comprised 635 articles selected from two scientific journals, i.e., Dental Press Journal of Orthodontics and American Journal of Orthodontics and Dentofacial Orthopedics, which were analyzed at three different intervals over a 10-year period (1999 - 2004 - 2009). Articles were described in terms of knowledge domain, study design, and country of origin (or state of origin for Brazilian papers). Results The most frequent study designs adopted in international studies were cohort (23.9%) and cross-sectional (21.7%) designs. Among Brazilian papers, cross-sectional studies (28.9%) and literature reviews (24.6%) showed greater frequency. The topics most often investigated were dental materials (17%) and treatment devices (12.4%) in international articles, with the latter topic being addressed by 16% of the Brazilian publications, followed by malocclusion, with 12.6%. In all cases, the most frequent countries of origin coincided with the countries of origin of each journal. Conclusions The majority of the studies analyzed featured a low level of scientific evidence. Moreover, the findings showed that journals tend to publish studies produced in their own country of origin, and that there are marked discrepancies in the number of papers published by different Brazilian states. PMID:24945515

  6. Examining the decomposed brain.

    PubMed

    MacKenzie, James Mackintosh

    2014-12-01

    Examination of the decomposed brain is a largely neglected area of forensic neuropathology. However, careful examination often yields valuable information that may assist in criminal proceedings. Decomposition encompasses the processes of autolysis, putrefaction, and decay. Most decomposed brains will be affected by both autolysis and putrefaction, resulting in a brain that may, at one end of the spectrum, be almost normal or, at the other end, pulpified, depending on the conditions in which the body remained after death and the postmortem interval. Naked eye examination may detect areas of hemorrhage and also guides appropriate sampling for histology. Histological appearances are often better than what would be predicted from the state of the brain. Histology often confirms macroscopic abnormalities and may also reveal other features such as ischemic injury. Silver staining demonstrates neuritic plaques, and immunocytochemistry for β-amyloid precursor protein and other molecules produces results comparable with those seen in well-preserved fixed brains. The usefulness of information derived from the examination of the decomposed brain in criminal proceedings is illustrated with 6 case reports drawn from the author's own practice. PMID:25384305

  7. Association between the prevalence of infestation by Rhipicephalus sanguineus and Ctenocephalides felis felis and the presence of anti-Leishmania antibodies: A case-control study in dogs from a Brazilian endemic area.

    PubMed

    Paz, Gustavo F; Ribeiro, Múcio F B; de Magalhães, Danielle F; Sathler, Kelly P B; Morais, Maria Helena F; Fiúza, Vanessa O P; Brandão, Silvana T; Werneck, Guilherme L; Fortes-Dias, Consuelo Latorre; Dias, Edelberto S

    2010-11-01

    The association between the prevalence of infestation by Rhipicephalus sanguineus and Ctenocephalides felis felis and the presence of anti-Leishmania antibodies has been evaluated in dogs located in a city of Brazil endemic for canine visceral leishmaniasis. Blood samples from 5556 domestic dogs domiciliated in the urban area of Belo Horizonte (Minas Gerais state) were submitted to enzyme linked immunosorbent (ELISA) and indirect immunofluorescent antibody (IFAT) assays, and 432 (7.8%) animals tested positive. Seropositive (n=200) and seronegative (n=200) dogs were randomly selected and examined for the presence of ticks and fleas, the results of which were expressed qualitatively as infested or non-infested, irrespective of the intensity of infestation. The prevalence of infestation by R. sanguineus was significantly greater (ρ=0.04) among seropositive dogs (38.5%) compared with their seronegative counterparts (29.0%). Similarly, the prevalence of infestation by C. felis felis was significantly greater (ρ<0.01) within the seropositive group (36.5%) than within the seronegative group (15.0%). Moreover, the probability of seropositivity for Leishmania was 53% higher in tick-infested dogs and 300% higher in flea-infested dogs in comparison with non-infested animals. Our data provide evidence of the vectorial capacity of these ectoparasites in transmitting Leishmania to the canine population, although further studies are needed to confirm or reject this hypothesis. PMID:20869131

  8. Brazilian Amazon Roads and Parks: Temporal & Spatial Deforestation Dynamics

    NASA Astrophysics Data System (ADS)

    Pfaff, A.; Robalino, J.

    2011-12-01

    Heterogeneous Forest Impacts of Transport Infrastructure: spatial frontier dynamics & impacts of Brazilian Amazon road changes Prior research on road impacts has almost completely ignored heterogeneity of impacts and as a result both empirically understated potential impact and missed policy potential. We note von Thunen's model suggests not only heterogeneity with distance from market but also specifically road impacts rising then falling with distance ('non-monoThunicity') Endogenous development and partial adjustment dynamics support this for the short run. Causal effects result from studying Brazilian Amazon deforestation (1976-87, 2000-04) using matching for short-run responses to lagged new roads changes (1968-75, 1985-00). We show the critical role of prior development, proxied by 1968 and 1985 road distances, for which exact matching addresses development trends and transforms impact estimates. Splitting the sample on this measure finds confirmation of the nonmonotonic predictions: new road impacts are relatively low if a prior road was close, such that prior transport access and endogenous development dynamics compete with the new road for influence, but also if a prior road was far, since first-decade adjustment in pristine areas is limited; yet in between these bounds, investments immediately raise deforestation significantly. This pattern helps to explain lower estimates within research on a single average impact. It suggests potential for REDD if a country chooses to shift its spatial transport networks. Protected Areas & Brazilian Amazon Deforestation: modeling and testing the impacts of varied PA strategies We model and then estimate the impacts of multiple types of protected areas upon 2000 - 2004 deforestation in the Brazilian Amazon. Our modeling starts with federal versus state objectives and predicts differences in both choice and implementation of each PA strategy that we examine. Our empirical examination brings not only breakdowns sufficient

  9. Characterization of HBeAg-negative chronic hepatitis B in western Brazilian Amazonia.

    PubMed

    Victoria, Flamir da Silva; Oliveira, Cintia Mara Costa de; Victoria, Marilu Barbieri; Victoria, Cristian Barbieri; Ferreira, Luis Carlos Lima

    2008-02-01

    The present study was conducted with 55 patients native from western Brazilian Amazonia, who were HBV-DNA positive after seroconversion of HBeAg. It is a descriptive case study, with the patients separated into two groups: with hepatitis and without hepatitis on histological examination. The aim of the present study was to describe the clinical and molecular characteristics of patients who are chronic carriers of HBsAg. The prevalence of hepatitis was 63.64%, with a predominance of males (41.82%) and a mean age of 42.5 years, occurring mostly in natives of the southeast sub-region (32.73%). Time was a variable proportional to the course of the disease and the most frequent symptoms were: dyspepsia, asthenia and loss of libido with the majority of the patients having history of prior contact with HBV or positive family history. Splenomegalia was the most frequent sign (40%). Among the tests, platelet count, serum albumin and prothrombin activity were significant in the diagnosis of hepatitis. Alpha-fetoprotein was greater in patients with hepatitis, and hepatocellular carcinoma was detected in 3.63% of the patients with hepatic cirrhosis. Three types of HBV genotypes were diagnosed: A, D and F in the samples amplified for gene S. Genotype A (AA) was observed in 54.54% of the cases with hepatitis, in contrast to other studies showing the predominance of genotype F in this region. We observed mutations in 36.36%, with a predominance of the mutations in the core promoter region (31.81%), due to the greater prevalence of genotype A in this study. PMID:18553011

  10. Brazilian Vaccinia Viruses and Their Origins

    PubMed Central

    Trindade, Giliane S.; Emerson, Ginny L.; Carroll, Darin S.; Kroon, Erna G.

    2007-01-01

    Although the World Health Organization (WHO) declared global smallpox eradicated in 1980, concerns over emergent poxvirus infections have increased. Most poxvirus infections are zoonotic; exploring their genetic diversity will illuminate the genetic and evolutionary aspects of poxvirus infections, ecology, and epidemiology. In recent decades, several strains of the orthopoxvirus vaccinia virus (VACV) have been isolated throughout Brazil, including many genetically distinct isolates within the same outbreak. To further investigate the diversity and origins of these viruses, we analyzed molecular data from 8 Brazilian VACV isolates and compared several genes involved in virus structure and pathogenicity. Genetic variation among isolates suggests that ancestral Brazilian VACVs existed before the beginning of the WHO smallpox eradication vaccination campaigns and that these viruses continue to circulate. PMID:18214166

  11. Modal survey of the Brazilian launch vehicle

    NASA Astrophysics Data System (ADS)

    Carneiro, S. H. S.; Teixeira, H. S., Jr.; Pirk, R.; Arruda, J. R. F.

    This paper describes the Brazilian satellite launch vehicle modal analysis program being currently performed. A full scale mock-up of the solid propellant four-stage launcher will be tested in five different configurations. To simulate free-free boundary conditions, a pneumatic suspension system was developed, and its influence in the mock-up dynamic behavior was investigated. The theoretical FEM models and preliminary results of the modal test are shown, along with theoretical/experimental correlation discussions.

  12. Bioactive Constituents of Brazilian Red Propolis

    PubMed Central

    Trusheva, Boryana; Popova, Milena; Bankova, Vassya; Simova, Svetlana; Marcucci, Maria Cristina; Miorin, Patricia Laguna; da Rocha Pasin, Flavia; Tsvetkova, Iva

    2006-01-01

    In a new propolis type, red Brazilian propolis, 14 compounds were identified (six of them new for propolis), among them simple phenolics, triterepenoids, isoflavonoids, prenylated benzophenones and a naphthoquinone epoxide (isolated for the first time from a natural source). Three of the major components demonstrated significant antimicrobial activity, and two (obtained as inseparable mixture) possessed radical scavenging activity against 1,1-diphenyl-2-picrylhydrazyl (DPPH). PMID:16786055

  13. The brazilian indigenous planetary-observatory

    NASA Astrophysics Data System (ADS)

    Afonso, G. B.

    2003-08-01

    We have performed observations of the sky alongside with the Indians of all Brazilian regions that made it possible localize many indigenous constellations. Some of these constellations are the same as the other South American Indians and Australian aborigines constellations. The scientific community does not have much of this information, which may be lost in one or two generations. In this work, we present a planetary-observatory that we have made in the Park of Science Newton Freire-Maia of Paraná State, in order to popularize the astronomical knowledge of the Brazilian Indians. The planetary consists, essentially, of a sphere of six meters in diameter and a projection cylinder of indigenous constellations. In this planetary we can identify a lot of constellations that we have gotten from the Brazilian Indians; for instance, the four seasonal constellations: the Tapir (spring), the Old Man (summer), the Deer (autumn) and the Rhea (winter). A two-meter height wooden staff that is posted vertically on the horizontal ground similar to a Gnomon and stones aligned with the cardinal points and the soltices directions constitutes the observatory. A stone circle of ten meters in diameter surrounds the staff and the aligned stones. During the day we observe the Sun apparent motions and at night the indigenous constellations. Due to the great community interest in our work, we are designing an itinerant indigenous planetary-observatory to be used in other cities mainly by indigenous and primary schools teachers.

  14. Indoor Air Quality in Brazilian Universities

    PubMed Central

    Jurado, Sonia R.; Bankoff, Antônia D. P.; Sanchez, Andrea

    2014-01-01

    This study evaluated the indoor air quality in Brazilian universities by comparing thirty air-conditioned (AC) (n = 15) and naturally ventilated (NV) (n = 15) classrooms. The parameters of interest were indoor carbon dioxide (CO2), temperature, relative humidity (RH), wind speed, viable mold, and airborne dust levels. The NV rooms had larger concentration of mold than the AC rooms (1001.30 ± 125.16 and 367.00 ± 88.13 cfu/m3, respectively). The average indoor airborne dust concentration exceeded the Brazilian standards (<80 μg/m3) in both NV and AC classrooms. The levels of CO2 in the AC rooms were significantly different from the NV rooms (1433.62 ± 252.80 and 520.12 ± 37.25 ppm, respectively). The indoor air quality in Brazilian university classrooms affects the health of students. Therefore, indoor air pollution needs to be considered as an important public health problem. PMID:25019268

  15. Tests of one Brazilian facial reconstruction method using three soft tissue depth sets and familiar assessors.

    PubMed

    Fernandes, Clemente Maia S; Serra, Mônica da Costa; da Silva, Jorge Vicente Lopes; Noritomi, Pedro Yoshito; Pereira, Frederico David Alencar de Sena; Melani, Rodolfo Francisco Haltenhoff

    2012-01-10

    Facial reconstruction is a method that seeks to recreate a person's facial appearance from his/her skull. This technique can be the last resource used in a forensic investigation, when identification techniques such as DNA analysis, dental records, fingerprints and radiographic comparison cannot be used to identify a body or skeletal remains. To perform facial reconstruction, the data of facial soft tissue thickness are necessary. Scientific literature has described differences in the thickness of facial soft tissue between ethnic groups. There are different databases of soft tissue thickness published in the scientific literature. There are no literature records of facial reconstruction works carried out with data of soft tissues obtained from samples of Brazilian subjects. There are also no reports of digital forensic facial reconstruction performed in Brazil. There are two databases of soft tissue thickness published for the Brazilian population: one obtained from measurements performed in fresh cadavers (fresh cadavers' pattern), and another from measurements using magnetic resonance imaging (Magnetic Resonance pattern). This study aims to perform three different characterized digital forensic facial reconstructions (with hair, eyelashes and eyebrows) of a Brazilian subject (based on an international pattern and two Brazilian patterns for soft facial tissue thickness), and evaluate the digital forensic facial reconstructions comparing them to photos of the individual and other nine subjects. The DICOM data of the Computed Tomography (CT) donated by a volunteer were converted into stereolitography (STL) files and used for the creation of the digital facial reconstructions. Once the three reconstructions were performed, they were compared to photographs of the subject who had the face reconstructed and nine other subjects. Thirty examiners participated in this recognition process. The target subject was recognized by 26.67% of the examiners in the reconstruction

  16. Equatorial 150 km echoes and daytime F region vertical plasma drifts in the Brazilian longitude sector

    NASA Astrophysics Data System (ADS)

    Rodrigues, F. S.; Shume, E. B.; de Paula, E. R.; Milla, M.

    2013-10-01

    Previous studies showed that conventional coherent backscatter radar measurements of the Doppler velocity of the so-called 150 km echoes can provide an alternative way of estimating ionospheric vertical plasma drifts during daytime hours (Kudeki and Fawcett, 1993; Chau and Woodman, 2004). Using observations made by a small, low-power 30 MHz coherent backscatter radar located in the equatorial site of São Luís (2.59° S, 44.21° W; -2.35° dip lat), we were able to detect and monitor the occurrence of 150 km echoes in the Brazilian sector. Using these measurements we estimated the local time variation of daytime vertical ionospheric drifts in the eastern American sector. Here, we present a few interesting cases of 150 km-echoes observations made by the São Luís radar and estimates of the diurnal variation of vertical drifts. These cases exemplify the variability of the vertical drifts in the Brazilian sector. Using same-day 150 km-echoes measurements made at the Jicamarca Radio Observatory in Peru, we also demonstrate the variability of the equatorial vertical drifts across the American sector. In addition to first estimates of the absolute vertical plasma drifts in the eastern American (Brazilian) sector, we also present observations of abnormal drifts detected by the São Luís radar associated with the 2009 major sudden stratospheric warming event.

  17. Hereditary angioedema: quality of life in Brazilian patients

    PubMed Central

    Gomide, Maria Abadia Consuelo M S; Toledo, Eliana; Valle, Solange Oliveira Rodrigues; Campos, Regis A; França, Alfeu T; Gomez, Nieves Prior; Andrade, Heitor Franco; Caballero, Teresa; Grumach, Anete S

    2013-01-01

    OBJECTIVE: Hereditary angioedema is a serious medical condition caused by a rare autosomal dominant genetic disorder and it is associated with deficient production or dysfunction of the C1 esterase inhibitor. In most cases, affected patients experience unexpected and recurrent crises of subcutaneous, gastrointestinal and laryngeal edema. The unpredictability, intensity and other factors associated with the disease impact the quality of life of hereditary angioedema patients. We evaluated the quality of life in Brazilian hereditary angioedema patients. METHODS: Patients older than 15 years with any severity of hereditary angioedema and laboratory confirmation of C1 inhibitor deficiency were included. Two questionnaires were used: a clinical questionnaire and the SF-36 (a generic questionnaire). This protocol was approved by the Ethics Committee of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. RESULTS: The SF-36 showed that 90.4% (mean) of all the patients had a score below 70 and 9.6% had scores equal to or higher than 70. The scores of the eight dimensions ranged from 51.03 to 75.95; vitality and social aspects were more affected than other arenas. The internal consistency of the evaluation was demonstrated by a Cronbach's alpha value above 0.7 in seven of the eight domains. CONCLUSIONS: In this study, Brazilian patients demonstrated an impaired quality of life, as measured by the SF-36. The most affected domains were those related to vitality and social characteristics. The generic SF-36 questionnaire was relevant to the evaluation of quality of life; however, there is a need for more specific instruments for better evaluation. PMID:23420162

  18. Laxative effects and mechanism of action of Brazilian green propolis

    PubMed Central

    2012-01-01

    Background Brazilian green propolis is reported to have wide range of biological properties including antibacterial, anti-inflammatory, anti-influenza, and antioxidant activities. In the digestive system, a protective effect of propolis on gastric ulcer has been reported, but a laxative effect has not yet been reported. We investigated the effect and the mechanism of action of water and ethanol extracts of Brazilian green propolis. Methods We examined the laxative effect of propolis on stool frequency by administering orally an ethanol extract of propolis (EEP) or a water extract of propolis (WEP) at 10, 50, 100, or 500 mg/kg to normal mice. We then investigated the effects of propolis using constipation model mice induced by two types of drugs, loperamide (a μ opioid receptor agonist) and clonidine (an α-2 adrenergic receptor agonist). We also investigated the effects of WEP on gastrointestinal transit and contractional tension of the ileum to uncover the mechanism of action of WEP. Results Treatment with WEP, but not with EEP, significantly increased the weight of stools (p<0.01 at 500 mg/kg). WEP treatment significantly restored stool frequency and stool weight in clonidine-induced constipation model mice, but not in loperamide-induced constipation model mice. WEP treatment did not affect gastro-intestinal transit, but significantly increased the contractional tension of the isolated ileum of guinea pigs. This increase was inhibited by an acetylcholine receptor antagonist (atropine), but not by a 5-HT receptor antagonist (GR113808). Conclusion These findings indicate that WEP has laxative effects both in normal mice and in clonidine-induced constipation model mice. The laxative effects of WEP might be mediated by increased contractional tension of the ileum exerted at least in part via activation of an acetylcholine receptor. PMID:23088672

  19. Evaluation of the breeding behavior of Brazilian Pony stallions.

    PubMed

    Rua, Miguel Alejandro Silva; Quirino, Celia Raquel; Bartholazzi Junior, Aylton; Santoro, Paula Nascimento; Bastos, Rosemary; Ribeiro, Mariana da Silva; Matos, Luis Fonseca; Vega, Wilder Hernando Ortiz

    2016-09-01

    The aim of this study was to evaluate the breeding behavior of Brazilian Pony stallions during semen collection to examine the effect of age category (AC) and month of evaluation on the characteristics of breeding behavior. Nine stallions were evaluated during the breeding and non-breeding season, 5-8 (AC1) and 9-13 years (AC2) of age. The variables evaluated were reaction time (RT), mount time one (MT1) and two (MT2), mount and ejaculation time (MEjT), mounting without erection (MWEr), mounting without ejaculation (MWEj), flehmen, kicks, bites, smells, vocalizations and serum testosterone concentration. Analyses of variance and correlation were performed. The average scores were RT: 56.2±92.9s, MT1: 115.0±122.4s, MT2: 196.4±160.7s, MEjT: 21.8±3.2s, MWEr: 0.8±1.3s, MWEj: 2.1±3.5s, flehmen: 3.8±3.0s, kicks: 0.3±1.2s, bites: 1.0±2.0s, smells: 5.7±3.5s, vocalizations: 6.4±6.3s and testosterone: 0.89±0.52ng/mL. The AC affected the RT (P<0.05) but not the other traits. Month of evaluation did not affect most variables (P>0.05). The correlations between age and RT and between age and MT1 and MT2 were significant. The correlation between testosterone and MEjT was moderate and negative. The breeding behavior of Brazilian Pony stallions was similar across different months of evaluation and different age categories. The month of evaluation and age category also did not affect testosterone concentrations, meaning that semen collection is feasible throughout the year. PMID:27461953

  20. Haemochromatosis in a Brazilian tapir (Tapirus terrestris) in an Australian zoo.

    PubMed

    Peters, A; Raidal, S R; Blake, A H; Atkinson, M M; Atkinson, P R; Eggins, G P

    2012-01-01

    A 23-year-old Brazilian, or lowland, tapir with a 6-month history of loss of body condition developed clinical signs and laboratory findings consistent with liver failure. The animal was euthanased and a diagnosis of hepatic haemochromatosis was made based on histopathology. Two other healthy tapirs in the same collection had chronically elevated serum and tissue iron concentrations. The excessive accumulation of iron in tissues with resultant tissue damage (i.e. haemochromatosis) has been reported in a range of captive species. This and other reported cases of haemochromatosis in the Brazilian tapir would suggest that this condition is an important consideration in the management of this species in zoos. Further research into the endogenous regulation of iron metabolism, especially the role of hepcidin, in tapirs and other species at risk of iron storage disorders may be helpful in the prevention of this condition. PMID:22256982

  1. Implementation contexts of a Tuberculosis Control Program in Brazilian prisons

    PubMed Central

    de Oliveira, Luisa Gonçalves Dutra; Natal, Sonia; Camacho, Luiz Antonio Bastos

    2015-01-01

    OBJECTIVE To analyze the influence from context characteristics in the control of tuberculosis in prisons, and the influence from the program implementation degrees in observed effects. METHODS A multiple case study, with a qualitative approach, conducted in the prison systems of two Brazilian states in 2011 and 2012. Two prisons were analyzed in each state, and a prison hospital was analyzed in one of them. The data were submitted to a content analysis, which was based on external, political-organizational, implementation, and effect dimensions. Contextual factors and the ones in the program organization were correlated. The independent variable was the program implementation degree and the dependent one, the effects from the Tuberculosis Control Program in prisons. RESULTS The context with the highest sociodemographic vulnerability, the highest incidence rate of tuberculosis, and the smallest amount of available resources were associated with the low implementation degree of the program. The results from tuberculosis treatment in the prison system were better where the program had already been partially implemented than in the case with low implementation degree in both cases. CONCLUSIONS The implementation degree and its contexts – external and political-organizational dimensions – simultaneously contribute to the effects that are observed in the control of tuberculosis in analyzed prisons. PMID:26465668

  2. CASE STUDIES EXAMINING LCA STREAMLINING TECHNIQUES

    EPA Science Inventory

    Pressure is mounting for more streamlined Life Cycle Assessment (LCA) methods that allow for evaluations that are quick and simple, but accurate. As part of an overall research effort to develop and demonstrate streamlined LCA, the U.S. Environmental Protection Agency has funded ...

  3. Clinical profile of hepatitis B virus chronic infection in patients of Brazilian liver reference units

    PubMed Central

    Galizzi Fº, João; Teixeira, Rosângela; Fonseca, José C. F.

    2010-01-01

    Purpose To assess data about chronic forms of hepatitis B virus (HBV) infection in Brazilian reference units, the Brazilian Society of Hepatology (SBH) performed a survey, with its associates spread throughout the country. Methods SBH members were contacted by electronic mail. They were asked for data from their liver units regarding chronically infected HBV patients between January 2005 and September 2007. All subjects with HBV surface antigenemia lasting more than 6 months were eligible. Patients who died after January 2005 were also included. Results Data from 24 units of 17 cities (12 Brazilian states) were obtained. These corresponded to 3,913 patients. Mean age was 39 years, ranging from 1 to 84 years. The northern region had the lowest mean age (35 years) and the southern region the highest (43 years). Most of the sampled people were white; 1,448 of 3,614 patients had chronic hepatitis B. Most of them were HBeAg negative (1.4:1). There were 1,695 (46.9%) inactive carriers of 3,614 HBV-infected patients and other 69 (1.9%) were considered as having immune-tolerant status. Hepatitis D coinfection was common among the Amazonian sample (n = 369). Conclusions This large sample study shows important tendencies of chronic hepatitis B infection in Brazilian reference units, such as HBeAg-negative chronic hepatitis B cases overwhelming wild-type strains infected cases. Besides, hepatitis D occurs only among the Amazonian patients. PMID:20827409

  4. 13 CFR 108.692 - Examination fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Nmvc Companies by Sba for Regulatory Compliance § 108.692 Examination fees. (a) General. SBA will assess fees for examinations in accordance with this section. Unless SBA determines otherwise on a case by case basis, SBA will not assess fees for special examinations to obtain specific information....

  5. Examining Text Environments in Elementary Chilean Classrooms

    ERIC Educational Resources Information Center

    Orellana-Garcia, Pelusa; Sailors, Misty

    2016-01-01

    In this study, we examine the social practices related to literacy in classrooms in Chile in order to examine school-based literacy practices. We also examined the constraints and affordances literacy learning offered Chilean students. Through our case study and cross-case analysis, we discovered that although the classrooms contained an…

  6. Rabies in humans and non-human in the state of Pará, Brazilian Amazon.

    PubMed

    Fernandes, Marcus Emanuel Barroncas; Costa, Lanna Jamile Corrêa da; Andrade, Fernanda Atanaena Gonçalves de; Silva, Lucila Pereira

    2013-01-01

    We evaluate the relationship of positive cases of rabies with the continuing expansion of livestock production, and analyse the trends of this zoonosis in human population in the state of Pará, Brazilian Amazon. The distribution of rabies cases was recorded between 1999 and 2004. Of 148 cases of rabies, 21% were in humans and 79% in non-human mammals. The rapid growth in livestock numbers seems to be associated with the increase of positive cases in bovine livestock transmitted by vampire bats. This idea is supported by positive and significant relationship of both events in time (p<0.01), but failed when spatial distribution among regions of the state was considered. However, rabies cases tend to occur toward the northeastern of the state of Pará, where rabies cases are proportionally five times greater than other mesoregions, suggesting that increased livestock production may influence the increase of this zoonosis. PMID:23477765

  7. Understanding the clinical spectrum of complicated Plasmodium vivax malaria: a systematic review on the contributions of the Brazilian literature

    PubMed Central

    2012-01-01

    The resurgence of the malaria eradication agenda and the increasing number of severe manifestation reports has contributed to a renewed interested in the Plasmodium vivax infection. It is the most geographically widespread parasite causing human malaria, with around 2.85 billion people living under risk of infection. The Brazilian Amazon region reports more than 50% of the malaria cases in Latin America and since 1990 there is a marked predominance of this species, responsible for 85% of cases in 2009. However, only a few complicated cases of P. vivax have been reported from this region. A systematic review of the Brazilian indexed and non-indexed literature on complicated cases of vivax malaria was performed including published articles, masters' dissertations, doctoral theses and national congresses' abstracts. The following information was retrieved: patient characteristics (demographic, presence of co-morbidities and, whenever possible, associated genetic disorders); description of each major clinical manifestation. As a result, 27 articles, 28 abstracts from scientific events' annals and 13 theses/dissertations were found, only after 1987. Most of the reported information was described in small case series and case reports of patients from all the Amazonian states, and also in travellers from Brazilian non-endemic areas. The more relevant clinical complications were anaemia, thrombocytopaenia, jaundice and acute respiratory distress syndrome, present in all age groups, in addition to other more rare clinical pictures. Complications in pregnant women were also reported. Acute and chronic co-morbidities were frequent, however death was occasional. Clinical atypical cases of malaria are more frequent than published in the indexed literature, probably due to a publication bias. In the Brazilian Amazon (considered to be a low to moderate intensity area of transmission), clinical data are in accordance with the recent findings of severity described in diverse P

  8. Understanding the clinical spectrum of complicated Plasmodium vivax malaria: a systematic review on the contributions of the Brazilian literature.

    PubMed

    Lacerda, Marcus V G; Mourão, Maria P G; Alexandre, Márcia A A; Siqueira, André M; Magalhães, Belisa M L; Martinez-Espinosa, Flor E; Filho, Franklin S Santana; Brasil, Patrícia; Ventura, Ana M R S; Tada, Mauro S; Couto, Vanja S C D; Silva, Antônio R; Silva, Rita S U; Alecrim, Maria G C

    2012-01-01

    The resurgence of the malaria eradication agenda and the increasing number of severe manifestation reports has contributed to a renewed interested in the Plasmodium vivax infection. It is the most geographically widespread parasite causing human malaria, with around 2.85 billion people living under risk of infection. The Brazilian Amazon region reports more than 50% of the malaria cases in Latin America and since 1990 there is a marked predominance of this species, responsible for 85% of cases in 2009. However, only a few complicated cases of P. vivax have been reported from this region. A systematic review of the Brazilian indexed and non-indexed literature on complicated cases of vivax malaria was performed including published articles, masters' dissertations, doctoral theses and national congresses' abstracts. The following information was retrieved: patient characteristics (demographic, presence of co-morbidities and, whenever possible, associated genetic disorders); description of each major clinical manifestation. As a result, 27 articles, 28 abstracts from scientific events' annals and 13 theses/dissertations were found, only after 1987. Most of the reported information was described in small case series and case reports of patients from all the Amazonian states, and also in travellers from Brazilian non-endemic areas. The more relevant clinical complications were anaemia, thrombocytopaenia, jaundice and acute respiratory distress syndrome, present in all age groups, in addition to other more rare clinical pictures. Complications in pregnant women were also reported. Acute and chronic co-morbidities were frequent, however death was occasional. Clinical atypical cases of malaria are more frequent than published in the indexed literature, probably due to a publication bias. In the Brazilian Amazon (considered to be a low to moderate intensity area of transmission), clinical data are in accordance with the recent findings of severity described in diverse P

  9. Partnerships for Lifelong Learning Policies: A Brazilian Perspective

    ERIC Educational Resources Information Center

    Ireland, Timothy

    2007-01-01

    Brazilian inequality is the result of multiple complex determinations but the heterogeneity with which quality education is distributed among the population remains at its core. When we consider the Brazilian labour market we see that the heterogeneity in the levels of schooling of the workforce is the principle determinant for wage inequality…

  10. Brazilian Adaptation of the Woodcock-Johnson III Cognitive Tests

    ERIC Educational Resources Information Center

    Wechsler, Solange Muglia; Nunes, Carlos Sancineto; Schelini, Patricia Waltz; Pasian, Sonia Regina; Homsi, Silvia Vertoni; Moretti, Lucia; Anache, Alexandra Ayach

    2010-01-01

    An adaptation of the standard battery of Woodcock-Johnson III Tests of Cognitive Abilities (WJ-III) for Brazilian children and youth was investigated. The sample was composed of 1094 students (54 percent girls), ages 7-17, living in Sao Paulo state (91 percent). Items from Brazilian school books as well as from the WJ-III Spanish version…

  11. An Optimality-Theoretic Analysis of Codas in Brazilian Portuguese

    ERIC Educational Resources Information Center

    Goodin-Mayeda, C. Elizabeth

    2015-01-01

    Brazilian Portuguese allows only /s, N, l, r/ syllable finally, and of these, only /s/ is realized faithfully (as well as /r/ for some speakers). In order to avoid unacceptable codas, dialects of Brazilian Portuguese employ such strategies as epenthesis, nasal absorption, debucalization, and gliding. The current analysis argues that codas in…

  12. Linguistic Policies, Linguistic Planning, and Brazilian Sign Language in Brazil

    ERIC Educational Resources Information Center

    de Quadros, Ronice Muller

    2012-01-01

    This article explains the consolidation of Brazilian Sign Language in Brazil through a linguistic plan that arose from the Brazilian Sign Language Federal Law 10.436 of April 2002 and the subsequent Federal Decree 5695 of December 2005. Two concrete facts that emerged from this existing language plan are discussed: the implementation of bilingual…

  13. Managing Relations with Industry: The Case of Brazilian Universities

    ERIC Educational Resources Information Center

    Lahorgue, Maria Alice

    2005-01-01

    For a long time, university-business relations were a matter of individual, informal and intermittent contacts. Once the innovation process picked up speed, businesses began asking more from universities (longer-term co-operative research, for example), and governments placed university-business interaction at the centre of their innovation…

  14. [Scholar mobility and international circulation of ideas. The brazilian's case].

    PubMed

    Garcia, Afrânio

    2011-01-01

    In Brazil, considerable changes have affected the fields of social sciences and humanities. The growing number of advanced students studying abroad after the 1960s and later the creation of PhD programs have turned the road to national political power into an international one. As a result, academic fields have evolved and Elite formation has largely been transformed. Using these elements as a contextual framework, this article seeks to analyze the recent dynamics of the debate over the political and economic evolution of Brazil. PMID:22109089

  15. Automated Access to Multilingual Information: A Brazilian Case Study.

    ERIC Educational Resources Information Center

    Lopes, Roseane R. Velho

    1989-01-01

    Identifies some of the problems the foreign language barrier creates in the handling of scientific and technical texts in Brazil and suggests the creation of some automated tools to overcome these problems. It is suggested that international efforts to maximize access to technical and scientific information will improve multilingual communication…

  16. Social license to operate: case from brazilian mining industry

    NASA Astrophysics Data System (ADS)

    Santiago, Ana Lúcia F.; Demajorovic, Jacques; Aledo, Antonio

    2015-04-01

    The approach of the Social License to Operate (SLO) emerges as an important element in academic discussions and business practices related to extractive industries. It appears that in productive activities with great potential to produce economic, social and environmental impacts, conventional approaches based on legal compliance no longer sufficient to legitimize the actions of companies and engagement stakeholders. Studies highlight the need of mining activities receiving a SLO "issued" by companies stakeholders, including society, government, non-governmental organizations, media and communities. However, local communities appears as major stakeholders in governance arrangements, by virtue of its proximity to extractive areas and ability to affect the company's results. Stakeholders with unmet expectations can generate conflicts and risks to the company, the knowledge of these expectations and an awareness of company managers of the importance of Social License to Operate (SLO), can generate strategies and mitigating actions to prevent and or minimize possible conflicts. The concept of SLO arises in engineering extractive industry, when you need to respond to social challenges, beyond the usual environmental challenges, technological and management. According to Franks and Cohen (2012) there is a tendency of engineering sectors, sustainability, environmental, safety and especially in risk mappings, treat the technological issues in a neutral manner, separating the technological research projects of social influences. I want to contribute to the advancement of the debate on stakeholder engagement and adopting as focus on the company's relationship with the community, the aim of this study was to understand how a social project held by one of the largest mining companies in Brazil contributed to the process of SLO. This methodological procedure adopted was a qualitative, descriptive, and exploratory interviews with the communities located in rural areas of direct influence of the company's approach. The results show that the strategy adopted by the company contributed to the process of SLO, furthermore it is necessary adopt strong methodologies that facilitate the engagement processes of the other company's stakeholders, as well as the challenge to keep on local legitimacy earned. Key words: Mining, social license to operate (SLO), social impact, corporate social responsibility, stakeholders. References: * FRANKS, DANIEL M.; COHEN, TAMAR. Social Licence in Design: Constructive technology assessment within a mineral research and development institution. Centre for Social Responsibility in Mining, Sustainable Minerals Institute, University of Queensland, Australia. 79 122 Technological Forecasting & Social Change. 2012.

  17. The Brazilian experience with Cytotec.

    PubMed

    Barbosa, R M; Arilha, M

    1993-01-01

    Cytotec, the commercial name for misoprostol, which is a synthetic analogue of prostaglandin E1, was approved for use in Brazil in 1986 to treat gastric and duodenal ulcers. The drug can and has also been used to induce abortion, which has created controversy in a country in which induced abortion is illegal. A study of the drug was undertaken in 1992 that included analyses of the drug's sales profile, of information published by the media, and of its use from women's and gynecologists' points of view, the latter examined using qualitative methodologies. The analysis of Cytotec's sales volume showed quick growth from its introduction until the first half of 1991, when its use was restricted by the Ministry of Health. For women, Cytotec's main advantages have been that it is relatively inexpensive, convenient to use, and can be used in private. Data obtained from gynecologists show that Cytotec's addition to the obstetric therapeutic arsenal was welcome and also confirmed the drug's influence in reducing the complications of illegal abortions shown in other studies. PMID:8212093

  18. Necessity to review the Brazilian regulation about fluoride toothpastes

    PubMed Central

    Cury, Jaime Aparecido; Caldarelli, Pablo Guilherme; Tenuta, Livia Maria Andaló

    2015-01-01

    The aim of this study was to evaluate the adequacy of the Brazilian legislation about fluoride toothpaste. A search was conducted in LILACS, Medline and SciELO databases about the fluoride concentration found in Brazilians toothpastes, using descriptors on health. Publications since 1981 have shown that some Brazilian toothpastes are not able to maintain, during their expiration time, a minimum of 1,000 ppm F of soluble fluoride in the formulation. However, the Brazilian regulation (ANVISA, Resolution 79, August 28, 2000) only sets the maximum total fluoride (0.15%; 1,500 ppm F) that a toothpaste may contain but not the minimum concentration of soluble fluoride that it should contain to have anticaries potential, which according to systematic reviews should be 1,000 ppm F. Therefore, the Brazilian regulation on fluoride toothpastes needs to be revised to assure the efficacy of those products for caries control. PMID:26487295

  19. [The Brazilian Nursing Congress: sixty years of history].

    PubMed

    Mancia, Joel Rolim; Padilha, Maria Itayra Coelho de Souza; Ramos, Flávia Regina Souza; Cordova, Fernanda Peixoto; Amaral, Nilton Vieira do

    2009-01-01

    This study objective is to describe the issues associated to the origin of the Brazilian Nursing Congress and its course between 1947 and 2007; and to discuss the implementation of this strategy by the Brazilian Nursing Association (ABEn). It is a historical survey with documentary research. The documentary analysis allowed reaching the following categories: the origin of the Brazilian Nursing Congress and the congresses as the political nursing arena. We have concluded that the Brazilian Nursing Congresses have reflected the construction of the Brazilian Nursing history, aiming at stimulating the critical consideration on the professional problems and investing in the production of knowledge, addressing the growing complexity and quality of the professional practice. PMID:19597675

  20. Necessity to review the Brazilian regulation about fluoride toothpastes.

    PubMed

    Cury, Jaime Aparecido; Caldarelli, Pablo Guilherme; Tenuta, Livia Maria Andaló

    2015-01-01

    The aim of this study was to evaluate the adequacy of the Brazilian legislation about fluoride toothpaste. A search was conducted in LILACS, Medline and SciELO databases about the fluoride concentration found in Brazilians toothpastes, using descriptors on health. Publications since 1981 have shown that some Brazilian toothpastes are not able to maintain, during their expiration time, a minimum of 1,000 ppm F of soluble fluoride in the formulation. However, the Brazilian regulation (ANVISA, Resolution 79, August 28, 2000) only sets the maximum total fluoride (0.15%; 1,500 ppm F) that a toothpaste may contain but not the minimum concentration of soluble fluoride that it should contain to have anticaries potential, which according to systematic reviews should be 1,000 ppm F. Therefore, the Brazilian regulation on fluoride toothpastes needs to be revised to assure the efficacy of those products for caries control. PMID:26487295

  1. PREFACE: VII Brazilian Meeting on Simulational Physics

    NASA Astrophysics Data System (ADS)

    Plascak, Joao Antonio; Rosas, Alexandres

    2014-03-01

    This special issue includes invited and selected articles of the VIIth Brazilian Meeting on Simulational Physics (BMSP), held in João Pessoa, Paraíba, Brazil, from the 5th to 10th August, 2013. This is the seventh such meeting, and the first one to have contributed papers published in the Journal of Physics: Conference Series. The previous meetings in the BMSP series took place in the mountains of Minas Gerais and in the region of the Brazilian Pantanal. Now, for the first time, the Meeting was held in the pleasant shores of João Pessoa, the capital of the Paraíba state. The VIIth BMSP brought together more than 50 researchers from all over the world for a vibrant and productive period. As in the previous meetings, the talks and posters highlighted recent advances in applications, algorithms, and implementations of computer simulation methods for the study of condensed matter, materials, out of equilibrium, quantum and biologically motivated systems. We are sure that this meeting series will continue to provide a valuable venue for people working in simulational physics to exchange ideas and discuss the state of art of this always expanding field. We are very glad to realize this special issue, and are most appreciative to the editors of the Journal of Physics: Conference Series for making this publication possible. We are grateful for the outstanding work of the João Pessoa team, for the financial support of the Brazilian agencies CNPq, CAPES, FAPESQ, and of the Federal Universities UFPB and UFMG. At last, but not least, we would like to acknowledge all of the authors of this special issue for their contributions. João Antonio Plascak Alexandre Rosas Guest Editors Conference photograph

  2. Net Carbon Balance for the Brazilian Amazon

    NASA Technical Reports Server (NTRS)

    Houghton, R. A.

    1998-01-01

    The general purpose of this research was to use recent satellite-based estimates of deforestation in Brazilian Amazonia to calculate the net flux of carbon associated with deforestation and subsequent regrowth of secondary forests. We have made such a calculation, in the process comparing two estimates of deforestation and two estimates of biomass for the region. Both estimates were based on the RADAMBRASIL survey. They differed in the equations used to convert wood-volumes to total biomass. The net flux of carbon from changes in land use seems to vary from year to year, perhaps by as much as a factor of 4.

  3. Women neurologist: a worldwide and Brazilian struggle.

    PubMed

    Gomes, Marleide da Mota

    2011-10-01

    The main aim of this paper was to present some pioneer women neurologist, their struggle to pursue their career and the barriers mainly encountered at the beginning of their professional lives. It was also presented the progressive increasing of the feminine participation in medicine and in the neurology with study based on data of the School of Medicine of the Federal University of Rio de Janeiro and Brazilian Academy of Neurology. Their composition were analyzed according to gender, class and academic rank. In spite of this feminization, there is lack of a women's parallel advancement into leadership positions despite no visible barriers ("glass ceiling"). PMID:22042192

  4. ESR dating of teeth from Brazilian megafauna

    NASA Astrophysics Data System (ADS)

    Oliveira, L. C.; Kinoshita, A.; Barreto, A. M. F.; Figueiredo, A. M.; Silva, J. L. L.; Baffa, O.

    2010-11-01

    The study of radiation defects created in biomaterials, such as bone and teeth, can be used in dating with importance to palaeontology and archaeology. Two Stegomastodon teeth (AL1 and AL2) from north-eastern Brazilian megafauna were studied by electron spin resonance (ESR) spectroscopy. The samples were collected in Fazenda Ovo da Ema, (913349 / 3714965) UTM, Alagoas state, Brazil. The dating of these samples can contribute to the better knowledge of megafauna presence in this region as well as to the events associated to the extinction of these species.

  5. Brazilian keratin hair treatment: a review.

    PubMed

    Weathersby, Courtney; McMichael, Amy

    2013-06-01

    Brazilian keratin treatments are widely available products that are used by women all over the world to straighten hair. Marketers of these products claim that the keratin treatments render naturally curly hair more manageable and frizz-free while enhancing color and shine, giving the hair a healthier appearance. Although widely used, there have been virtually no reports of adverse side effects. Unfortunately, many of the products that are applied by salon professionals contain formaldehyde or its derivatives and are being marketed as safe. PMID:23725308

  6. [The Brazilguayans, Brazilian migrants in Paraguay].

    PubMed

    Pebayle, R

    1994-01-01

    "Since the 1950s, the population of Eastern regions of Paraguay has grown with the steady influx of Brazilian immigrants. Planters from Parana and Sao Paulo, mechanized wheat and soy farmers from the southern campos and cattle farmers from the Matto Grosso do Sul have joined mixed farmers, descendants of European settlers from the south of Brazil. Despite some local conflicts, the Brazilguayans...[in] Oriente [province] seem to be on the road to integration in Paraguay." (SUMMARY IN ENG AND SPA AND POR) PMID:12288169

  7. Cleft lip and palate in a Brazilian subpopulation

    PubMed Central

    Cuozzo, Fernanda Dornelles Martins; Espinosa, Mariano Martínez; da Silva, Katia Tavares Serafim; de Barros, Yolanda Benedita Abadia Martins; Bandeca, Matheus Coelho; Aranha, Andreza Maria Fabio; Borges, Alvaro Henrique; Volpato, Luiz Evaristo Ricci

    2013-01-01

    Background: This work aimed to access the profile of cleft lip and palate patients of a sub-population in Mid-West Brazil. Materials & Methods: Research was carried out through a cross-sectional study at the Craniofacial Rehabilitation Center of the University General Hospital of the University of Cuiabá, Mato Grosso, Brazil. Variables related to oral cleft type, gender, race, age and presence or absence of associated congenital anomalies or syndromes were analyzed. Results: 313 patients treated at the institution from 2004 to 2007 were recruited. There were 54% male and 46% female patients with the mean age of 11.4 years. Cleft lip and palate was the most prevalent alteration in 49.6% of cases. Caucasians were the most affected in 54.6% of cases. 6.4% of patients had other anomalies or syndromes associated with cleft. Conclusion: More comprehensive surveys should be conducted in order to supply the lack of data on the occurrence and determinants of oral clefts in this region. How to cite this article:Cuozzo FD, Espinosa MM, Serafim da Silva KT, Martins de Barros YB, Bandeca MC, Aranha AM, Borges AH, Volpato LE. Cleft lip and palate in a Brazilian subpopulation. J Int Oral Health 2013; 5(4):15-20. PMID:24155614

  8. Independent origins of loss-of-function mutations conferring oxamniquine resistance in a Brazilian schistosome population.

    PubMed

    Chevalier, Frédéric D; Le Clec'h, Winka; Eng, Nina; Rugel, Anastasia R; Assis, Rafael Ramiro de; Oliveira, Guilherme; Holloway, Stephen P; Cao, Xiaohang; Hart, P John; LoVerde, Philip T; Anderson, Timothy J C

    2016-06-01

    Molecular surveillance provides a powerful approach to monitoring the resistance status of parasite populations in the field and for understanding resistance evolution. Oxamniquine was used to treat Brazilian schistosomiasis patients (mid-1970s to mid-2000s) and several cases of parasite infections resistant to treatment were recorded. The gene underlying resistance (SmSULT-OR) encodes a sulfotransferase required for intracellular drug activation. Resistance has a recessive basis and occurs when both SmSULT-OR alleles encode for defective proteins. Here we examine SmSULT-OR sequence variation in a natural schistosome population in Brazil ∼40years after the first use of this drug. We sequenced SmSULT-OR from 189 individual miracidia (1-11 per patient) recovered from 49 patients, and tested proteins expressed from putative resistance alleles for their ability to activate oxamniquine. We found nine mutations (four non-synonymous single nucleotide polymorphisms, three non-coding single nucleotide polymorphisms and two indels). Both mutations (p.E142del and p.C35R) identified previously were recovered in this field population. We also found two additional mutations (a splice site variant and 1bp coding insertion) predicted to encode non-functional truncated proteins. Two additional substitutions (p.G206V, p.N215Y) tested had no impact on oxamniquine activation. Three results are of particular interest: (i) we recovered the p.E142del mutation from the field: this same deletion is responsible for resistance in an oxamniquine selected laboratory parasite population; (ii) frequencies of resistance alleles are extremely low (0.27-0.8%), perhaps due to fitness costs associated with carriage of these alleles; (iii) that four independent resistant alleles were found is consistent with the idea that multiple mutations can generate loss-of-function alleles. PMID:27073078

  9. Synergism between ozone and light stress: structural responses of polyphenols in a woody Brazilian species.

    PubMed

    Fernandes, Francine Faia; Cardoso-Gustavson, Poliana; Alves, Edenise Segala

    2016-07-01

    Microscopic studies on isolated ozone (O3) effects or on those in synergy with light stress commonly report the induction of polyphenols that exhibit different aspects within the vacuole of photosynthesizing cells. It has been assumed that these different aspects are randomly spread in the symptomatic (injured) regions of the leaf blade. Interestingly, secretory ducts that constitutively produce polyphenols also exhibit these same variations in their vacuolar aspect, in a spatial sequence related to the destiny of these cells (e.g., programmed cell death (PCD) in lytic secretion processes). Here, we demonstrate that the deposition pattern of polyphenols prior to the establishment of the hypersensitive-like response, a type of PCD caused by O3, follows the same one observed in the epithelial cells of the constitutive lysigenous secretory ducts. Astronium graveolens, an early secondary Brazilian woody species, was selected based on its susceptibility to high light and presence of secretory ducts. The synergism effects were assessed by exposing plants to the high O3 concentrations at an urban site in São Paulo City. Confocal, widefield and light microscopies were used to examine polyphenols' occurrence and aspects. The spatial pattern of polyphenols distribution along the leaflets of plants submitted to the synergism condition, in which a dense vacuolar aspect is the target of a cell destined to death, was also observed in the constitutive secretory cells prior to lysis. This similar structural pattern may be a case of homology of process involving both the constitutive (secretory ducts) and the induced (photosynthesizing cells) defenses. PMID:27155473

  10. Deletion of Epstein-Barr virus latent membrane protein 1 gene in Japanese and Brazilian gastric carcinomas, metastatic lesions, and reactive lymphocytes.

    PubMed Central

    Hayashi, K.; Chen, W. G.; Chen, Y. Y.; Murakami, I.; Chen, H. L.; Ohara, N.; Nose, S.; Hamaya, K.; Matsui, S.; Bacchi, M. M.; Bacchi, C. E.; Chang, K. L.; Weiss, L. M.

    1998-01-01

    A 30-bp deletion in the Epstein-Barr virus (EBV) latent membrane protein 1 (LMP1) gene has been reported in nasopharyngeal carcinoma and EBV-associated malignant lymphomas. Information on this deletion in EBV-associated gastric carcinoma (EBVaGC) is limited. The association of gastric carcinoma (GC) with EBV was examined by EBV-encoded RNA (EBER) in situ hybridization in 510 patients from Japan and 80 patients from Brazil. We studied the prevalence of 30-bp LMP1 gene deletion in EBVaGC in Japan (29 cases) and Brazil (four cases) in comparison with the corresponding EBER1-positive metastatic lesions in lymph nodes (10 cases) and EBV-infected reactive lymphocytes from dissected nonmetastatic lymph nodes (22 cases), microdissected non-neoplastic gastric mucosa of EBVaGC (five cases), and EBV-nonassociated GC (25 cases). We studied the status of the LMP1 gene by Southern blot hybridization of polymerase chain reaction products obtained after amplification with primers flanking the site of the deletion. We also performed EBV typing and LMP1 protein immunohistochemistry. EBV DNA was amplified by polymerase chain reaction in 30 of 33 EBVaGC cases, 8 of 10 metastatic carcinomas, 14 non-neoplastic tissues from 27 EBVaGC cases, and 12 of 25 non-EBV-associated GC cases with EBER1-positive lymphocytes. The 30-bp LMP1 gene deletion was observed in 23 of 26 (88.5%) cases of EBVaGC from Japan and two of four (50%) cases of Brazilian EBVaGC as compared with EBER1-positive reactive lymphocytes from 11 of 14 (78.6%) EBVaGC cases and 9 of 12 (75%) cases of non-EBV-associated GC. The variant type (the 30-bp deletion variant or nondeleted wild type) of LMP1 gene was the same among reactive lymphocytes, primary and secondary lesions of EBVaGC in all cases for which all three tissue types were studied (six of six). There was no correlation between the presence of the 30-bp deletion with depth of cancer invasion or presence of metastasis. Type A was detected in all available EBV

  11. Characterization of anthropometric assessment studies of Brazilian children attending daycare centers

    PubMed Central

    Pedraza, Dixis Figueroa; de Menezes, Tarciana Nobre

    2016-01-01

    Abstract Objective: To obtain an overview of available information on the anthropometric assessment of Brazilian children attending daycare centers. Data source: A literature search was carried out in the PubMed, LILACS and SciELO databases of studies published from 1990 to 2013 in Portuguese and English languages. The following search strategy was used: (nutritional status OR anthropometrics OR malnutrition OR overweight) AND daycare centers, as well as the equivalent terms in Portuguese. In the case of MEDLINE search, the descriptor Brazil was also used. Data synthesis: It was verified that the 33 studies included in the review were comparable from a methodological point of view. The studies, in general, were characterized by their restrictive nature, geographical concentration and dispersion of results in relation to time. Considering the studies published from 2010 onwards, low prevalence of acute malnutrition and significant rates of stunting and overweight were observed. Conclusions: Despite the limitations, considering the most recent studies that used the WHO growth curves (2006), it is suggested that the anthropometric profile of Brazilian children attending daycare centers is characterized by a nutritional transition process, with significant prevalence of overweight and short stature. We emphasize the need to develop a multicenter survey that will more accurately define the current anthropometric nutritional status of Brazilian children attending daycare centers. PMID:26553574

  12. Atypical manifestations in Brazilian patients with neuro-Behçet's disease.

    PubMed

    Dutra, Lívia Almeida; Gonçalves, Célio Roberto; Braga-Neto, Pedro; Pedroso, José Luiz; Gabbai, Alberto Alain; Barsottini, Orlando Graziani Povoas; de Souza, Alexandre Wagner Silva

    2012-06-01

    Type and frequency of systemic and neurologic manifestations of Behçet's disease (BD) vary with ethnicity. In Brazil, BD occurs as sporadic cases. We describe clinical and radiological features of 36 Brazilian patients of mixed ethnicity with neuro-Behçet's disease (NBD). Medical records of 178 BD patients were reviewed and 36 (20%) NBD patients were identified. Twenty-one NBD patients (58.3%) were female and 27 (75%) presented with parenchymal manifestations. Brainstem involvement was the most common neurologic syndrome (41.7%). Seizures (27.8%), isolated aseptic meningitis (16.7%), optic neuropathy (ON) (16.7%), cerebral venous thrombosis (CVT) (8.3%), peripheral neuropathy (2.8%), and spinal cord involvement (5.6%) were other neurologic manifestations observed among Brazilian NBD patients. Eighteen (50%) had at least one relapse, and isolated aseptic meningitis was the most common relapsing manifestation. No significant differences concerning the number of relapses between parenchymal and non-parenchymal groups were found. A multivariate model including disease duration, cell count in spinal fluid, cyclosporine use, immunosuppressive use at disease onset, age at NBD onset, and ON did not reveal any significant associations with NBD relapse. There was a low frequency of CVT and an unexpected higher number of isolated aseptic meningitis. Brazilian NBD patients present more parenchymal and atypical manifestations, and relapse more often than NBD patients from other populations. PMID:22169955

  13. Pharmacogenomic implications of population admixture: Brazil as a model case.

    PubMed

    Suarez-Kurtz, Guilherme; Paula, Daniela Polessa; Struchiner, Claudio J

    2014-02-01

    The heterogeneous Brazilian population, with European, African and Amerindian ancestral roots is a model case for exploring the impact of population admixture on the frequency distribution of polymorphisms in pharmacogenes, and the design and interpretation of pharmacogenomics trials. Examples drawn from studies carried out by researchers of the Brazilian pharmacogenomics network, support the following conclusions: the distribution of polymorphisms varies across geographical regions and self-reported 'race/color' categories, and is best modeled as continuous functions of individual proportions of European and African ancestry; the differential frequency of polymorphisms impacts the calculations of sample sizes required for adequate statistical power in clinical trials performed in different segments of the Brazilian population; and extrapolation of pharmacogenomics data from well-defined ethnic groups to Brazilians is plagued with uncertainty. Data for warfarin and tacrolimus are reviewed to highlight the advantages and challenges of performing pharmacogenomic trials in Brazilians. PMID:24444410

  14. Brazilian version of food cravings questionnaires: Psychometric properties and sex differences.

    PubMed

    Queiroz de Medeiros, Anna C; Campos Pedrosa, Lucia F; Hutz, Claudio Simon; Yamamoto, Maria E

    2016-10-01

    The Food Cravings Questionnaires, State (FCQ-State) and Trait (FCQ-Trait), are commonly used to assess food-craving behavior. This study aimed to develop and validate the Brazilian version of these questionnaires, and to explore potential gender differences in the trait version scores. Data were collected from (n = 611) undergraduate students. Confirmatory factor analysis was conducted to examine the questionnaires structure, and construct validity was assessed. The FCQ-State-Br and FCQ-Trait-Br presented good psychometric properties, adequate model fit, and internal consistency, in general and by gender. A conservation of original structure of the Food Cravings Questionnaires was verified in the Brazilian versions. A good performance in the evaluations concerning the discriminant and convergent validity seem to corroborate these structures. Overweight individuals showed an increase in food-craving behavior. In females, this increase occurred in the guilt dimension, whereas in males, the increase was in the lack of control dimension. In addition, female dieters presented higher scores on the guilt dimension compared with female non-dieters. FCQ-State-Br and FCQ-Trait-Br constitute valid instruments for measuring food-craving behavior in the Brazilian population. Moreover, these findings suggest that food cravings may be an important aspect to be considered in clinical management of overweight individuals, and may require a sex-specific approach. PMID:27288149

  15. Preliminary reliability and repeatability of the Brazilian version of the Revised Knox Preschool Play Scale.

    PubMed

    Pacciulio, Amanda M; Pfeifer, Luzia I; Santos, Jair L F

    2010-06-01

    The aim of this study was to create an adaptation of the Revised Knox Preschool Play Scale (RKPPS) for the Brazilian population, as well as to apply the instrument with statistical analysis to verify the preliminary intra-rater and inter-rater reliability and repeatability of the instrument. The instructions presented by Beaton et al. regarding adaptation of instruments were followed to perform a cross-cultural adaptation of the RKPPS. A preliminary test of the Portuguese version was performed on 18 children with no motor, cognitive or sensory impairment. The video recordings of this administration were analysed on two separate occasions by two examiners within a 5-month interval, using the scores suggested by Pfeifer. The Spearman's test was used in the statistical analysis of the obtained data. The author of the RKPPS agreed with the small necessary cultural adaptations. The Spearman test revealed a high correlation coefficient and good significance levels for both intra- and inter-raters values. This study demonstrated the reliability and repeatability of the Brazilian version of the RKPPS. This is a preliminary study and further studies are needed in order to validate the scale to be administered in the Brazilian population. PMID:20099245

  16. Validations of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS).

    PubMed

    Martins-Júnior, Paulo Antônio; Ramos-Jorge, Joana; Paiva, Saul Martins; Marques, Leandro Silva; Ramos-Jorge, Maria Letícia

    2012-02-01

    This study aimed to evaluate the psychometric properties of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). A total of 247 children aged 2 to 5 years and their parents/guardians participated in this study. A clinical oral examination was performed and the parents/guardians completed the ECOHIS questionnaire. Within a period of four-weeks, 20% of the participants repeated the ECOHIS questionnaire. Construct validity was determined using Spearman's rank correlation. Discriminant validity, internal consistency and test-retest reliability were also evaluated. The children were divided into 2 groups: group 1 (with dental caries) and group 2 (caries-free). Children with caries showed higher mean ECOHIS scores than the caries-free children. The child impact section (p < 0.01), family impact section (p < 0.01) and total ECOHIS scores (p < 0.01) were significantly correlated with tooth decay. Cronbach's alpha coefficients demonstrated satisfactory internal consistency. The Brazilian version of the ECOHIS is a valid instrument for assessing oral health-related quality of life in preschool children with Brazilian Portuguese-speaking primary caregivers. PMID:22331162

  17. Examination Management and Examination Malpractice: The Nexus

    ERIC Educational Resources Information Center

    Ogunji, James A.

    2011-01-01

    Examination malpractice or cheating has become a global phenomenon. In different countries of the world today, developed and developing, academic dishonesty especially cheating in examinations has heightened and taken frightening dimension. In many countries of the world this phenomenon has become a serious matter of concern that has left many…

  18. Cow-specific risk factors for clinical mastitis in Brazilian dairy cattle.

    PubMed

    Oliveira, C S F; Hogeveen, H; Botelho, A M; Maia, P V; Coelho, S G; Haddad, J P A

    2015-10-01

    Information related to mastitis risk factors is useful for the design and implementation of clinical mastitis (CM) control programs. The first objective of our study was to model the risk of CM under Brazilian conditions, using cow-specific risk factors. Our second objective was to explore which risk factors were associated with the occurrence of the most common pathogens involved in Brazilian CM infections. The analyses were based on 65 months of data from 9,789 dairy cows and 12,464 CM cases. Cow-specific risk factors that could easily be measured in standard Brazilian dairy farms were used in the statistical analyses, which included logistic regression and multinomial logistic regression. The first month of lactation, high somatic cell count, rainy season and history of clinical mastitis cases were factors associated with CM for both primiparous and multiparous cows. In addition, parity and breed were also associated risk factors for multiparous cows. Of all CM cases, 54% showed positive bacteriological culturing results from which 57% were classified as environmental pathogens, with a large percentage of coliforms (35%). Coagulase-negative Staphylococcus (16%), Streptococcus uberis (9%), Streptococcus agalactiae (7%) and other Streptococci (9%) were also common pathogens. Among the pathogens analyzed, the association of cow-specific risk factors, such as Zebu breed (OR=5.84, 95%CI 3.77-10.77) and accumulated history of SCC (1.76, 95%CI 1.37-2.27), was different for CM caused by Coagulase-negative Staphylococcus and S. agalactiae in comparison to CM caused by coliforms. Our results suggest that CM control programs in Brazil should specially consider the recent history of clinical mastitis cases and the beginning of the lactations, mainly during the rainy season as important risk factor for mastitis. PMID:26302854

  19. Description of free-living marine nematodes found in the intestine of fishes from the Brazilian coast.

    PubMed

    Abolafia, Joaquín; Ruiz-Cuenca, Alba N; Fernandes, Berenice M M; Cohen, Simone C; Cárdenas, Melissa Q

    2015-01-01

    The marine nematodes usually comprise free-living species, although a few are parasitic. However, several cases of free-living nematodes found accidentally in the digestive tract of certain vertebrates, especially fishes, have sometimes been recorded and categorized as pseudoparasites. In the present work, two species of marine fishes, the rhomboid crappie, Diapterus rhombeus, and the silvered crappie, Eucinostomus argenteus (Perciformes: Gerreidae), from Angra dos Reis on the coast of Rio de Janeiro (Brazil) were examined. Seven species of free-living marine nematodes were found in the digestive tract of these fish. Several of these species remain unknown as free-living forms in Brazil. The combination of the fish feeding strategies and the poor preservation of the body of the nematode specimens found could indicate that these nematodes are pseudoparasites, appearing in the fishes' digestive tracts through accidental ingestion and thereafter surviving for brief periods of time. Descriptions, illustrations and tables of measurements are provided for all species. Six of these species (Croconema torquens, Dorylaimopsis pellucida, Oncholaimellus labiatus, Parodontophora breviamphida, Prooncholaimus ornatus, Trissonchulus latus) have been reported for the first time from the Brazilian coast. PMID:25947787

  20. Therapeutic Horseback Riding Outcomes of Parent-Identified Goals for Children with Autism Spectrum Disorder: An ABA′ Multiple Case Design Examining Dosing and Generalization to the Home and Community

    PubMed Central

    Baird, Joanne M.; Kim, Young Joo; Rajora, Kuwar B.; D’Silva, Delma; Podolinsky, Lin; Mazefsky, Carla; Minshew, Nancy

    2014-01-01

    We examined whether different doses of therapeutic riding influenced parent-nominated target behaviors of children with autism spectrum disorder (ASD) (a) during the session (b) at home, and (c) in the community. We used a single subject multiple Baseline, multiple case design, with dosing of 1, 3, and 5 times/week. Three boys with ASD, 6–8 years of age participated, and counts of target behaviors were collected in each setting and phase of the study. Compared to Baseline, 70 % of the target behaviors were better during Intervention and improvement was retained in 63 % of the behaviors during Withdrawal. Increased doses of therapeutic riding were significant for magnitude of change, and the effect of the therapeutic riding sessions generalized to home and community. PMID:24091469