WorldWideScience

Sample records for voisines mais surtout

  1. Spondylodiscite granulomateuse: surtout la tuberculose mais ne pas omettre le lymphome

    Science.gov (United States)

    Zinebi, Ali; Rkiouak, Adil; Akhouad, Yousef; Reggad, Ahmed; Kasmy, Zohour; Boudlal, Mostafa; Lho, Abdelhamid Nait; Rabhi, Moncef; Sinaa, Mohamed; Ennibi, Khalid; Chaari, Jilali

    2016-01-01

    Les douleurs lombaires relèvent d'étiologies multiples dont le diagnostic peut être source de grandes difficultés. Le lymphome rachidien primitif est rare et son diagnostic nécessite une biopsie souvent scanoguidée. Un homme de 30 ans, était hospitalisé pour lombalgies inflammatoires évoluant dans un contexte d'altération de l'état général avec à l'examen des douleurs à la palpation des apophyses épineux L2L3, sans syndrome tumoral périphérique. Le bilan biologique montrait un syndrome inflammatoire. Le bilan morphologique était en faveur d'une spondylodiscite. La première biopsie montrait une ostéite granulomateuse. L'aggravation clinique et radiologique sous anti bacillaire a mené à reconsidérer le diagnostic et la deuxième biopsie confirme le diagnostic du lymphome. Le diagnostic de tuberculose osseuse en particulier vertébrale nécessite une confirmation bactériologique et ou histologique pour ne pas méconnaître un lymphome osseux primitif. PMID:28292061

  2. Parrains et voisins? Espace et parrainage en banlieue parisienne au XIXe siècle

    Directory of Open Access Journals (Sweden)

    Vincent Gourdon

    2017-07-01

    Full Text Available Située à proximité de Paris, Aubervilliers, au cours du XIXe siècle, connaît une forte croissance de sa population et une transformation de son tissu social avec l’arrivée de migrants et l’orientation des activités économiques vers l’industrie au détriment de l’agriculture traditionnelle. Dans le cadre d’une réfl exion générale concernant la place du parrainage dans la construction des liens sociaux et particulièrement de la sociabilité communautaire à l’échelle locale, la distribution spatiale des parrains et marraines des enfants baptisés dans l’unique église paroissiale de la localité a été analysée sur trois siècles, afi n de montrer la fi n progressive du parrainage entre voisins appartenant à une même communauté, la paroisse, entre XVIIIe siècle et XIXe siècle, et l’élargissement du bassin de recrutement des parents spirituels, celui-ci témoignant du recul de l’esprit communautaire ancien. Au XIXe siècle, quand les choix dans la parenté n’amènent pas à aller quérir des parrains loin d’Aubervilliers, d’autres types de parrains voisins apparaissent: les gens du quartier, voire les voisins d’immeuble, prennent alors une place importante, notamment dans le quartier ouvrier peuplé de migrants de Quatre Chemins-Champ Blanc, au sud de la commune. Il ressort ainsi de l’analyse détaillée des baptêmes de 1881 que l’espace de la banlieue était loin d’être uniforme. Par beaucoup d’aspects dont le parrainage, Aubervilliers était bien une «périphérie» de Paris (cf. la proportion de parrains et marraines vivant dans la capitale, mais en son sein plusieurs quartiers, où des logiques de choix diff érentes étaient mises en oeuvre au moment des baptêmes, coexistaient.

  3. Voisin-Borcea manifolds and heterotic orbifold models

    Energy Technology Data Exchange (ETDEWEB)

    Buchmuller, W.; Schmidt, J. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Louis, J. [Hamburg Univ. (Germany). 2. Inst. fuer Theoretische Physik; Hamburg Univ. (Germany). Zentrum fuer Mathematische Physik; Valandro, R. [Hamburg Univ. (Germany). 2. Inst. fuer Theoretische Physik

    2012-08-15

    We study the relation between a heterotic T{sup 6}/Z{sub 6} orbifold model and a compactification on a smooth Voisin-Borcea Calabi-Yau three-fold with non-trivial line bundles. This orbifold can be seen as a Z{sub 2} quotient of T{sup 4}/Z{sub 3} x T{sup 2}. We consider a two-step resolution, whose intermediate step is (K3 x T{sup 2})/Z{sub 2}. This allows us to identify the massless twisted states which correspond to the geometric Kaehler and complex structure moduli. We work out the match of the two models when non-zero expectation values are given to all twisted geometric moduli. We find that even though the orbifold gauge group contains an SO(10) factor, a possible GUT group, the subgroup after Higgsing does not even include the standard model gauge group. Moreover, after Higgsing, the massless spectrum is non-chiral under the surviving gauge group.

  4. Mai Suya

    African Journals Online (AJOL)

    study involving mai suya and workers who are not exposed to wood smoke and oil fumes .... cofounding effect of smoking on respiratory tract and because the two ... suyas who are non smokers was also apparent in the trend analysis as ...

  5. Chiang Mai transit

    DEFF Research Database (Denmark)

    Ribeiro, Gustavo; Neitmann, Charlotte

    2002-01-01

    Urban development of Chang Mai, Thailands second largest city, seen in relation to its tourist based economy.......Urban development of Chang Mai, Thailands second largest city, seen in relation to its tourist based economy....

  6. Letramento: uma aprendizagem mais significativa

    Directory of Open Access Journals (Sweden)

    Cristiane Carvalho Mendonça Blanco

    2012-06-01

    Full Text Available Esse artigo expõe a pesquisa realizada sobre Letramento: uma aprendizagem mais significativa teve como questão norteadora as muitas reflexões sobre o que pode ser feito para tornar o processo do contato inicial da criança com o letramento em um momento mais significativo e democrático, de modo que a criança se sinta sujeito de sua aprendizagem. Diante disso, foi observada uma turma de primeiro ano da Escola Municipal de Educação Básica Jardim Paraíso, no Município de Sinop – MT, e a professora regente desta turma, teve como abordagem teórica o estudo de Magda Soares. Por meio de uma entrevista e observações, foi possível conhecer quais os materiais didáticos que são utilizados em sala de aula e como os alunos interagem com este material. O caminho metodológico utilizado foi a pesquisa qualitativa, mais especificamente o Estudo de Caso. Constatou-se que a alfabetização só tem sentido em um contexto de letramento e por meio de atividades de letramento, este, por sua vez, só pode desenvolver-se por meio da aprendizagem do sistema de escrita.Palavras-chave: educação; ensino fundamental; letramento; professora e crianças; pesquisa descritiva; Magda Soares.

  7. Meet Mai-Anh Ha | NREL

    Science.gov (United States)

    ;Typically, at Vietnamese weddings or large gatherings, everyone ballroom dances," she says. Music can days are devoted to science. Sometimes you need a break," Mai-Anh says. The partners complement ." It also highlights their collaborations-which include science research. A Passion for Research

  8. Étude des interactions hadroniques à deux corps chargés, induites sur des protons par un faisceau de $\\pi^{-}, K^{-}$, et $\\overline{p}$ entre 3 et 12 GeV/c, avec un angle de diffusion dans le centre de masse voisin de 90$^{o}$

    CERN Document Server

    Billoir, Pierre

    1983-01-01

    Étude des interactions hadroniques à deux corps chargés, induites sur des protons par un faisceau de $\\pi^{-}, K^{-}$, et $\\overline{p}$ entre 3 et 12 GeV/c, avec un angle de diffusion dans le centre de masse voisin de 90$^{o}$

  9. Quais os suplementos alimentares mais utilizados?

    Directory of Open Access Journals (Sweden)

    Alex Bisotto Ferreira

    2016-07-01

    Full Text Available O consumo de suplementos alimentares tem sido muito utilizado e difundido por praticantes de atividade física, em especial a musculação por pessoas com objetivos de melhora em desempenho, redução de gordura corporal, aumento de massa muscular entre outros. Esta pesquisa tem como objetivo revisar sobre quais os suplementos alimentares são utilizados na atualidade, e destacar o mais utilizado. A fonte dos dados é uma pesquisa bibliográfica realizada em média dos últimos 15 anos, foram examinados 232 estudos, sendo selecionados 48. Os suplementos alimentares discutidos nesse artigo foram: Carboidratos, vitaminas e minerais, l-carnitina, creatina, proteínas e aminoácidos. O principal motivo para a utilização de suplementos foi o aumento de massa muscular, predominantemente indicado por professores, instrutores e treinadores, apesar da grande variedade, os suplementos mais utilizados são as proteínas e aminoácidos, e, na maioria dos casos com o intuito de aumentar a massa muscular e melhorar sua recuperação.

  10. Collaboration between Chiang Mai and Aarhus Universities

    DEFF Research Database (Denmark)

    Balslev, Henrik; Trisonthi, Chusie; Srithi, Kamonnate

    2011-01-01

    Thai-Danish botanical research collaboration started over 100 years ago with Schmidts work on the flora of Koh Chang. In the 1950es the collaboration was fortalized with the initiation of the Flora of Thailand project. The collaboration was for many years centered in the Royal Forest Department i...... projects involving ethnobotanical studies are still under way. The funding for these projects has come from the Royal Golden Jubilee Program, Chiang Mai University and Thai Government stipends, and from Aarhus University........ in Bangkok and involved a large amount of collaborative fieldwork, graduate and post-graduate training, and publication. Over the years the collaboration has been extended to several other institutions and universities. Recent activities of Aarhus University have involved joint graduate training with Chiang...... Mai University, which is the subject of this presentation. Three graduate students have completed their doctoral training with research projects covering botany of ethnic groups in Thailand, taxonomic and ecological studies of Thai Nymphaeaceae, and ecophysiological studies of aquatic plants. Two...

  11. Isolation of Cryptococcus gattii from a Castanopsis argyrophylla tree hollow (Mai-Kaw), Chiang Mai, Thailand

    NARCIS (Netherlands)

    Khayhan, Kantarawee; Hagen, Ferry; Norkaew, Treepradab; Puengchan, Tanpalang; Boekhout, Teun; Sriburee, Pojana

    2017-01-01

    The pathogenic yeast Cryptococcus gattii was isolated from a tree hollow of a Castanopsis argyrophylla King ex Hook.f. (Fagaceae) in Chiang Mai, Thailand. Molecular characterization with amplified fragment length polymorphism analysis and multi-locus sequence typing showed that this isolate belonged

  12. Isolation of Cryptococcus gattii from a Castanopsis argyrophylla tree hollow (Mai-Kaw), Chiang Mai, Thailand.

    Science.gov (United States)

    Khayhan, Kantarawee; Hagen, Ferry; Norkaew, Treepradab; Puengchan, Tanpalang; Boekhout, Teun; Sriburee, Pojana

    2017-04-01

    The pathogenic yeast Cryptococcus gattii was isolated from a tree hollow of a Castanopsis argyrophylla King ex Hook.f. (Fagaceae) in Chiang Mai, Thailand. Molecular characterization with amplified fragment length polymorphism analysis and multi-locus sequence typing showed that this isolate belonged to genotype AFLP4/VGI representing C. gattii sensu stricto. Subsequent comparison of the environmental isolate with those from clinical samples from Thailand showed that they grouped closely together in a single cluster.

  13. MORDIDA: EM QUEM DÓI MAIS?

    Directory of Open Access Journals (Sweden)

    FERREIRA, A.L.N.

    2015-12-01

    Full Text Available O início da vida escolar da criança é marcante tanto para pais quanto para professores. É comum que ao ingressar no ambiente escolar, as crianças vivenciem novas experiências e relações sociais distantes do ambiente familiar, demonstrando assim comportamentos, tais como: choro, timidez e mordidas. O presente trabalho tem como objetivo analisar a opinião dos pais e responsáveis de crianças na faixa etária de 18 meses a 2 anos em relação à mordida no ambiente escolar. Diante esta situação, a psicóloga clínica e escolar Hennemann (2004 explica: “Esta é uma manifestação de desenvolvimento considerada impulsiva e exploratória”. Este comportamento aparece e desaparece à medida que a criança amadurece e encontra outras formas de exploração do ambiente. Freud (1920 explica que a fase oral é o período em que a criança sente necessidade de levar à boca tudo o que estiver ao seu alcance, pois o prazer vital está ligado à nutrição. Ela experimenta o mundo com o que conhece melhor: a boca. Outra razão é a necessidade de se comunicar. A metodologia utilizada nesse trabalho utilizou a abordagem qualitativa e quantitativa. Foram analisadas 26 entrevistas realizadas com os pais dos alunos do pré-maternal do CENSA. O período de adaptação escolar é o período em que as mordidas mais acontecem por isso nessa época sua intervenção deve ser maior. Diante dos resultados obtidos, observamos que muitos pais apesar de entender que a mordida faz parte desta faixa etária, mostram-se desconfortáveis com esta situação e buscam junto à escola, estratégias capazes de minimizar esta atitude da criança. Não veem a mordida como algo natural, mas também não supervalorizam o ato como violência. Buscam entender o contexto onde geralmente aconteceu a situação e agem junto aos professores, seguindo as orientações da escola. Constatamos que a parceria entre escola e família é o elemento fundamental para garantir que esta

  14. Des changements en Asie, surtout pour les femmes | CRDI - Centre ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    23 mars 2016 ... Deux femmes qui regardent l'écran d'un ordinateur en Inde. Photo : CRDI. Les femmes sont les agentes du changement en Inde, au Bangladesh, et au Cambodge. Je reviens tout juste d'un voyage en Inde, au Bangladesh, et au Cambodge. Bien que ces pays soient très différents, j'ai remarqué plusieurs ...

  15. Histopathological diagnosis of eyelid tumors in Chiang Mai University Hospital.

    Science.gov (United States)

    Nithithanaphat, Chanut; Ausayakhun, Sakarin; Wiwatwongwana, Damrong; Mahanupab, Pongsak

    2014-10-01

    To report the histopathological diagnosis ofeyelid tumors and to study the prevalence of eyelid tumors in Chiang Mai University Hospital Chiang Mai, Thailand. A retrospective review of medical and pathological records ofpatients diagnosed as eyelid tumor that underwent histopathological biopsy between January 2007 and December 2013 in Chiang Mai University Hospital was done. Three hundred sixteen cases of eyelid tumors were reviewed. The mean age at diagnosis was 54.2 +/- 19.6 years (range 1 month-99 years), women were 59.5% (n = 188) and men 40.5% (n = 128). The tumor sites were left lower eyelid (27.5%), right upper eyelid (24.4%), right lower eyelid (21.2%), and left upper eyelid (18.7%). There were 204 (64.6%) benign tumors and 112 (35.4%) malignant tumors. Nevi were the most common in benign group (16.4%) and basal cell carcinoma was the most common eyelid malignancy (18.0%). The most common histopathological diagnosis for benign eyelid tumor was nevus, while the most common malignant eyelid tumor was basal cell carcinoma at Chiang Mai University Hospital.

  16. Risk factors affecting injury severity determined by the MAIS score.

    Science.gov (United States)

    Ferreira, Sara; Amorim, Marco; Couto, Antonio

    2017-07-04

    Traffic crashes result in a loss of life but also impact the quality of life and productivity of crash survivors. Given the importance of traffic crash outcomes, the issue has received attention from researchers and practitioners as well as government institutions, such as the European Commission (EC). Thus, to obtain detailed information on the injury type and severity of crash victims, hospital data have been proposed for use alongside police crash records. A new injury severity classification based on hospital data, called the maximum abbreviated injury scale (MAIS), was developed and recently adopted by the EC. This study provides an in-depth analysis of the factors that affect injury severity as classified by the MAIS score. In this study, the MAIS score was derived from the International Classification of Diseases. The European Union adopted an MAIS score equal to or greater than 3 as the definition for a serious traffic crash injury. Gains are expected from using both police and hospital data because the injury severities of the victims are detailed by medical staff and the characteristics of the crash and the site of its occurrence are also provided. The data were obtained by linking police and hospital data sets from the Porto metropolitan area of Portugal over a 6-year period (2006-2011). A mixed logit model was used to understand the factors that contribute to the injury severity of traffic victims and to explore the impact of these factors on injury severity. A random parameter approach offers methodological flexibility to capture individual-specific heterogeneity. Additionally, to understand the importance of using a reliable injury severity scale, we compared MAIS with length of hospital stay (LHS), a classification used by several countries, including Portugal, to officially report injury severity. To do so, the same statistical technique was applied using the same variables to analyze their impact on the injury severity classified according to LHS

  17. Pensionid poliitilisest tõmbetuulest välja / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2007-01-01

    Ilmunud ka: Põhjarannik, 18. mai 2007, lk. 2; Severnoje Poberezhje, 18. mai 2007, lk. 2; Koit, 22. mai 2007, lk. 6; Sakala, 23. mai 2007, lk. 2; Harju Ekspress, 25. mai 2007, lk. 6; Vooremaa, 26. mai 2007, lk. 2; Valgamaalane, 29. mai 2007, lk. 2; Oma Saar, 30. mai 2007, lk. 5; Teataja : Eestimaa Rahvaliidu ajaleht, juuni, nr. 6, 2007, lk. 3. Rahvaliidu ettepanekust riikliku pensionikindlustuse seaduse täiendamise eelnõu kohta: pensioni baasosa osakaalu tuleks suurendada neljal järgmisel aastal

  18. Increasing incidence of hip fracture in Chiang Mai, Thailand.

    Science.gov (United States)

    Wongtriratanachai, Prasit; Luevitoonvechkij, Sirichai; Songpatanasilp, Thawee; Sribunditkul, Siripoj; Leerapun, Taninnit; Phadungkiat, Sompant; Rojanasthien, Sattaya

    2013-01-01

    Hip fracture is a major health problem in Thailand. This study attempted to examine the incidence, related factors, and trends of hip fracture in Chiang Mai, Thailand. All hip fracture data among patients aged 50 yr or older were collected from hospitals in Chiang Mai, Thailand from August 1, 2006 to July 3, 2007. Data from the 1997 Chiang Mai hip fracture study were used for comparison. In the study period, 690 hip fractures were reported: 203 males and 487 females (male to female ratio was 1 to 2.4), with a mean age of 76.7 yr. The estimated cumulative incidence was 181.0 per 100,000, and the adjusted incidence was 253.3 (males: 135.9; females: 367.9). A simple fall was the most common mechanism (79%) of fracture, and 80% of the hip fractures occurred in patients aged 70 yr or older. The highest incidence of hip fracture was observed in patients older than 85 yr (1239). At 6 mo postfracture, most patients (61%) used a walking aid. Compared with the 1997 data, hip fracture incidence had increased by an average of 2% per yr, and the incidence of hip fracture had increased significantly from August 1, 2006 to July 31, 2007, especially in patients older than 75 yr. In patients older than 84 yr, the incidence increased by a factor of 2. Urgent strategies for the prevention and treatment of osteoporosis, and hence hip fracture, are needed. Copyright © 2013 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

  19. Modeling of MAI in UWB System Using MGGD

    KAUST Repository

    Ahmed, Qasim Zeeshan

    2014-01-06

    Multivariate generalized Gaussian density (MGGD) is used to approximate the multiple access interference (MAI) and additive white Gaussian noise in pulse-based ultrawide bandwidth (UWB) system. The MGGD probability density function (pdf) is shown to be a better approximation of a UWB system as compared to Gaussian, Laplacian and Gaussian-Laplacian mixture (GLM). The similarity between the simulated and the approximated pdf is measured with the help of modified Kullback-Leibler distance (KLD). It is also shown that MGGD has the smallest KLD as compared to Gaussian, Laplacian and GLM densities. Finally, a receiver based on the principles of minimum bit error rate is designed for the MGGD pdf.

  20. Miks on Savisaar ja proua Bush Birma kallal / Mai Loog

    Index Scriptorium Estoniae

    Loog, Mai, 1960-

    2007-01-01

    Ilmunud ka: Postimees : na russkom jazõke 29. mai lk. 7. Birma sõjaväeline valitsus otsustas taas pikendada aasta võrra Nobeli rahupreemia laureaadi ja demokraatliku opositsiooni liidri Aung San Suu Kyi 11-aastast koduaresti, mille vastu astusid välja USA senaatorid presidendiproua Laura Bushi juhtimisel kui ka Tallinna linnapea Edgar Savisaar koos Pariisi ja Rooma linnapeadega. Birma hunta plaanitavast konstitutsioonist, kus aatomienergia on pandud riigikaitse ja julgeoleku alla. Venemaa aatomienergia agentuuri Rosatomi lepingust Birma huntaga aatomienergia tootmiseks

  1. Second hip fractures at Chiang Mai University Hospital.

    Science.gov (United States)

    Wongtriratanachai, Prasit; Chiewchantanakit, Siripong; Vaseenon, Tanawat; Rojanasthien, Sattaya; Leerapun, Taninnit

    2015-02-01

    Hip fractures are a major public health problem. Patients who have suffered a hip fracture have an increased risk of a subsequent hip fracture. This study examines the incidence ofsecondhip fractures and attempts to identify underlying risk factors. To examine the incidence ofsecond hip fractures in osteoporotic patients at Chiang Mai University Hospital and to identify risk factors related to second hip fractures. A retrospective review was conducted of all low-energy mechanism hip fracture patients admitted during 2008 and 2009. Analysis of second hip fractures was conducted using survival analysis and logistic regression analysis. A total of 191 patients were observed for 391.68 person-years (mean 2.05 person-years per patient). Among that group, nine second hip fractures were identified, an overall incidence rate of 0.023 second fractures per person-year. Second hip fractures tended to occur within the first year following an initial hip fracture. There were no significant differences related to either gender or comorbid medical conditions. Logistic regression analysis revealed that increased risk of a second hip fracture was associated with age (highest between 80 to 89 years) and patients who were not treated for osteoporosis following their initial fracture. The incidence of second hip fractures at Chiang Mai University Hospital was 0.023 per person-year Careful follow-up of older patients, especially those over 80, and treatment ofosteoporosis with bisphosphonate plus vitamin D and calcium supplements was correlated with a reduction in the incidence of second hip fractures.

  2. Advanced Nuclear Applications in Medicinr at Chiang Mai University

    International Nuclear Information System (INIS)

    Vilasdechanon, Nonglak

    2015-01-01

    The atomic energy applications in Faculty of Medicine, Chiang Mai University (CMU) are mainly performed by department of Radiology that is divided into three dicisions: 1) Diagnostic Radiology Division for the applications of X-rays, ultrasound, and magnetic resonance, 2) Therapeutic Radiology and Oncology Division for cancer treatments by photon accelrator and external radionuclides therapy or brachytherapy, 3) Nuclear Meddicine Division for clinical dignosis by using radionuclide scintigraphy, targeted molecular imaging and internal radionuclide therapy. In the last decade, many advanced medical images for clinical diagnosis included of digital & computed radiology (DR & CR), digital subtraction angiography (DSA) and images (DSI), computed tomography (CT) with dual X-rays energies, manetic resonance imaging (MRI), and hybrid images of SPECT/CT were established in Radiology Department and PET/CT Cyclitron Center Chiang Mai University (PCCMU), respectively. For cancer treatments, the frontier technologies in radiation oncligy therapy such as tomotherapy, IMRT, 3D conformal radiation treatment, stereotactic radiationtherapy (SRT), stereotactic radiation surgery (SRS), and radiation biology laboratory were implemented in the department as well. As far as fast development of nuclear technology in medicine, future implementation of advanced nuclear applications in medicine strongly need an intergrated knoowledge from many specialties e.g. computer softeare in image reconstruction, accuracy and and precision technology, production of specific radiotracers for molecular imaging and therapy, techniques in radionuclide productions, innovation of new wquipment or materials for radiationprotection and safety, etc. However the most important factors of nuclear applications in medicine are the vision, mission and the value statements of the organization on the high cost in radiology investment and human resources development. We have to emphasize that people who are involved

  3. A Dynamic Simulation Model of the Management Accounting Information Systems (MAIS)

    Science.gov (United States)

    Konstantopoulos, Nikolaos; Bekiaris, Michail G.; Zounta, Stella

    2007-12-01

    The aim of this paper is to examine the factors which determine the problems and the advantages on the design of management accounting information systems (MAIS). A simulation is carried out with a dynamic model of the MAIS design.

  4. Colours Convey Lanna Identity in Lamphun and Chiang Mai Area

    Science.gov (United States)

    Raksawin, Karuna; Wonglaksanapan, Arphaphon; Suthasupa, Supagtra

    2017-10-01

    Colour control is a specific tool to identify local environment. Especially in the historic area or conservation area, to promote colour control is very necessary. Therefore, there are many standards of colour to control such as Munsell, colour name, and L*a*b*. This research is aimed to analyze the appropriate colour control by using a Munsell standard colour which is suitable to visual perception. The study area is scoped in northern region of Lanna culture in Thailand which nowadays used names of colours to control. Chiang Mai and Lamphun are selected to be case study because they are in a center of Lanna Empire of Thailand and have many historic significant things such as city wall, temple, monastery, palace, and city moat. The mainly procedure conducts in this article is based on the analysis of material colour. The study chose local natural materials which are used in the historic significant things. Earthen clay tile, wooden roof tile, burnt clay brick, laterites, hard wood, bamboo, silver, and gold are evaluated. The procedure used the DIC application of android processor on smart phone. This application has a conversion data to switch a colour value from pick-up point in photo to many colour values such as RGB, CMYK which Munsell value is included. The photos were taken within the historic area of Chiang Mai and Lamphun by random. The result can scope a range of colours of Munsell standard of natural colour (N), red (R), yellow (Y), and yellow-red (YR). A natural colour (N) can be suggested a range 1.0-9.0 (N 1.0-9.0). Red can be ranged the value between 3.0-7.0 and chroma between 3.0-9.0 (R 3.0-7.0/3.0-9.0). Yellow can be ranged the value between 6.0-9.0 and chroma between 4.0-12.0 (Y 6.0-9.0/4.0-12.0). Yellow-red can be ranged the value between 2.0-8.0 and chroma between 2.0-11.0 (YR 2.0-8.0/2.0-11.0). The results can be revealed a process of colour analysis of historic colour control and may offer to be an ordinance in further.

  5. Parental acceptance of HPV vaccines in Chiang Mai, Thailand.

    Science.gov (United States)

    Juntasopeepun, Phanida; Thana, Kanjana

    2018-06-01

    To identify variables associated with the acceptance of HPV vaccination among Thai parents/primary caregivers. The present prospective cross-sectional study recruited the parents/caregivers of female adolescents aged 12-18 years from schools in Chiang Mai, Thailand, between January 1 and February 29, 2016. A four-part questionnaire was distributed to assess demographics, HPV vaccine acceptance, knowledge, and beliefs toward HPV and cervical cancer. Predictors of HPV vaccine acceptance were determined by logistic regression analysis. The study enrolled 331 parents; more than half (195 [61.1%]) had heard of HPV vaccines. Their knowledge related to HPV and cervical cancer was moderate. A majority of parents (266/313 [85.0%]) indicated they would accept HPV vaccination if the costs were subsidized by the government. Acceptance of HPV vaccines was associated with perceived benefits of HPV vaccination (odds ratio [OR] 1.49; 95% confidence interval [CI] 1.18-1.88), perceived susceptibility to disease (OR 1.42; 95% CI 1.11-1.81), and household income (OR 1.35; 95% CI 1.02-1.78). Parental beliefs have an important role in their acceptance to vaccinate their daughters. These potentially modifiable beliefs offer strategies for future interventions designed to increase uptake for future HPV vaccination campaigns. © 2018 International Federation of Gynecology and Obstetrics.

  6. An investigation of cloud base height in Chiang Mai

    Science.gov (United States)

    Peengam, S.; Tohsing, K.

    2017-09-01

    Clouds play very important role in the variation of surface solar radiation and rain formation. To understand this role, it is necessary to know the physical and geometrical of properties of cloud. However, clouds vary with location and time, which lead to a difficulty to obtain their properties. In this work, a ceilometer was installed at a station of the Royal Rainmaking and Agricultural Aviation Department in Chiang Mai (17.80° N, 98.43° E) in order to measure cloud base height. The cloud base height data from this instrument were compared with those obtained from LiDAR, a more sophisticated instrument installed at the same site. It was found that the cloud base height from both instruments was in reasonable agreement, with root mean square difference (RMSD) and mean bias difference (MBD) of 19.21% and 1.58%, respectively. Afterward, a six-month period (August, 2016-January, 2017) of data from the ceilometer was analyzed. The results show that mean cloud base height during this period is 1.5 km, meaning that most clouds are in the category of low-level cloud.

  7. The results of treatment for thyrotoxicosis at Bach Mai hospital

    International Nuclear Information System (INIS)

    Phan Sy An

    2002-01-01

    The authors evaluated the results of treating hyperthyroidism with 131 I. Patient selection for tre treatment is based on clinical features and laboratory test results such as thyroid uptake, scintigraphy and RIA determinations of thyroid hormones. The average dose is 6.2±1.1 m Ci (that is 233.1±40.7 MBq). The average number of doses is 1.3 for one patient. The results are as follows: - Euthyroid status after 4 years follow-up from the 1 31 I dose administration: 72.3 - Persistent or recurrent hyperthyroidism: 20 %. - Hypothyroid complication appears 6 years after the administration of 1 31 I dose: 14 %. So the cumulative hypothyroid rate is: 2.3 % per year. - Serious complications were not observed in any patient. Hyperthyroidism is a common health problem in Vietnam (1). In the past, only antithyroid drugs and surgery were used. 131 I was first introduced to Vietnam in the Nuclear Medicine Department in Bach Mai in 1971 and thereafter widely applied in the country. (Author)

  8. GERDAU S.A.: a empresa brasileira mais internacionalizada

    Directory of Open Access Journals (Sweden)

    EVA STAL

    2007-07-01

    Full Text Available Muitas empresas dos países em desenvolvimento não se consideram aptas a explorar outrosmercados devido à distância tecnológica entre as empresas globais e os seus padrões locais. Oartigo mostra que existe espaço para a inovação empresarial oriunda de países emdesenvolvimento, e ela é um dos principais fatores responsáveis pelo sucesso de suasempresas na conquista do mercado mundial. Descreve o processo de expansão internacionalda Gerdau S.A., que começou com exportações e evoluiu para a aquisição de empresassiderúrgicas na América Latina, América do Norte e Europa, num total de 32 usinas em 10países, sendo 21 no exterior, que empregam mais de 32 mil funcionários. Hoje, a empresapossui valor de mercado estimado em 10 bilhões de dólares e 111.000 acionistas. Analisa-sesua estratégia de internacionalização à luz das teorias econômicas, comportamentais eestratégicas e verifica-se que a trajetória internacional pode ser explicada por aspectoscaracterísticos de cada uma dessas teorias. Um traço importante na cultura da empresa é atransferência de seu modelo de negócios, estrutura, valores e tecnologia para as empresasadquiridas, sem deixar de considerar as necessárias adaptações às culturas locais.

  9. MAI statistics estimation and analysis in a DS-CDMA system

    Science.gov (United States)

    Alami Hassani, A.; Zouak, M.; Mrabti, M.; Abdi, F.

    2018-05-01

    A primary limitation of Direct Sequence Code Division Multiple Access DS-CDMA link performance and system capacity is multiple access interference (MAI). To examine the performance of CDMA systems in the presence of MAI, i.e., in a multiuser environment, several works assumed that the interference can be approximated by a Gaussian random variable. In this paper, we first develop a new and simple approach to characterize the MAI in a multiuser system. In addition to statistically quantifying the MAI power, the paper also proposes a statistical model for both variance and mean of the MAI for synchronous and asynchronous CDMA transmission. We show that the MAI probability density function (PDF) is Gaussian for the equal-received-energy case and validate it by computer simulations.

  10. Leaf Beetles (Coleoptera ; Chrysomelidae) in the Campus and Agricultural Research Stations of Chiang Mai University, Thailand

    OpenAIRE

    Umemura, S; Tayutivutukul, J; Nakamura, H

    2005-01-01

    Qualitative surveys of leaf beetles were conducted at 5 survey sites (Chiang Mai University, Mae Hia Staion, Chang Kien Station, Nong Hoi Station, Suburb of Chiang Mai City) in Chiang Mai, Thailand using sweeping and beating methods from October 19th to October 30th, 2003. A total of 24 species of 8 subfamilies was collected from five survey sites ; 11 species, 3 species, 2 species, 11 species, 4 species from Chiang Mai University, Mae Hia Station, Chang Kien Station, Nong Hoi Station, Suburb...

  11. Comunicólogo que brinca comunica mais?

    Directory of Open Access Journals (Sweden)

    Ivany Câmara Neiva

    2015-09-01

    CINECLICK (sobre filme Tarja Branca. Disponível em http://www.cineclick.com.br/tarja-branca-a-revolucao-que-faltava. Acesso em 02.08.2015. COMISSÃO DE PROFESSORES. Carta aberta ao Ministro Cid Gomes. Correio Braziliense, Brasília, 10.02.2015. p.3. CORTELLA, Mário Sérgio. Os alunos não são mais os mesmos. In Novos Paradigmas da Educação (vídeo. São Paulo: Atta Mídia e Educação, 2003. D´ÁVILA, Cristina e VEIGA, Ilma Passos Alencastro (orgs.. Didática e docência na educação superior: implicações para a formação de professores. Campinas, SP: Papirus, 2012. DUARTE, Mauricio. O básico do básico. Disponível em http://www.revistadacultura.com.br/revistadacultura/detalhe/14-09-04/A_base_do_b%C3%A1sico.aspx. Acesso em 02.08.2015. DUARTE JUNIOR, João-Francisco. O que é realidade. 10.ed., 5.reimpr. São Paulo: Brasiliense, 2004. (1ª edição: 1984. ______. O sentido dos sentidos: a educação (do sensível. Disponível em http://www.bibliotecadigital.unicamp.br/document/?code=vtls000211363. Acesso em 02.08.2015. ECO, Umberto. O nome da rosa. Rio de Janeiro: Record, 2009. FERNANDES, Florestan. As Trocinhas do Bom Retiro: contribuição ao estudo folclórico e sociológico dos grupos infantis. In: ______. Folclore e mudança social na cidade de São Paulo. 2.ed. Petrópolis/RJ: Vozes, 1979. FREIRE, Paulo. Ação Cultural para a Liberdade e Outros Escritos. São Paulo: Paz e Terra, 2011. ______. Pedagogia da Autonomia - saberes necessários à prática educativa. São Paulo: Paz e Terra, 1996. FREITAS, Fidalgo de. O esgotamento (burnout nos professores. Millenium on line n0 15. Jul. 1999. Disponível em http://www.ipv.pt/millenium/15_spec1.htm. Acesso em 02.08.2015. GOMES, Patrícia. Professor precisa abrir a cabeça, diz José Pacheco. Disponível em http://porvir.org/porpessoas/para-inovar-e-preciso-professor-abra-cabeca-diz-jose-pacheco/20120522. Acesso em 02.08.2015. GUIMARÃES, Renato S.. Como as escolas transformam crianças em adultos med

  12. Effects of Tang Mai Kang Capsule on Angioneurotic Lesions in Alloxan-Induced Diabetic Mice

    Institute of Scientific and Technical Information of China (English)

    李华; 王军; 高丽君; 郭永成

    2004-01-01

    The effects of Tang Mai Kang Capsule (糖脉康胶囊) on blood sugar level, gangrene of the tail-tip, pain threshold and learning and memory abilities were investigated in alloxan-induced diabetic mice. The results showed that Tang Mai Kang Capsule could significantly decrease blood sugar level and incidence rate of gangrene of the tail-tip, increase pain threshold, and strengthen learning and memory abilities, suggesting that Tang Mai Kang Capsule functions to decrease blood sugar level and improve the complicated angioneurotic lesions of diabetes.

  13. A Modular Artificial Intelligence Inference Engine System (MAIS) for support of on orbit experiments

    Science.gov (United States)

    Hancock, Thomas M., III

    1994-01-01

    This paper describes a Modular Artificial Intelligence Inference Engine System (MAIS) support tool that would provide health and status monitoring, cognitive replanning, analysis and support of on-orbit Space Station, Spacelab experiments and systems.

  14. MAI: the institute is dedicated for long-term operating of nuclear power plants

    International Nuclear Information System (INIS)

    2016-01-01

    The MAI (Materials Ageing Institute) was founded in 2008 by the most important nuclear power plant operators in the world with the aim of sharing resources and expertise for proving that nuclear power plant service life can be extended without jeopardizing safety. Most of MAI's work has focused on the ageing of stainless steels, alloys, polymers and concretes that are used in light water cooled reactors. (A.C.)

  15. STIGMA, SOCIAL SUPPORT, AND TREATMENT ADHERENCE AMONG HIV-POSITIVE PATIENTS IN CHIANG MAI, THAILAND

    OpenAIRE

    Li, Michael Jonathan; Murray, Jordan Keith; Suwanteerangkul, Jiraporn; Wiwatanadate, Phongtape

    2014-01-01

    Our study assessed the influence of HIV-related stigma on treatment adherence among people living with HIV in Chiang Mai, Thailand, and whether social support had a moderating effect on this relationship. We recruited 128 patients living with HIV from Sansai Hospital, a community hospital in Chiang Mai, Thailand, and collected data through structured interviews. All forms of HIV-related stigma considered in this study (personalized experience, disclosure, negative self-image, and public attit...

  16. In-vivo visualisation of the anatomical structures related to the acupuncture points Dai mai and Shen mai by MRI: A single-case pilot study

    International Nuclear Information System (INIS)

    Moncayo, Roy; Rudisch, Ansgar; Diemling, Markus; Kremser, Christian

    2007-01-01

    The concept of acupuncture point localisation in Traditional Chinese Medicine (TCM) is based on millenary practical experience. Modern imaging methods such as PET, MRI and SPECT have been used primary for the investigation of the mechanisms of action of acupuncture. In this pilot single-case study we have evaluated the technical possibilities for in-vivo imaging of the anatomical relations of acupuncture points using state of the art MRI. Preliminary experiments relating to the quality of acupuncture needles under the setting of MRI were done both with stainless steel and gold needles. In a second step, in-vivo imaging was carried out. A licensed acupuncture practitioner (RM) chose two points belonging to the so-called extraordinary vessels. In 2 sequential, separate procedures, he inserted himself gold acupuncture needles using a neutral technique (known as Ping Bu Ping Xie) into the Dai mai and Shen mai points, i.e. gall bladder 26 and bladder 62. Imaging was done on a Siemens Magnetom Avanto MR scanner using a head array and body coil. Mainly T1-weighted imaging sequences, as routinely used for patient exams, were used to obtain multi-slice images. In the preliminary experiments only acupuncture needles made of gold showed enough stability in order to be used for further imaging procedures. Using an onion and a banana as an object, further studies showed that the gold needles produced a void defect that corresponds to the tip of the inserted needle, while at the same time an artefactually increased diameter was observed. The in-vivo experiments showed that the Dai mai point was in relation to the abdominal internal oblique muscle. The Shen mai point artefact showed up close to the longus and brevis peroneal tendons at the fibular malleolus. Side effects related to heating or burning were not observed. Improved anatomical recognition was obtained using 3D-volume rendering techniques. Through an adequate choice of acupuncture material (gold needles) as well as of

  17. Infection dynamics and molecular identification of metacercariae in cyprinoids from Chiang Mai and Sakon Nakhon Provinces.

    Science.gov (United States)

    Wongsawad, Pheravut; Wongsawad, Chalobol

    2011-01-01

    The infection dynamics of metacercariae were assessed in cyprinoid fish (cyprinoids) from Chiang Mai and Sakon Nakhon Provinces, Thailand, during October 2008 to September 2009. The samples were collected during 3 seasons from rivers and local markets. Metacercarial infection was determined by acid-pepsin digestion and confirmed using HAT-RAPD PCR method. Thirteen and 16 species of cyprinoids were collected from Chiang Mai and Sakon Nakhon with overall prevalences of metacercarial infection of 84.5 and 47.6%, respectively. Haplorchis taichui, Haplorchoides sp, and Centrocestus caninus were found in Chiang Mai and 4 species of metacercariae: H. taichui, Haplorchoides sp, O. viverrini and an unknown trematode species in Sakon Nakhon. H. taichui and Haplorchoides sp metacercariae in 3 species of cyprinoids (Henicorhynchus siamensis, Cyclocheilichthys armatus, Amblyrhynchichthy truncatus) had the highest prevalence (100%) in Chiang Mai, while the highest prevalence (100%) of metacercaria in Sakon Nakhon was Haplorchoides sp in 1 species of cyprinoids (Cyclocheilichthys armatus). The overall prevalence from Chiang Mai Province was highest in the rainy season (95.6%), lower in the hot-dry season (88.1%) and lowest in the cool season (72.5%). In Sakon Nakhon Province the highest prevalence was in the hot-dry season (52.7%), and lower in the rainy and cool season, 44.4% and 43.5%, respectively. The HAT-RAPD profiles confirmed the identity of metacercariae and adult stage of H. taichui, Haplorchoides sp, C. caninus and O. viverrini.

  18. Fotofestivalid Poolas : Krakov ja Lódź, mai 2009 / Marge Monko

    Index Scriptorium Estoniae

    Monko, Marge, 1976-

    2009-01-01

    Krakovi fotokuu (5.-31. mai) ja Lódźi fotofestivali (7.-31. mai) näitustest. Juudi päritolu fotograafi Weegee (sünd. 1899) näitusest, sakslase Bettina Flitneri seeriast "Boatpeople", Martin Kollari projektist "Twelve stars", Elodie Pong'i videost "I am a bomb", John Goto seeriast "John Goto's New World of Circus", Andrej Balco portreeseeriast "Doméstikas", Péter Pukluse tööst "Intimacy - no title", leeduka Petras Saulenase tööst "L'herbe est l'herbe mais ce n'est pas l'herbe", Ungari kunstnike näitusest "The Sunny Side", Oliver Kerni näitusest "The Glass Key"

  19. Fresh market to supermarket: nutrition transition insights from Chiang Mai, Thailand.

    Science.gov (United States)

    Isaacs, Bronwyn Alison; Dixon, Jane; Banwell, Cathy

    2010-06-01

    A preliminary investigation into different eating patterns among Thai consumers who shop at fresh markets as opposed to supermarkets in Chiang Mai. A short questionnaire adopted from a previous study was administered to the forty-four participants, who comprised supermarket users, fresh market users and people who consistently shopped at both supermarkets and fresh markets. Participants were recruited within four fresh markets and two food courts attached to supermarkets in Chiang Mai. Chiang Mai residents who agreed to participate in the study. Equal numbers were regular fresh market and supermarket users. Initial results suggest an association between shopping at supermarkets and attributing bread with culinary value. Supermarkets may be potentially significant players in the 'nutrition transition', providing Thais more convenient shopping at some cost to their healthy food choices.

  20. 100% anthracite burning at the Hoang Mai cement factory (Viet-Nam); Calcination 100% anthracite a la cimenterie de Hoang Mai (Viet-Nam)

    Energy Technology Data Exchange (ETDEWEB)

    Jorget, S. [Fcb Ciment, 59 - Villeneuve d' Ascq (France)

    2003-07-01

    The Hoang Mai cement factory is a greenfield plant whose contract (design and supply of equipment) was awarded o the French company Fcb.ciment, while the owner kept the responsibility of civil works and of erection. The contract was signed in late 1997. The commissioning began in September 2001, and the burning line was started on February 27, 2002. Clinker production started from this day, and after two months devoted to equipment adjustments, performance tests were carried out. The provisional acceptance certificate was delivered in August 2002. (author)

  1. PDF provisoire Publié le 27 Mai 2010 Cas clinique, volume 5, Issue ...

    African Journals Online (AJOL)

    raoul

    27 mai 2010 ... Hoshi K, Ohta M, Kanemura E, Koganei K, Takahashi M, Kito F, Fukushima T. A case of ileal duplication presenting with bloody stools. J Japan Soc Coloproctol. 2002(55): 43-46. 10. Holcomb GW 3rd, A Gheissari JA, O´Neill Jr, NA Shorter, HC Bishop. Surgical management of alimentary tract duplications.

  2. Traditional beliefs about pregnancy and child birth among women from Chiang Mai, Northern Thailand.

    Science.gov (United States)

    Liamputtong, Pranee; Yimyam, Susanha; Parisunyakul, Sukanya; Baosoung, Chavee; Sansiriphun, Nantaporn

    2005-06-01

    To examine women's embodied knowledge of pregnancy and birth, women's explanations of precautions during pregnancy and birth and preparations for easy birth and the role of a traditional midwife in a Thai birthing care. In-depth interviews relating to traditional and changed beliefs and practices of pregnancy and childbirth with Thai women in Northern Thailand. Chiang Mai city and Mae On sub-district in Chiang Mai province, Northern Thailand. 30 Thai women living in Chiang Mai in Thailand. The social meaning of childbirth in Thai culture is part of the larger social system, which involves the woman, her family, the community, society and the supernatural world. Traditional beliefs and practices in Thai culture clearly aim to preserve the life and well-being of a new mother and her baby. It seems that traditional childbirth practices have not totally disappeared in northern Thailand, but have gradually diminished. Women's social backgrounds influence traditional beliefs and practices. The traditions are followed by most rural and some urban poor women in Chiang Mai. The findings of this study may assist health professionals to better understand women from different cultures. It is important to recognise many factors discussed in this paper within the context of Thai lives and traditions. This will prevent misunderstanding and, consequently, encourage more sensitive pregnancy and birthing care for pregnant women.

  3. Auditorijas attieksme pret AS "Latvenergo" zīmola maiņu

    OpenAIRE

    Jemeļjanova, Kristīne

    2009-01-01

    Darba tēma ir „Auditorijas attieksme pret AS „Latvenergo” zīmola maiņu”, kura mērķis ir noskaidrot: vai auditorija ir pamanījusi Latvenergo zīmola maiņu, tādā veidā uzzinot, vai komunikācija ir bijusi sekmīga un kāda ir tās attieksme pret pārradīto zīmolu Darbā ir aplūkota teorija par zīmolu, zīmola maiņas stratēģiju, komunikāciju zīmola maiņas gadījumā un mērķauditoriju. Darba pētījums tiek veikts ar divu pētniecību metožu palīdzību – interviju un aptauju. Ir izvirzīta darba hipotēze,...

  4. Breastfeeding and its relation to child nutrition in rural Chiang Mai, Thailand

    NARCIS (Netherlands)

    Panpanich, Ratana; Vitsupakorn, Kannika; Brabin, Bernard

    2003-01-01

    A cross-sectional study was conducted to evaluate current breastfeeding practices among a population in a remote rural area of Chiang Mai, Thailand. Three hundred and ninety-five women with children aged less than 36 months were studied. Mothers were interviewed and anthropometric status of children

  5. An International Menopause Society study of vasomotor symptoms in Bangkok and Chiang Mai, Thailand.

    Science.gov (United States)

    Sriprasert, I; Pantasri, T; Piyamongkol, W; Suwan, A; Chaikittisilpa, S; Sturdee, D; Gupta, P; Hunter, M S

    2017-04-01

    To examine relationships between location, demographics, lifestyle, beliefs, and experience of hot flushes and night sweats (HFNS) amongst women living in two cities in Thailand. Cross-sectional study of peri- and postmenopausal women, aged 45-55 years, from Bangkok and Chiang Mai. Participants completed questionnaires (demographics, health, HFNS (prevalence, frequency and problem-rating) and beliefs about menopause). A sub-sample of women from each location was interviewed. A total of 632 women (320 Bangkok and 312 Chiang Mai) aged 50.88 (standard deviation 3.06) years, took part. The prevalence of HFNS was 65%, average HFNS frequency 8.7 (10.8) per week and problem rating 4.3/10. Women from Chiang Mai had significantly more problematic HFNS, but prevalence and frequency were similar in both sites. Poor general health predicted HFNS prevalence and frequency, while Chiang Mai location, HFNS frequency, age, diet and beliefs about menopause were associated with problematic HFNS. Location remained significant after controlling for education, occupation and age; location was partially explained by beliefs. Qualitative interview responses illustrated the differences in beliefs about menopause between locations. HFNS reports are prevalent with moderate frequency and problem-ratings in these urban centers in Thailand. The results will be included in the broader International Menopause Society study of Climate, Altitude and Temperature (IMS-CAT) of the impact of climate on HFNS.

  6. Chiang Mai and Illinois: A Cooperative International Project, 1962-70

    Science.gov (United States)

    Doege, Theodore C.; And Others

    1976-01-01

    A relationship between the medical schools of Chiang Mai University and the University of Illinois, part of a national involvement in Thailand's socioeconomic development, is analyzed. Antecedents, activities, outcomes, and problems are reviewed with emphasis on need for sound training, energy, adaptability, and investment of years. (JT)

  7. Comunicação como Ciência Social (e mais

    Directory of Open Access Journals (Sweden)

    Craig Calhoun

    Full Text Available A Comunicação é o campo mais importante para o estudo de muitas dimensões-chave de mudanças sociais. Esta é a premissa básica deste texto apresentado na conferência de abertura do congresso anual da International Communication Association, em 2011. Ele traz reflexões sobre uma série de questões de identidade, metodologias, fronteiras e caminhos para os estudos e práticas no campo. Fazendo um paralelo com outras disciplinas que passaram pelo mesmo processo, a conclusão é que o campo da Comunicação precisa mais preservar a riqueza de sua interdisciplinaridade do que buscar respostas em uma aparente e, às vezes, falsa autonomia científica.

  8. Programa Mais Educação: impactos e perspectivas nas escolas do campo

    Directory of Open Access Journals (Sweden)

    Cláudia da Mota Darós Parente

    2017-08-01

    Full Text Available This study aims to analyze the impacts of the “Mais Educação” Program in Brazilian countryside schools, with reflections on the limits and possibilities of the program and full-time education. Information was collected through electronic questionnaires sent to public schools participating in the “Mais Educação” Program. The research considered different aspects: expanding the school day; record of full-time enrollments in the school census; provision of human, educational and financial resources; changes in available spaces; provision of educational, cultural, artistic and sports activities; improvement in the communication process with the community; providing continuing education; changes in the political-pedagogical project and the school curriculum; changes in student behavior; improvement in school performance; improvement in the quality of school meals; development of partnerships; use of other available spaces. Through a quantitative and qualitative analysis, we identified significant impacts of the program in the countryside schools, especially with regard to the expansion of educational opportunities. However, the achieved benefits occur among the historical problems present in the countryside schools that were not overcome by virtue of the “Mais Educação” Program format and depend on the consideration of local governments (states, municipalities and Federal District. It presents reflections on the limits and possibilities of the “Mais Educação” Program and full-time education in the Brazilian countryside schools. O presente trabalho tem como objetivo analisar os impactos do Programa Mais Educação nas escolas do campo brasileiras, apresentando reflexões sobre limites e possibilidades do programa e da educação em tempo integral. Os dados foram coletados por meio de questionários eletrônicos enviados às escolas públicas participantes do Programa Mais Educação. A pesquisa considerou diferentes aspectos

  9. Prevalence of dementia among population age over 45 years in Chiang Mai, Thailand.

    Science.gov (United States)

    Wangtongkum, Suparus; Sucharitkul, Phongsakorn; Silprasert, Nutcharut; Inthrachak, Rudeethawinl

    2008-11-01

    To determine the prevalence of dementia in Thai people with age 45 years and above. This project used a cross sectional research design to study the prevalence of dementia in Chiang Mai. Door-to-door technique was assigned in condition with multi-stage probability random sampling to obtain subjects representing the population of Chiang Mai between Oct 2004 and Sep 2005. The researchers collected the data from the subjects aged 45 years and above. All subjects were located from every Amphurs of Chiang Mai. They were first screened with Thai Mini Mental State Examination (TMSE) and Thai Beck Depression Inventory (BDI). The subjects whose TMSE was less than 24 were assessed and diagnosed by a neurologist. Subjects who were determined as having dementia might be laboratory analyzed and classified based on DSM-IV and NINDS-AIREN criteria. The authors enrolled 2,311 people and screened them with Batteries test. One thousand four hundred ninety two people qualified with 610 males and 882 females, whose mean age was 59.7 +/- 10.4 years. The authors found that among the 35 people with dementia, the mean age was 67.9 +/- 8.9 years (45-88 years). The prevalence of dementia among the study participants was 2.35%. In the present study, Alzheimer's disease was the most common type of dementia diagnosed (75.0%) and vascular dementia was the second most commonly diagnosed (12.5%). The prevalence of dementia in Chiang Mai was 2.35%, which does not differ from the previous study Alzheimer's disease was the most common type of dementia diagnosed.

  10. Välis- ja kodueesti kunst kui tervik : sõnum Torontost / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2003-01-01

    30. X Tartu Kunstimajas Osvald Timmase näitusel kunstniku loomingule pühendatud õhtust, kus esinesid Mai Levin ja kunstniku vend Evald Timmas, näidati slaide ning Ain Habichti tehtud koduvideosid O. Timmasest ja Abel Leest. A. Lee ja O. Timmas on olnud 1952. a. Torontos loodud Colour and Form Society presidendid. Väliseesti kunsti tuleks käsitleda koos kodueesti kunstiga

  11. Carbon Monoxide Emission and Concentration Models for Chiang Mai Urban Area

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    An emission inventory containing emissions from traffic and other sources was complied. Based on the analysis, Carbon Monoxide (CO) emissions from traffic play a very important role in CO levels in Chiang Mai area. Analysis showed that CO emissions from traffic during rush hours contributed approximately 90% of total CO emissions. Regional Atmospheric Modeling System (RAMS) was applied to simulate wind fields and temperatures in the Chiang Mai area, and eight cases were selected to study annual variations in wind fields and temperatures. Model results can reflect major features of wind fields and diurnal variations in temperatures. For evaluating the model performance, model results were compared with observed wind speed, wind direction and temperature, which were monitored at a meteorological tower. Comparison showed that model results are in good agreement with observations, and the model captured many of the observed features. HYbrid Particle And Concentration Transport model (HYPACT) was used to simulate CO concentration in the Chiang Mai area. Model results generally agree well with observed CO concentrations at the air quality monitoring stations, and can explain observed CO diurnal variations.

  12. MAI-free performance of PMU-OFDM transceiver in time-variant environment

    Science.gov (United States)

    Tadjpour, Layla; Tsai, Shang-Ho; Kuo, C.-C. J.

    2005-06-01

    An approximately multi-user OFDM transceiver was introduced to reduce the multi-access interference (MAI ) due to the carrier frequency offset (CFO) to a negligible amount via precoding by Tsai, Lin and Kuo. In this work, we investigate the performance of this precoded multi-user (PMU) OFDM system in a time-variant channel environment. We analyze and compare the MAI effect caused by time-variant channels in the PMU-OFDM and the OFDMA systems. Generally speaking, the MAI effect consists of two parts. The first part is due to the loss of orthogonality among subchannels for all users while the second part is due to the CFO effect caused by the Doppler shift. Simulation results show that, although OFDMA outperforms the PMU-OFDM transceiver in a fast time-variant environment without CFO, PMU-OFDM outperforms OFDMA in a slow time-variant channel via the use of M/2 symmetric or anti-symmetric codewords of M Hadamard-Walsh codes.

  13. Spatial diffusion of influenza outbreak-related climate factors in Chiang Mai Province, Thailand.

    Science.gov (United States)

    Nakapan, Supachai; Tripathi, Nitin Kumar; Tipdecho, Taravudh; Souris, Marc

    2012-10-24

    Influenza is one of the most important leading causes of respiratory illness in the countries located in the tropical areas of South East Asia and Thailand. In this study the climate factors associated with influenza incidence in Chiang Mai Province, Northern Thailand, were investigated. Identification of factors responsible for influenza outbreaks and the mapping of potential risk areas in Chiang Mai are long overdue. This work examines the association between yearly climate patterns between 2001 and 2008 and influenza outbreaks in the Chiang Mai Province. The climatic factors included the amount of rainfall, percent of rainy days, relative humidity, maximum, minimum temperatures and temperature difference. The study develops a statistical analysis to quantitatively assess the relationship between climate and influenza outbreaks and then evaluate its suitability for predicting influenza outbreaks. A multiple linear regression technique was used to fit the statistical model. The Inverse Distance Weighted (IDW) interpolation and Geographic Information System (GIS) techniques were used in mapping the spatial diffusion of influenza risk zones. The results show that there is a significance correlation between influenza outbreaks and climate factors for the majority of the studied area. A statistical analysis was conducted to assess the validity of the model comparing model outputs and actual outbreaks.

  14. Bone mineral density and bone turnover among young women in Chiang Mai, Thailand.

    Science.gov (United States)

    Iwasaki, Eriko; Morakote, Nuntana; Chaovistsaree, Somsak; Matsuo, Hiroya

    2014-03-12

    The present study was carried out to investigate the influence of lifestyle on bone mineral density (BMD) and bone turnover among young women in Chiang Mai, Thailand. A total of 177 young women affiliated with Chiang Mai University hospital were enrolled. Firstly, questionnaires about their lifestyle and the Osteoporosis Knowledge Test (OKT) were examined. The measurement of BMD was assessed by Quantitative Ultrasound (QUS). Secondly, based on the measurement of BMD, the subjects were divided into 2 groups, a Low BMD group (L group: less than YAM-1.0SD) and a Normal BMD group (N group: more than YAM-1.0SD). L group (n=23) and N group (n=23) were examined using Osteocalcine (OC), type 1 collagen cross-linked N-telopeptide (NTx) and undercarboxylated osteocalcin (ucOC) as bone turnover markers, and serum Ca, 1,25-(OH)2Vitamin D, Vitamin K1 and Vitamin K2 (MK-4) as bone turnover related factors. Based on the results, the percentage of Low BMD group was 23.2%. Concerning lifestyle and BMD, the BMD of the low cheese intake group was 99.7± 17.0 and the BMD of the high cheese intake one was 110.0± 23.3 (pChiang Mai, Thailand.

  15. Prevalence of depression among a population aged over 45 years in Chiang Mai, Thailand.

    Science.gov (United States)

    Wangtongkum, Suparus; Sucharitakul, Phongsakorn; Wongjaroen, Sriwanna; Maneechompoo, Suthin

    2008-12-01

    To determine the prevalence of depression in Thai people of 45 years and over. The presented project was a cross sectional study on the prevalence of depression and cognitive impairment in Chiang Mai. Door-to-door interview technique was assigned in condition with multistage probability random sampling to obtain subjects that represent a population of Chiang Mai. The research was conducted between October 2004 and September 2005. Data were collected on subject that were 45 years old and over. All subjects were selected from all districts in Chiang Mai. Thai Mini Mental State Examination (TMSE) and Thai Beck Depression Inventory (BDI) were used as the assessment tool If the subjects had a TMSE score less than 24 points, it was assumed as a cognitive impairment. One thousand four hundred ninety two people, 610 males and 882 females, were enrolled in the present study. Their mean age was 59.7 +/- 10.4 years (45-88 year). The prevalence of depression only was 29.2%, the prevalence of cognitive impairment only was 5.63% and the prevalence of cognitive impairment with depression was 3.96%. The prevalence of depression increased with age. The prevalence of depression in Thai people of 45 years and over was 29.2% and increased with age.

  16. Spatial Diffusion of Influenza Outbreak-Related Climate Factors in Chiang Mai Province, Thailand

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    Marc Souris

    2012-10-01

    Full Text Available Influenza is one of the most important leading causes of respiratory illness in the countries located in the tropical areas of South East Asia and Thailand. In this study the climate factors associated with influenza incidence in Chiang Mai Province, Northern Thailand, were investigated. Identification of factors responsible for influenza outbreaks and the mapping of potential risk areas in Chiang Mai are long overdue. This work examines the association between yearly climate patterns between 2001 and 2008 and influenza outbreaks in the Chiang Mai Province. The climatic factors included the amount of rainfall, percent of rainy days, relative humidity, maximum, minimum temperatures and temperature difference. The study develops a statistical analysis to quantitatively assess the relationship between climate and influenza outbreaks and then evaluate its suitability for predicting influenza outbreaks. A multiple linear regression technique was used to fit the statistical model. The Inverse Distance Weighted (IDW interpolation and Geographic Information System (GIS techniques were used in mapping the spatial diffusion of influenza risk zones. The results show that there is a significance correlation between influenza outbreaks and climate factors for the majority of the studied area. A statistical analysis was conducted to assess the validity of the model comparing model outputs and actual outbreaks.

  17. The Use of Microorganism for Biological Control of Anthracnose in Nam Dok Mai Mango for Export

    International Nuclear Information System (INIS)

    Piadiang, Nattaya

    2006-09-01

    Antagonist were tested inhibition of mycelial growth of Collectorichum gloeosporioides, a causal agent of anthracnose on potato dextrose agar (PDA) revealed that 46 isolated that 46 isolate inhibited the growth of mycelia by 40.01-60.00 5. The selected four isolates inhibit the growth of fungal nycelia by 47.01-50.00 % including YFm1, YFm2, Y18 and AC2-1 were test for the potential reduce anthracnose lesion development on detected Nam Dok Mai mango by application of antagonistic microorganism before inoculation of C. gloeosporioides. This result slow that four isolate antagonistic reduced sized of lesion on Nam Dok Mai mango by 89.23, 75.38, 58.46 and 33.85 %, respectively as compare the control. Five isolate of antagonist including YFm1, YFm2, Y18, CLY35 and CLY23 could inhibited the growth of mycelia on PDA by 44.01-50.00 % were test the potential reduce anthracnose lesion development on detected Nam Dok Mai mango by application of antagonistic microorganism after inoculation of C. gloeosporioides. It was found that this application could not inhibit anthracnose on fruit mango as compare to the control. YFm1 were test for the potential inhibition anthracnose disease under field condition. It was found that YFm1 could control of C. gloeosporioides within 7 and 14 day after spraying antagonistic suspension. The efficiency test of YFm1 for anthracnose controlling on mango was followed by export treatment Azoxystrobin, ET-fon and showed 55.55%, 77.77 % and 88.88 % anthracnose infection and/or spoilage respectively

  18. Exploring spatial patterns and hotspots of diarrhea in Chiang Mai, Thailand

    Directory of Open Access Journals (Sweden)

    Tripathi Nitin K

    2009-06-01

    Full Text Available Abstract Background Diarrhea is a major public health problem in Thailand. The Ministry of Public Health, Thailand, has been trying to monitor and control this disease for many years. The methodology and the results from this study could be useful for public health officers to develop a system to monitor and prevent diarrhea outbreaks. Methods The objective of this study was to analyse the epidemic outbreak patterns of diarrhea in Chiang Mai province, Northern Thailand, in terms of their geographical distributions and hotspot identification. The data of patients with diarrhea at village level and the 2001–2006 population censuses were collected to achieve the objective. Spatial analysis, using geographic information systems (GIS and other methods, was used to uncover the hidden phenomena from the data. In the data analysis section, spatial statistics such as quadrant analysis (QA, nearest neighbour analysis (NNA, and spatial autocorrelation analysis (SAA, were used to identify the spatial patterns of diarrhea in Chiang Mai province. In addition, local indicators of spatial association (LISA and kernel density (KD estimation were used to detect diarrhea hotspots using data at village level. Results The hotspot maps produced by the LISA and KD techniques showed spatial trend patterns of diarrhea diffusion. Villages in the middle and northern regions revealed higher incidences. Also, the spatial patterns of diarrhea during the years 2001 and 2006 were found to represent spatially clustered patterns, both at global and local scales. Conclusion Spatial analysis methods in GIS revealed the spatial patterns and hotspots of diarrhea in Chiang Mai province from the year 2001 to 2006. To implement specific and geographically appropriate public health risk-reduction programs, the use of such spatial analysis tools may become an integral component in the epidemiologic description, analysis, and risk assessment of diarrhea.

  19. Mortality among foreign nationals in Chiang Mai City, Thailand, 2010 to 2011.

    Science.gov (United States)

    Pawun, Vichan; Visrutaratna, Surasing; Ungchusak, Kumnuan; Mahasing, Suteerat; Khumtalord, Chosita; Tipsriraj, Siriying; Chenwittaya, Chalermpol; Guadamuz, Thomas E; Wisniewski, Stephen R

    2012-12-01

    Up to 65% of travelers to less developed countries report health problems while traveling. International travel is an increasing concern for health practitioners. To date, there have not been any published analyses of mortality amongst foreign nationals visiting Thailand. Our objectives are to examine the magnitude and characterize the deaths among foreign nationals in Chiang Mai, a popular tourist province in Thailand. The study commenced with a review of the Thai death registration. Death certificates were retrieved, reviewed, and classified by the causes of death. Basic statistics and proportionate mortality ratio (PMR) were used to describe the pattern of deaths. Standardized mortality ratio (SMR) was used to assess the excess mortality risk among foreign nationals. Between January 1, 2010 and May 31, 2011, there were 1,295 registered deaths in Chiang Mai City, of which 102 records (7.9%) were foreign nationals. Median age of decedents was 64 years (range 14-102 y). Female-to-male ratio was 1 : 5.4. The highest mortality was among Europeans (45.1%). Most of the deaths were natural causes (89.2%) including 36 cardiac diseases (PMR = 35.3) and 20 malignancy diseases (PMR = 19.6). Deaths due to external causes were low. The SMRs range between 0.15 and 0.30. Communicable diseases and injuries were not the leading causes of death among foreign nationals visiting Chiang Mai, Thailand. It is essential that travelers are aware of mortality risk associated with their underlying diseases and that they are properly prepared to handle them while traveling. © 2012 International Society of Travel Medicine.

  20. Major Chronic Respiratory Diseases in Chiang Mai: Prevalence, Clinical Characteristics, and Their Correlations.

    Science.gov (United States)

    Pothirat, Chaicharn; Phetsuk, Nittaya; Liwsrisakun, Chalerm; Bumroongkit, Chaiwat; Deesomchok, Athavudh; Theerakittikul, Theerakorn

    2016-09-01

    To identify the prevalence, clinical characteristics, disease severity, and correlations of major chronic respiratory diseases (CRDs) among the adult population living in Chiang Mai. A cross-sectional study was conducted with adults living in municipal areas of Chiang Mai. All clinical relevant data collected by face-to-face interview was confirmed by pulmonologists. The chest radiographic findings and post-bronchodilator spirometry were done in all subjects. The aeroallergen skin test and rhinoscopy were performed in all chronic rhinitis and asthma subjects. Five hundred seventy four subjects with mean age 52.9±10.0 years, 59.6% female, and 37.5% smokers were recruited. The prevalence of overall CRDs was 59.2%. Chronic rhinitis was the most prevalent chronic respiratory disease (n = 239, 41.6%), followed by asthma (n = 58, 10.1%), and chronic obstructive pulmonary disease (COPD) (n = 21, 3.7%). The most common abnormal pulmonary function test was restrictive lung disorders (n = 53, 9.6%). Asthma subjects were determined to be more allergic than chronic rhinitis subjects (58.1% vs. 39.9%, p-value = 0.033). Regarding the disease severity, 14.9% of chronic rhinitis and 10.3% of asthma subjects were classified as moderate to severe degree, whereas 81% of chronic obstructive pulmonary disease subjects were classified as moderate to very severe degrees. In asthma patients, there were positive association with chronic rhinitis (OR 3.9, 95% CI 2.1-7.0, p-value Chiang Mai population was significantly high with overlapped respiratory symptoms and varying disease severity. Additionally, chronic rhinitis had correlation with asthma but not with COPD.

  1. Problemas ginecológicos mais freqüentes em mulheres soropositivas para o HIV

    OpenAIRE

    Melo, Victor Hugo de; Araújo, Angela Cristina Labanca de; Rio, Suzana Maria Pires do; Castro, Lúcia Porto Fonseca de; Azevedo, Andrea Alves de; Castro, Mariana Moreira de

    2003-01-01

    OBJETIVO: apresentar os achados ginecológicos mais freqüentes de uma coorte de 300 mulheres infectadas pelo HIV, acompanhadas ambulatorialmente. MÉTODOS: estudo prospectivo e descritivo de mulheres HIV-soropositivas atendidas em clínica ginecológica, no período de novembro de 1996 a dezembro de 2002. As pacientes foram submetidas ao protocolo de atendimento ginecológico que incluiu anamnese, exame ginecológico, colpocitologia oncótica (Papanicolaou), pesquisa de HPV (PCR) e colposcopia. A bió...

  2. The Need To Reposition The Insurance Logistics Management In M.A.I. Units

    Directory of Open Access Journals (Sweden)

    Paul Gheorghe

    2016-01-01

    Full Text Available Logistics, considered by some authors as "a science of the future, has the aim ofof studydimensioning and correlation optimal flow of information and goods, in order to continuouslyadapt the organization to the environment" and is an essential component of management entity,especially in the context propagation production concept JIT (just in time, extended to financialsecurity. Providing specialized management and structural compatibility between M.A.I. unitscomponents and greater specialization of staff with similar tasks are achievable when theuniformity of the organization structure of the existing logistics structures subordinated M. A.I.

  3. A VIVÊNCIA DOS MAIS VELHOS EM UMA COMUNIDADE INDÍGENA GUARANI MBYÁ

    Directory of Open Access Journals (Sweden)

    Filipa Daniela Marques

    2015-08-01

    Full Text Available É possível entender que o aumento de pessoas idosas no mundo requer uma perspectiva transcultural da adultez e da velhice. Assim, este estudo exploratório procurou compreender a dinâmica cultural de uma comunidade indígena, destacando o papel da pessoa mais velha. Para tal foram realizadas entrevistas abertas com roteiro semi-estrurado com seis interlocutores do Conselho de Anciãos do povo Guarani-Mbyá, de uma tradicional aldeia de São Paulo que se dispuseram a participar; e outras informações e impressões foram registradas ao longo da pesquisa num diário de campo. A análise do conteúdo sugeriu que "ser Guarani-Mbyá" é um modo de viver e estar, orientado para a preservação da tradição através da educação e religião; o papel dos mais velhos como guardiões e transmissores das tradições. Os resultados contribuem para olhar o envelhecimento sob outras perspectivas culturais.

  4. O útil, o sagrado e o mais-que-sagrado no Xangô de Pernambuco

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    Roberto Motta

    1998-06-01

    Full Text Available Resumo O sagrado e o útil encontram-se intimamente associados no Xangô de Pernambuco. O processo de iniciação coincide largamente com a busca da cura, enquanto os sacrifícios são ao mesmo tempo bons para rezar e para comer. Não existe portanto, ao contrário do que poderia pretender uma interpretação demasiadamente literal da sociologia da religião de Durkheim, uma separação radical entre o sagrado e o profano. Há entretanto, na experiência religiosa do Xangô, um momento em que o sagrado paira acima de toda análise funcional, transformando-se desta maneira no mais-que-sagrado, que transparece na festa e no transe extático. E é dessa experiência transcendente, implicando na comunhão emocional do grupo de culto, que surge a identidade mais íntima de cada fiel.

  5. Radiation protection Aspects Using the Thermal Waters from the Felix-1 Mai-Oradea Geothermal Deposit

    International Nuclear Information System (INIS)

    Jurcut, T.; Cosma, C.; Pop, I.

    2001-01-01

    Full text: The geothermal 'Felix-1 Mai-Oradea' deposit is situated in the western part of Romania and it is well known long years ago. The waters of this deposit are used in the medical treatments in the two resorts (Felix and 1 Mai) and for heating and swimming pools in Oradea town. The deposit depth (2500-3000 m) determines a high temperature (66-900 deg. C) of these waters also a mineral content of 200-1400 mg/l, the main components being Ca and Mg. First time, during some years, the thermal water was directly used in the central heating radiators from 'Nufarul' residential district. At present a heating switch installation is utilised. The high radium content of these thermal waters comparatively with Italian or Japanese thermal waters suggested us a study of radium deposition on the inner walls of the pipes also in the inner central heating radiators. Analysing these depositions using a high resolution Ge-Li detector, the radium-226 and small quantities of radium-224 and 223 isotopes were registered. Average radium-226 deposition was 1200 Bq/kg. (author)

  6. Prevalence and Multilocus Genotyping Analysis of Cryptosporidium and Giardia Isolates from Dogs in Chiang Mai, Thailand

    Directory of Open Access Journals (Sweden)

    Sahatchai Tangtrongsup

    2017-05-01

    Full Text Available The occurrence and zoonotic potential of Cryptosporidium spp. and Giardia duodenalis isolated from dogs in Chiang Mai, Thailand were determined. Fecal samples were collected from 109 dogs between July and August 2008. Cryptosporidium spp. infection was determined by immunofluorescent assay (IFA, PCR assays that amplify Cryptosporidium heat-shock protein 70 kDa (hsp70, and two PCR assays that amplify a small subunit-ribosomal RNA (SSU-rRNA. Giardia duodenalis infection was identified using zinc sulfate centrifugal flotation, IFA, and four PCR assays that amplify the Giardia glutamate dehydrogenase (gdh, beta-giardin (bg, and generic and dog-specific assays of triosephosphate isomerase (tpi genes. Overall prevalence of Cryptosporidium spp. and G. duodenalis was 31.2% and 45.9%, respectively. Sequence analysis of 22 Cryptosporidium-positive samples and 21 Giardia-positive samples revealed the presence of C. canis in 15, and C. parvum in 7, G. duodenalis Assemblage C in 8, D in 11, and mixed of C and D in 2 dogs. Dogs in Chiang Mai were commonly exposed to Cryptosporidium spp. and G. duodenalis. Cryptosporidium parvum can be isolated from the feces of dogs, and all G. duodenalis assemblages were dog-specific. Dogs could be a reservoir for a zoonotic Cryptosporidium infection in humans, but further studies will be required to determine the clinical and zoonotic importance.

  7. Prevalence and Multilocus Genotyping Analysis of Cryptosporidium and Giardia Isolates from Dogs in Chiang Mai, Thailand.

    Science.gov (United States)

    Tangtrongsup, Sahatchai; Scorza, A Valeria; Reif, John S; Ballweber, Lora R; Lappin, Michael R; Salman, Mo D

    2017-05-10

    The occurrence and zoonotic potential of Cryptosporidium spp. and Giardia duodenalis isolated from dogs in Chiang Mai, Thailand were determined. Fecal samples were collected from 109 dogs between July and August 2008. Cryptosporidium spp. infection was determined by immunofluorescent assay (IFA), PCR assays that amplify Cryptosporidium heat-shock protein 70 kDa (hsp70), and two PCR assays that amplify a small subunit-ribosomal RNA (SSU-rRNA). Giardia duodenalis infection was identified using zinc sulfate centrifugal flotation, IFA, and four PCR assays that amplify the Giardia glutamate dehydrogenase (gdh), beta-giardin (bg), and generic and dog-specific assays of triosephosphate isomerase (tpi) genes. Overall prevalence of Cryptosporidium spp. and G. duodenalis was 31.2% and 45.9%, respectively. Sequence analysis of 22 Cryptosporidium -positive samples and 21 Giardia -positive samples revealed the presence of C. canis in 15, and C. parvum in 7, G. duodenalis Assemblage C in 8, D in 11, and mixed of C and D in 2 dogs. Dogs in Chiang Mai were commonly exposed to Cryptosporidium spp. and G. duodenalis . Cryptosporidium parvum can be isolated from the feces of dogs, and all G. duodenalis assemblages were dog-specific. Dogs could be a reservoir for a zoonotic Cryptosporidium infection in humans, but further studies will be required to determine the clinical and zoonotic importance.

  8. Subsequent Oophorectomy and Ovarian Cancer after Hysterectomy for Benign Gynecologic Conditions at Chiang Mai University Hospital.

    Science.gov (United States)

    Jitkunnatumkul, Aurapin; Tantipalakorn, Charuwan; Charoenkwan, Kittipat; Srisomboon, Jatupol

    2016-01-01

    This study was undertaken to determine the incidence of subsequent oophorectomy due to ovarian pathology or ovarian cancer in women with prior hysterectomy for benign gynecologic conditions at Chiang Mai University Hospital. Medical records of women who underwent hysterectomy for benign gynecologic diseases and pre-cancerous lesions between January 1, 2004 and December 31, 2013 at Chiang Mai University Hospital were retrospectively reviewed. The incidence and indications of oophorectomy following hysterectomy were analyzed. During the study period, 1,035 women had hysterectomy for benign gynecologic conditions. Of these, 590 women underwent hysterectomy with bilateral salpingo-oophorectomy and 445 hysterectomy with bilateral ovarian preservation or unilateral salpingo-oophorectomy. The median age was 47 years (range, 11-75 years). Ten women (2.45 %) had subsequent oophorectomy for benign ovarian cysts. No case of ovarian cancer was found. The mean time interval between hysterectomy and subsequent oophorectomy was 43.1 months (range, 2-97 months) and the mean follow-up time for this patient cohort was 51 months (range, 1.3-124.9 months). According to our hospital-based data, the incidence of subsequent oophorectomy in women with prior hysterectomy for benign gynecologic conditions is low and all present with benign conditions.

  9. Stigma, social support, and treatment adherence among HIV-positive patients in Chiang Mai, Thailand.

    Science.gov (United States)

    Li, Michael Jonathan; Murray, Jordan Keith; Suwanteerangkul, Jiraporn; Wiwatanadate, Phongtape

    2014-10-01

    Our study assessed the influence of HIV-related stigma on treatment adherence among people living with HIV in Chiang Mai, Thailand, and whether social support had a moderating effect on this relationship. We recruited 128 patients living with HIV from Sansai Hospital, a community hospital in Chiang Mai, Thailand, and collected data through structured interviews. All forms of HIV-related stigma considered in this study (personalized experience, disclosure, negative self-image, and public attitudes) were negatively correlated with adherence to anti-retroviral regimens. Multiple linear regression indicated that total HIV-related stigma was more predictive of treatment adherence than any individual stigma type, after adjusting for socio-demographic and health characteristics. Tests of interaction showed that social support did not appear to moderate the association between HIV stigma and treatment adherence. Our findings suggest that community and government efforts to improve public perceptions about people living with HIV might promote treatment adherence behaviors among HIV-positive patients.

  10. Detection of poliovirus infection in children with acute gastroenteritis in Chiang Mai, Thailand.

    Science.gov (United States)

    Kumthip, Kattareeya; Khamrin, Pattara; Maneekarn, Niwat

    2017-05-01

    Poliovirus (PV) is typically transmitted by the fecal-oral route, which means that the risk of infection and virus distribution could be achieved by exposure to the virus contaminated in food and water. The aim of this study was to determine the occurrence of PV strains by detecting the virus in pediatric patients who admitted to the hospitals with diarrhea in Chiang Mai, Thailand during 2010-2015. By applying a reverse transcription-polymerase chain reaction and nucleotide sequencing analysis of 1,300 stool specimens collected from pediatric patients, PVs were detected at 0.61% (8 out of 1,300 specimens). Among eight PV positive samples, mixed infection with norovirus or human bocavirus was detected in one each out of eight cases. All PV strains detected in this study were characterized further by phylogenetic analysis of 343 bp of the 5' UTR and 315 bp of the partial VP1 sequences. The results revealed that eight PV strains detected in the present study two of each were PV1 and PV2, and four were PV3 serotypes of the Sabin vaccine strains. The data demonstrated the presence of PV1, PV2, and PV3 Sabin vaccine strains in children with acute gastroenteritis in Chiang Mai, Thailand. J. Med. Virol. 89:775-781, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  11. Epidemiology of cercarial stage of trematodes in freshwater snails from Chiang Mai province, Thailand.

    Science.gov (United States)

    Chontananarth, Thapana; Wongsawad, Chalobol

    2013-03-01

    To investigate the epidemiological situation of cercarial trematodes infection in freshwater snails from different water resources in Chiang Mai province, Thailand. The snail specimens were collected from 13 districts of Chiang Mai province during April 2008 to February 2012. The prevalence of cercarial infection in snails was investigated using the crushing method. The drawing was done with the help of a camera lucida for the morphological study. A total of 2 479 snail individuals were collected and classified into 7 families, 11 genera, and 14 species, Among them, 8 snails species were found to be infected with an overall prevalence of 17.27% (428/2 479), which infected with nine groups of cercariae; gymnocephalous cercaria, strigea cercaria, megalurous cercaria, monostome cercaria, parapleurolophocercous cercaria (Haplorchis cercaria), pleurolophocercous cercaria, furcocercous cercaria (Transversotrema cercaria), xiphidiocercaria, and virgulate cercaria. The parapleurolophocercous cercaria was found to be the dominant type among the cercarial infection in the snails (64.25%). The various species of snails found in the research location act as the intermediate hosts for the high prevalence of parasitic infection of many species of mammals. This work will provide new information on both the distribution and first intermediate host of trematodes.

  12. DISCRIMINATION 28S RIBOSOMAL GENE OF TREMATODE CERCARIAE IN SNAILS FROM CHIANG MAI PROVINCE, THAILAND.

    Science.gov (United States)

    Wongsawad, Chalobol; Wongsawad, Pheravut; Sukontason, Kom; Phalee, Anawat; Noikong-Phalee, Waraporn; Chai, Jong Yil

    2016-03-01

    Trematode cercariae are commonly found in many freshwater gastropods. These cercariae can serve to identify the occurrence of such trematodes as Centrocestus formosanus, Haplorchis taichui, Haplorchoides sp, and Stellantchasmus falcatus, which are important parasites in Chiang Mai Province, Thailand. As the species of these cercariae cannot be identified accurately based on morphology, this study employed sequencing of a fragment of 28S ribosomal DNA and phylogenetic analysis to identify the trematode cercariae found in freshwater gastropods in Chiang Mai Province. Eight types of trematode cercariae were identified, namely, distome cercaria (grouped with Philophthalmus spp clade), echinostome cercaria (grouped with Echinostoma spp clade), furcocercous cercaria (grouped with Posthodiplostomum sp/Alaria taxideae/Hysteromorpha triloba clade), monostome cercaria (grouped with Catatropis indicus clade), parapleurolophocercous cercaria (grouped with Haplorchoides sp clade), pleurolophocercous cercaria (grouped with Centrocestusformosanus clade), transversotrema cercaria (grouped with Transversotrema spp clade), and xiphidiocercaria (grouped with Prosthodendrium spp clade). These results provide important information that can be used for identifying these parasites in epidemiological surveys.

  13. Echinostoma revolutum: freshwater snails as the second intermediate hosts in Chiang Mai, Thailand.

    Science.gov (United States)

    Chantima, Kittichai; Chai, Jong-Yil; Wongsawad, Chalobol

    2013-04-01

    The occurrence of 37-collar spined echinostome metacercariae in freshwater snails was investigated in 6 districts of Chiang Mai Province, Thailand, from October 2011 to April 2012. A total of 2,914 snails that belong to 12 species were examined, and 7 snail species (Clea helena, Eyriesia eyriesi, Bithynia funiculata, Bithynia siamensis siamensis, Filopaludina doliaris, Filopaludina sumatrensis polygramma, and Filopaludina martensi martensi) were found infected with echinostome metacercariae. The prevalence of metacercariae was the highest in Filopaludina spp. (38.5-58.7%) followed by B. funiculata (44.0%), E. eyriesi (12.5%), B. siamensis siamensis (8.2%), and C. helena (5.1%). Metacercariae were experimentally fed to hamsters and domestic chicks, and adult flukes were recovered from both hosts at days 15 and 20 post-infection. The adult flukes were identified based on morphological features, morphometrics, host-parasite relationships, and geographical distribution. They were compatible to Echinostoma revolutum or Echinostoma jurini, with only minor differences. As the adults were recovered from both hamsters and chicks, our specimens were more compatible to E. revolutum rather than E. jurini (reported only from mammals). This is the first report for metacercariae of E. revolutum in the snail host, C. helena, and also confirmed that Filopaludina spp., E. eryresi, and Bithynia spp. act as the second intermediate hosts of E. revolutum under natural conditions, which are indigenously distributed in Chiang Mai province.

  14. Detection of environmental sources of Histoplasma capsulatum in Chiang Mai, Thailand, by nested PCR.

    Science.gov (United States)

    Norkaew, Treepradab; Ohno, Hideaki; Sriburee, Pojana; Tanabe, Koichi; Tharavichitkul, Prasit; Takarn, Piyawan; Puengchan, Tanpalang; Bumrungsri, Sara; Miyazaki, Yoshitsugu

    2013-12-01

    Histoplasmosis is a systemic mycosis caused by inhaling spores of Histoplasma capsulatum, a dimorphic fungus. This fungus grows in soil contaminated with bat and avian excreta. Each year, patients with disseminated histoplasmosis have been diagnosed in Chiang Mai, northern Thailand. No published information is currently available on the environmental sources of this fungus in Chiang Mai or anywhere else in Thailand. The aim of this study was to detect H. capsulatum in soil samples contaminated with bat guano and avian droppings by nested PCR. Two hundred and sixty-five samples were collected from the following three sources: soil contaminated with bat guano, 88 samples; soil contaminated with bird droppings, 86 samples; and soil contaminated with chicken droppings, 91 samples. Genomic DNA was directly extracted from each sample, and H. capsulatum was detected by nested PCR using a primer set specific to a gene encoding 100-kDa-like protein (HcI, HcII and HcIII, HcIV). Histoplasma capsulatum was detected in seven of 88 soil samples contaminated with bat guano, one of 21 soil samples contaminated with pigeon droppings and 10 of 91 soil samples contaminated with chicken droppings. The results indicate the possibility of the association of bat guano and chicken droppings with H. capsulatum in this area of Thailand.

  15. Leptospirosis in Spanish travelers returning from Chiang Mai: A case series.

    Science.gov (United States)

    Rodriguez-Valero, Natalia; Moriñigo, Helena Moza; Martínez, Miguel J; Peiró, Aida; Oliveira, Ines; Bodro, Marta; Gómez-Junyent, Joan; Gascon, Joaquim; Muñoz, Jose

    Leptospirosis is an important zoonosis worldwide, nevertheless is often poor recognized in non tropical settings. In Thailand is becoming an emerging disease and Chiang Mai could become a popular spot to acquire the disease amongst travelers. We describe three cases of imported leptospirosis undifferentiated fever after travelling to Thailand during the summer of 2015 diagnosed at two Spanish hospitals. Our three patients probably acquired leptospirosis while swimming in freshwater around Chiang Mai, a Thailand's northern region with moderate incidence of leptopirosis. Travelers had normal white blood cell counts and low platelets, suggesting leptospirosis after ruling out other imported diseases such as malaria, dengue or typhoid. As recent findings point out, low platelets and normal white blood cell counts are clinical features that could help the clinician to suspect Leptospirosis infection. It should be always considered as a cause of fever, particularly if travelers come from a tropical country and have had contact with water or flooding, especially during rainy season. Copyright © 2018 Elsevier Ltd. All rights reserved.

  16. In planta gene expression analysis of Xanthomonas oryzae pathovar oryzae, African strain MAI1

    Directory of Open Access Journals (Sweden)

    Verdier Valérie

    2010-06-01

    Full Text Available Abstract Background Bacterial leaf blight causes significant yield losses in rice crops throughout Asia and Africa. Although both the Asian and African strains of the pathogen, Xanthomonas oryzae pv. oryzae (Xoo, induce similar symptoms, they are nevertheless genetically different, with the African strains being more closely related to the Asian X. oryzae pv. oryzicola (Xoc. Results Changes in gene expression of the African Xoo strain MAI1 in the susceptible rice cultivar Nipponbare were profiled, using an SSH Xoo DNA microarray. Microarray hybridization was performed comparing bacteria recovered from plant tissues at 1, 3, and 6 days after inoculation (dai with bacteria grown in vitro. A total of 710 bacterial genes were found to be differentially expressed, with 407 up-regulated and 303 down-regulated. Expression profiling indicated that less than 20% of the 710 bacterial transcripts were induced in the first 24 h after inoculation, whereas 63% were differentially expressed at 6 dai. The 710 differentially expressed genes were one-end sequenced. 535 sequences were obtained from which 147 non-redundant sequences were identified. Differentially expressed genes were related to metabolism, secretion and transport, pathogen adherence to plant tissues, plant cell-wall degradation, IS elements, and virulence. In addition, various other genes encoding proteins with unknown function or showing no similarity to other proteins were also induced. The Xoo MAI1 non-redundant set of sequences was compared against several X. oryzae genomes, revealing a specific group of genes that was present only in MAI1. Numerous IS elements were also found to be differentially expressed. Quantitative real-time PCR confirmed 86% of the identified profile on a set of 14 genes selected according to the microarray analysis. Conclusions This is the first report to compare the expression of Xoo genes in planta across different time points during infection. This work shows that

  17. [Anu Mai Kõll. The village and the class war : anti-kulak campaign in Estonia] / Karsten Brüggemann

    Index Scriptorium Estoniae

    Brüggemann, Karsten, 1965-

    2015-01-01

    Arvustus: Kõll, Anu Mai. The village and the class war : anti-kulak campaign in Estonia (Historical studies in Eastern Europe and Eurasia, 2). Central European University Press. Budapest and New York 2013

  18. Factors influencing dietary supplement consumption: A case study in Chiang Mai, Thailand

    Directory of Open Access Journals (Sweden)

    Wiwat Wangcharoen

    2013-04-01

    Full Text Available A consumer survey on dietary supplement consumption was carried out on 494 consumers aged 20 years and older in Chiang Mai province. The percentage of consumers who regularly consumed dietary supplements was 38.5%. Vitamins and minerals were the most consumed products, followed by functional drinks, functional foods, protein extracts, dietary fibre, cod liver oil, phytochemicals, algae products, fat absorbers, fish oils and bee products in that order. Females and participants who had recommended waistlines, had higher income, usually felt stressed or sick, and who preferred eating fruits/vegetables or routinely drank water tended to have a higher rate of consumption of dietary supplements. Participants gave priority over a product with guaranteed quality when they made decision to purchase dietary supplements, but their purchase was also influenced by the attractiveness of the product and advertisement for it.

  19. A Network of Kalman Filters for MAI and ISI Compensation in a Non-Gaussian Environment

    Directory of Open Access Journals (Sweden)

    Sayadi Bessem

    2005-01-01

    Full Text Available This paper develops a new multiuser detector based on a network of kalman filters (NKF dealing with multiple access-interference (MAI, intersymbol Interference (ISI, and an impulsive observation noise. The two proposed schemes are based on the modeling of the DS-CDMA system by a discrete-time linear system that has non-Gaussian state and measurement noises. By approximating the non-Gaussian densities of the noises by a weighted sum of Gaussian terms and under the common MMSE estimation criterion, we first derive an NKF detector. This version is further optimized by introducing a feedback exploiting the ISI interference structure. The resulting scheme is an NKF detector based on a likelihood ratio test (LRT. Monte-Carlo simulations have shown that the NKF and the NKF based on LRT detectors significantly improve the efficiency and the performance of the classical Kalman algorithm.

  20. Femmes cinéastes en France : l'après-mai 68

    OpenAIRE

    ROLLET, Brigitte

    2006-01-01

    Agnès Varda, Coline Serreau, Nelly Kaplan, trois noms parmi des dizaines qui illustrent chacun à leur manière une nouvelle façon de faire du cinéma : même si la carrière de la première est antérieure à mai 68, son nom comme celui des autres est lié à ce qu’on appellera dans les années 1970 le « cinéma des femmes ». Cet article propose une interrogation sur ce cinéma au féminin, afin d’envisager à la fois le contexte particulier dans lequel il émerge, les problématiques qu’il soulève, et ce en...

  1. The Chiang Mai Initiative and Its Multilateralization: Toward an Asian Monetary Fund?

    Directory of Open Access Journals (Sweden)

    Youngwon Cho

    2011-11-01

    Full Text Available As a regional self-help system of liquidity support established in the aftermath of the Asian crisis of 1997, the Chiang Mai Initiative (CMI and its recent multilateralization have been touted in some quarters as important achievements in a region where institutionalized financial cooperation had been sorely lacking, taking East Asia one step closer to the resuscitation of the still-born Asian Monetary Fund. Against such a sanguine assessment, I argue that the significance of the CMI, even after its multilateralization, is largely limited to symbolism and its practical implications are inconsequential. Despite the progress associated with CMI multilateralization, the underlying political dynamics in the region render East Asia fundamentally incapable of producing a coherent regional solution to the recurring problem of global financial instability.

  2. Culture and subjectivity – areas of continuity and rupture: the history of Mukhtar Mai

    Directory of Open Access Journals (Sweden)

    Jennifer Perroni

    2009-07-01

    Full Text Available In 2002 a Pakistani woman named Mukhtar Mai was sentenced to collective rape for a crime committed by her brother. Unfortunately, situations like these cannot be considered rare in Pakistan, where rape as a way of resolving conflicts between families is a common practice. Consequently, the most remarkable aspect of this story may have been the reaction of this woman, who instead of resigning herself to silence or committing suicide, which is common in these cases, initiated a campaign of protest and struggle in favor of women’s rights in her country. Through this story we can perceive how tradition and culture permeate the actions and representations of a people in which the femail body still represents an object that can be used for the honor or shame of the clan. But this system of values also makes possible the rise of indivuduals who are able to break with a pattern of subordination.

  3. Autologous chondrocyte implantation for cartilage injury treatment in Chiang Mai University Hospital: a case report.

    Science.gov (United States)

    Wongtriratanachai, Prasit; Pruksakorn, Dumnoensun; Pothacharoen, Peraphan; Nimkingratana, Puwapong; Pattamapaspong, Nuttaya; Phornphutkul, Chanakarn; Setsitthakun, Sasiwariya; Fongsatitkul, Ladda; Phrompaet, Sureeporn

    2013-11-01

    Autologous chondrocyte implantation (ACI) has become one of the standard procedures for articular cartilage defect treatment. This technique provides a promising result. However the procedural process requires an approach of several steps from multidisciplinary teams. Although the success of this procedure has been reported from Srinakharinvirot University since 2007, the application of ACI is still limited in Thailand due to the complexity of processes and stringent quality control. This report is to present the first case of the cartilage defect treatment using the first generation-ACI under Chiang Mai University's (CMU) own facility and Ethics Committee. This paper also reviews the process of biotechnology procedures, patient selection, surgical, and rehabilitation techniques. The success of the first case is an important milestone for the further development of the CMU Human Translational Research Laboratory in near future.

  4. Implementation of integrated heterogeneous electronic electrocardiography data into Maharaj Nakorn Chiang Mai Hospital Information System.

    Science.gov (United States)

    Khumrin, Piyapong; Chumpoo, Pitupoom

    2016-03-01

    Electrocardiography is one of the most important non-invasive diagnostic tools for diagnosing coronary heart disease. The electrocardiography information system in Maharaj Nakorn Chiang Mai Hospital required a massive manual labor effort. In this article, we propose an approach toward the integration of heterogeneous electrocardiography data and the implementation of an integrated electrocardiography information system into the existing Hospital Information System. The system integrates different electrocardiography formats into a consistent electrocardiography rendering by using Java software. The interface acts as middleware to seamlessly integrate different electrocardiography formats. Instead of using a common electrocardiography protocol, we applied a central format based on Java classes for mapping different electrocardiography formats which contains a specific parser for each electrocardiography format to acquire the same information. Our observations showed that the new system improved the effectiveness of data management, work flow, and data quality; increased the availability of information; and finally improved quality of care. © The Author(s) 2014.

  5. Correlates of Incarceration Among Young Methamphetamine Users in Chiang Mai, Thailand

    Science.gov (United States)

    Thomson, Nicholas; Sutcliffe, Catherine G.; Sirirojn, Bangorn; Keawvichit, Rassamee; Wongworapat, Kanlaya; Sintupat, Kamolrawee; Aramrattana, Apinun

    2009-01-01

    Objectives. We examined correlates of incarceration among young methamphetamine users in Chiang Mai, Thailand in 2005 to 2006. Methods. We conducted a cross-sectional study among 1189 young methamphetamine users. Participants were surveyed about their recent drug use, sexual behaviors, and incarceration. Biological samples were obtained to test for sexually transmitted and viral infections. Results. Twenty-two percent of participants reported ever having been incarcerated. In multivariate analysis, risk behaviors including frequent public drunkenness, starting to use illicit drugs at an early age, involvement in the drug economy, tattooing, injecting drugs, and unprotected sex were correlated with a history of incarceration. HIV, HCV, and herpes simplex virus type 2 (HSV-2) infection were also correlated with incarceration. Conclusions. Incarcerated methamphetamine users are engaging in behaviors and being exposed to environments that put them at increased risk of infection and harmful practices. Alternatives to incarceration need to be explored for youths. PMID:18923109

  6. Construction and performance of the magnetic bunch compressor for the THz facility at Chiang Mai University

    International Nuclear Information System (INIS)

    Saisut, J.; Kusoljariyakul, K.; Rimjaem, S.; Kangrang, N.; Wichaisirimongkol, P.; Thamboon, P.; Rhodes, M.W.; Thongbai, C.

    2011-01-01

    The Plasma and Beam Physics Research Facility at Chiang Mai University has established a THz facility to focus on the study of ultra-short electron pulses. Short electron bunches can be generated from a system that consists of a radio-frequency (RF) gun with a thermionic cathode, an alpha magnet as a magnetic bunch compressor, and a linear accelerator as a post-acceleration section. The alpha magnet is a conventional and simple instrument for low-energy electron bunch compression. With the alpha magnet constructed in-house, several hundred femtosecond electron bunches for THz radiation production can be generated from the thermionic RF gun. The construction and performance of the alpha magnet, as well as some experimental results, are presented in this paper.

  7. Construction and performance of the magnetic bunch compressor for the THz facility at Chiang Mai University

    Science.gov (United States)

    Saisut, J.; Kusoljariyakul, K.; Rimjaem, S.; Kangrang, N.; Wichaisirimongkol, P.; Thamboon, P.; Rhodes, M. W.; Thongbai, C.

    2011-05-01

    The Plasma and Beam Physics Research Facility at Chiang Mai University has established a THz facility to focus on the study of ultra-short electron pulses. Short electron bunches can be generated from a system that consists of a radio-frequency (RF) gun with a thermionic cathode, an alpha magnet as a magnetic bunch compressor, and a linear accelerator as a post-acceleration section. The alpha magnet is a conventional and simple instrument for low-energy electron bunch compression. With the alpha magnet constructed in-house, several hundred femtosecond electron bunches for THz radiation production can be generated from the thermionic RF gun. The construction and performance of the alpha magnet, as well as some experimental results, are presented in this paper.

  8. Bunch compression efficiency of the femtosecond electron source at Chiang Mai University

    International Nuclear Information System (INIS)

    Thongbai, C.; Kusoljariyakul, K.; Saisut, J.

    2011-01-01

    A femtosecond electron source has been developed at the Plasma and Beam Physics Research Facility (PBP), Chiang Mai University (CMU), Thailand. Ultra-short electron bunches can be produced with a bunch compression system consisting of a thermionic cathode RF-gun, an alpha-magnet as a magnetic bunch compressor, and a linear accelerator as a post acceleration section. To obtain effective bunch compression, it is crucial to provide a proper longitudinal phase-space distribution at the gun exit matched to the subsequent beam transport system. Via beam dynamics calculations and experiments, we investigate the bunch compression efficiency for various RF-gun fields. The particle distribution at the RF-gun exit will be tracked numerically through the alpha-magnet and beam transport. Details of the study and results leading to an optimum condition for our system will be presented.

  9. Numerical simulation of terrain-induced mesoscale circulation in the Chiang Mai area, Thailand

    Science.gov (United States)

    Sathitkunarat, Surachai; Wongwises, Prungchan; Pan-Aram, Rudklao; Zhang, Meigen

    2008-11-01

    The regional atmospheric modeling system (RAMS) was applied to Chiang Mai province, a mountainous area in Thailand, to study terrain-induced mesoscale circulations. Eight cases in wet and dry seasons under different weather conditions were analyzed to show thermal and dynamic impacts on local circulations. This is the first study of RAMS in Thailand especially investigating the effect of mountainous area on the simulated meteorological data. Analysis of model results indicates that the model can reproduce major features of local circulation and diurnal variations in temperatures. For evaluating the model performance, model results were compared with observed wind speed, wind direction, and temperature monitored at a meteorological tower. Comparison shows that the modeled values are generally in good agreement with observations and that the model captured many of the observed features.

  10. Bunch compression efficiency of the femtosecond electron source at Chiang Mai University

    Science.gov (United States)

    Thongbai, C.; Kusoljariyakul, K.; Saisut, J.

    2011-07-01

    A femtosecond electron source has been developed at the Plasma and Beam Physics Research Facility (PBP), Chiang Mai University (CMU), Thailand. Ultra-short electron bunches can be produced with a bunch compression system consisting of a thermionic cathode RF-gun, an alpha-magnet as a magnetic bunch compressor, and a linear accelerator as a post acceleration section. To obtain effective bunch compression, it is crucial to provide a proper longitudinal phase-space distribution at the gun exit matched to the subsequent beam transport system. Via beam dynamics calculations and experiments, we investigate the bunch compression efficiency for various RF-gun fields. The particle distribution at the RF-gun exit will be tracked numerically through the alpha-magnet and beam transport. Details of the study and results leading to an optimum condition for our system will be presented.

  11. An ASEAN Ion Beam Analysis Center at Chiang Mai University, Thailand

    International Nuclear Information System (INIS)

    Tippawan, U.; Kamwann, T.; Yu, L.D.; Intarasiri, S.; Puttaraksa, N.; Unai, S.; Thongleurm, C.; Singkarat, S.

    2014-01-01

    To contribute to the development of nuclear science and technology in Thailand, a comprehensive ion beam analysis center unique in the ASEAN region has recently been established at Chiang Mai University, Thailand. The center is equipped with a 1.7-MV Tandetron tandem accelerator with an ion beam analysis beam line. The beam line is currently capable of performing ion beam analysis techniques such as Rutherford Backscattering Spectrometry (RBS), RBS/channeling, Elastic BackScattering (EBS), Particle Induced X-ray Emission (PIXE) and Ionoluminescence (IL) with assistance of commercial and in-house-developed softwares. Micro ion beam for MeV-ion mapping using programmable aperture or capillary focusing techniques is being developed. Ion beam analysis experiments and applications have been vigorously developed, especially for novel materials analysis focused on archeological, gemological and biological materials besides other conventional materials.

  12. High temperature effects on out-patient visits and hospital admissions in Chiang Mai, Thailand.

    Science.gov (United States)

    Pudpong, Nareerut; Hajat, Shakoor

    2011-11-15

    This study investigated the short-term effects of temperature on out-patient visits and hospital admissions in Chiang Mai, Thailand. While mortality outcomes in the literature have been reported, there is less evidence of morbidity effects with very few studies conducted in developing countries with subtropical or tropical climate. Time-series regression analysis was employed using generalized negative binomial regression to model the short-term relationships between temperature and morbidity after controlling for seasonal patterns and other potential confounders. Lag effects up to 13 days and effect modification by age (0-14 years, 15-64 years, ≥65 years) were examined. Temperature effects with wide confidence intervals were found, with an increase in diabetic visits of 26.3% (95% CI: 7.1%-49.0%), and circulatory visits of 19.2% (95% CI: 7.0%-32.8%) per 1 °C increase in temperature above an identified threshold of 29 °C. Additionally, there was a rise of both visits (3.7% increase, 95% CI: 1.5%-5.9%) and admissions (5.8% increase, 95% CI: 2.3%-9.3%) due to intestinal infectious disease in association with each 1 °C increase across the whole temperature range. The effects of temperature were stronger in the elderly though not statistically significant. Daily morbidity in Chiang Mai was positively associated with temperature with a lag effect of up to 2 weeks, which was longer than lag effects previously reported. Public health preparedness and interventions should be considered to minimise possible increased hospital visits and admissions during hot weather. Copyright © 2011 Elsevier B.V. All rights reserved.

  13. Trends in Female Breast Cancer by Age Group in the Chiang Mai Population

    Science.gov (United States)

    Sripan, Patumrat; Sriplung, Hutcha; Pongnikorn, Donsuk; Virani, Shama; Bilheem, Surichai; Chaisaengkhaum, Udomlak; Maneesai, Puttachart; Waisri, Narate; Hanpragopsuk, Chirapong; Tansiri, Panrada; Khamsan, Varunee; Poungsombat, Malisa; Mawoot, Aumnart; Chitapanarux, Imjai

    2017-01-01

    Objectives: This study was conducted to determine incidence trends of female breast cancer according to age groups and to predict future change in Chiang Mai women through 2028. Method: Data were collected from all hospitals in Chiang Mai in northern Thailand, from 1989 through 2013, and used to investigate effects of age, year of diagnosis (period) and year of birth (cohort) on female breast cancer incidences using an age-period-cohort model. This model features geometric cut trends to predict change by young (<40 years), middle-aged (40-59) and elderly (≥60) age groups. Result: Of 5, 417 female breast cancer patients with a median age of 50 years (interquartile range: 43 to 59 years), 15%, 61% and 24% were young, middle-aged and elderly, respectively. Seventy nine percent of cancer cases in this study were detected at advanced stage. The trend in stage classification showed an increase in percentage of early stage and a decrease in metastatic cancers. Linear trends for cohort and period were not found in young females but were observed in middle-aged and elderly groups. Age-standardized rates (ASR) can be expected to remain stable around 6.8 per 100,000 women-years in young females. In the other age groups, the ASR trends were calculated to increase and reach peaks in 2024 of 120.2 and 138.2 per 100,000 women-years, respectively. Conclusion: Cohort effects or generation-specific effects, such as life style factors and the year of diagnosis (period) might have impacted on increased incidence in women aged over 40 years but not those under 40 years. A budget should be provided for treatment facilities and strategies to detect early stage cancers. The cost effectiveness of screening measures i.e. mammographic screening may need to be reconsidered for women age over 40 years. PMID:28612595

  14. Digging for Lost Rivers in Thailand: Locating and Dating Paleochannels in the Chiang Mai Intermontane Basin

    Science.gov (United States)

    Teo, Elisha A.; Ziegler, Alan D.; Wasson, Robert J.; Morthekai, Paulramasamy

    2017-04-01

    The drainage of the Chiang Mai basin has a dynamic but largely forgotten history. In the late 1980s, an ancient lost city was excavated near the Ping River in Chiang Mai, Thailand. Archaeologists had unearthed Wiang Kum Kam, the former royal capital of the Lanna Civilisation founded in 1286 CE. Former investigations revealed that flood sediments buried the capital and remnants of an abandoned river channel were discovered beneath the surface. This concurs with historical descriptions of the Ping River being on the eastern bank of the capital, despite being presently located on the western bank. The paleochannel drained 500 years ago after diverting west of the ancient city. This switch, an avulsion, coincided with a large flood, which could have triggered and/or caused the avulsion. Local oral histories also recount other Ping avulsions across the basin, but these were not documented. Some of these paleochannels residually remain as unusually sinuous irrigation canals, with historically suggestive names such as the Old Ping and the Small Ping Rivers. Here, the geomorphological evolution of the Ping River is investigated, as a future avulsion in this extensively populated area would be catastrophic. Evidence shows that the drainage of the Chiang Mai basin evolved from a braided system, to an avulsing anastomosing system, to a primarily single channel system. Two-dimensional electrical resistivity tomography and augering detected a large continuous body of fluvial sand 4 m below the surface, across the 10 km distance between the Ping and Kuang Rivers. This sand continues to the depth of at least 30 m and is typical of a braided system. Further augering along paleochannels revealed buried levees that protrude from the braided river deposits to near the surface, separated by fine floodplain sediments. This may have formed as the braided system evolved into an anastomosing system, where distinct channels stabilised and floodplain deposits could develop between channels

  15. A Constitucionalidade do Projeto Mais Médicos para o Brasil

    Directory of Open Access Journals (Sweden)

    Janaina Pontes Cerqueira

    2016-05-01

    Full Text Available A escassez de profissionais médicos em determinadas áreas no Brasil é tema que sempre mereceu atenção especial do Estado. O Projeto Mais Médicos para o Brasil, implementado por meio da Medida Provisória nº 621, de 8 de julho de 2013, autoriza a atuação de médicos estrangeiros sob regime especial de aperfeiçoamento profissional no Sistema Único de Saúde (SUS, na Atenção Básica, possibilitando a cobertura médica assistencial em  regiões prioritárias e vulneráveis do país, e foi fruto de questionamento judicial junto ao Supremo Tribunal Federal, por meio de ação direta de inconstitucionalidade, que colocou em confronto os limites constitucionais de autorização para essa forma de atuação profissional. O estudo objetivou identificar os argumentos jurídicos utilizados pelos diversos atores que atuaram nas ADINs 5035-DF e 5037-DF, notadamente no que se refere ao Projeto Mais Médicos para o Brasil, ajuizadas no Supremo Tribunal Federal e analisá-los à luz da Teoria dos Direitos Fundamentais de Robert Alexy. Os resultados apontam que o Projeto, na sua estruturação legal, encontra legitimidade na medida em que não se confunde com a abertura de mercado de trabalho, institui regime específico de atuação profissional, com garantias essenciais dos indivíduos, atenta para diretrizes de cooperação internacional em saúde da Organização Mundial de Saúde (OMS e demonstra eficácia social com a concreta ampliação de acesso da população na cobertura assistencial até que medidas conjunturais e estruturantes da formação médica no Brasil sejam implementadas e alcancem resultados diretos à população usuária do SUS.

  16. Questões mais freqüentes na área de astronomia

    Science.gov (United States)

    Segundo, H. A. S.; Garcia, G. C.; Caretta, C. A.; Lima, F. P.

    2003-08-01

    É amplamente reconhecido que as pessoas em geral têm grande fascínio e interesse pela Astronomia. Por outro lado, o conteúdo dessa área incluído no ensino formal está longe de ser abrangente e suficiente para suprir a demanda. Esse interesse permite otimizar a divulgação e o ensino não formal de Astronomia aliando a adequação do conteúdo à expectativa das pessoas. Nesse intuito, nosso trabalho busca mapear que assuntos da Astronomia despertam mais a atenção e o interesse das pessoas e o quanto disso é estimulado pela mídia, que freqüentemente aproveita-se desse interesse de forma sensacionalista, trazendo contribuições positivas e negativas. Para esta avaliação, utilizamos as pesquisas específicas e de caracterização do público que freqüentou o MAst nos anos de 2001 a 2003, pesquisa das matérias de Astronomia veiculadas na mídia escrita da cidade do Rio de Janeiro no mesmo período, além da base de dados do programa Pergunte a um astrônomo, realizado no Observatório Nacional nos anos de 1997 a 1999. Para a análise dos dados, dividimos as perguntas em dez categorias, cada uma com suas subcategorias, tomando como referência as divisões, comissões e grupos de trabalho da IAU. Apresentamos neste trabalho os resultados dessa pesquisa, que incluem, entre outros, a predominância de questões nas categorias Observação do Céu e Sistemas Planetários enquanto nos jornais dominam as notícias de Sistemas Planetários e Espaço & Astronáutica. Outro resultado interessante indicou que as dúvidas de crianças do ensino fundamental se concentram em algumas categorias enquanto as questões de adultos são mais distribuídas por todas as categorias. Os resultados dessa pesquisa serão aplicados diretamente no aperfeiçoamento das atividades do Programa de Observação de Céu, bem como na elaboração de novos projetos e eventos realizados no MAst.

  17. Programa mais médicos: uma revisão integrativa

    Directory of Open Access Journals (Sweden)

    Ana Caroline Pereira Martins

    2017-12-01

    Full Text Available Objetivo: Descrever o conhecimento produzido na literatura acerca da criação do Programa Mais Médicos e sua repercussão no Brasil. Métodos: Revisão integrativa, realizada no período de 2013 a 2016, nas bases de dados: Scientific Electronic Library Online (SciELO, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS, Biblioteca Virtual em Saúde (BVS e na Coleciona SUS, utilizando-se os descritores: programa, médicos, atenção primária, atenção básica, saúde. Resultados: Foram selecionadas 21 publicações que atenderam aos critérios de inclusão, mas encontravam-se em periódicos com estratos intermediários e apresentaram baixo nível de evidência. Os principais resultados se referem à criação do Programa Mais Médicos (PMM e sua repercussão na classe médica, na população e na mídia. O PMM foi criado tendo como objetivo ampliar o acesso e atenuar as desigualdades em saúde através da distribuição de médicos em municípios considerados prioritários, ocasionou grande repercussão no Brasil, com posicionamentos diversos entre os órgãos governamentais, usuários, mídia e, em especial, entre a classe médica brasileira. Conclusão: Diminuir as desigualdades de alocação de médicos, no entanto, é uma ação difícil e que exige ações em longo prazo. Soma-se a necessidade de implantar estratégias como melhoraria de infraestrutura, melhor distribuição de insumos e equipamentos, apoio logístico e rede de atenção à saúde resolutiva, eficiente e eficaz em todos os níveis de atenção.

  18. Associations between damage location and five main body region injuries of MAIS 3–6 injured occupants

    Science.gov (United States)

    Tang, Youming; Cao, Libo; Kan, Steven

    2014-01-01

    Objectives To examine the damage location distribution of five main body region injuries of maximum abbreviated injury score (MAIS) 3–6 injured occupants for nearside struck vehicle in front-to-side impact crashes. Design and setting MAIS 3–6 injured occupants information was extracted from the US-National Automotive Sampling System/Crashworthiness Data System in the year 2007; it included the head/face/neck, chest, pelvis, upper extremity and lower extremity. Struck vehicle collision damage was classified in a three-dimensional system according to the J224 Collision Deformation Classification of SAE Surface Vehicle Standard. Participants Nearside occupants seated directly adjacent to the struck side of the vehicle with MAIS 3–6 injured, in light truck vehicles–passenger cars (LTV–PC) side impact crashes. Outcome measures Distribution of MAIS 3–6 injured occupants by body regions and specific location of damage (lateral direction, horizontal direction and vertical direction) were examined. Injury risk ratio was also assessed. Results The lateral crush zone contributed to MAIS 3–6 injured occupants (n=705) and 50th centile injury risks when extended into zone 3. When the crush extended to zone 4, the injury risk ratio of MAIS 3–6 injured occupants approached 81%. The horizontal crush zones contributing to the highest injury risk ratio of MAIS 3–6 occupants were zones ‘D’ and ‘Y’, and the injury risk ratios were 25.4% and 36.9%, respectively. In contrast, the lowest injury risk ratio was 5.67% caused by zone ‘B’. The vertical crush zone which contributed to the highest injury risk ratio of MAIS 3–6 occupants was zone ‘E’, whose injury risk ratio was 58%. In contrast, the lowest injury risk ratio was 0.14% caused by zone ‘G+M’. Conclusions The highest injury risk ratio of MAIS 3–6 injured occupants caused by crush intrusion between 40 and 60 cm in LTV–PC nearside impact collisions and the damage region of the struck

  19. Associations between damage location and five main body region injuries of MAIS 3-6 injured occupants.

    Science.gov (United States)

    Tang, Youming; Cao, Libo; Kan, Steven

    2014-05-08

    To examine the damage location distribution of five main body region injuries of maximum abbreviated injury score (MAIS) 3-6 injured occupants for nearside struck vehicle in front-to-side impact crashes. MAIS 3-6 injured occupants information was extracted from the US-National Automotive Sampling System/Crashworthiness Data System in the year 2007; it included the head/face/neck, chest, pelvis, upper extremity and lower extremity. Struck vehicle collision damage was classified in a three-dimensional system according to the J224 Collision Deformation Classification of SAE Surface Vehicle Standard. Nearside occupants seated directly adjacent to the struck side of the vehicle with MAIS 3-6 injured, in light truck vehicles-passenger cars (LTV-PC) side impact crashes. Distribution of MAIS 3-6 injured occupants by body regions and specific location of damage (lateral direction, horizontal direction and vertical direction) were examined. Injury risk ratio was also assessed. The lateral crush zone contributed to MAIS 3-6 injured occupants (n=705) and 50th centile injury risks when extended into zone 3. When the crush extended to zone 4, the injury risk ratio of MAIS 3-6 injured occupants approached 81%. The horizontal crush zones contributing to the highest injury risk ratio of MAIS 3-6 occupants were zones 'D' and 'Y', and the injury risk ratios were 25.4% and 36.9%, respectively. In contrast, the lowest injury risk ratio was 5.67% caused by zone 'B'. The vertical crush zone which contributed to the highest injury risk ratio of MAIS 3-6 occupants was zone 'E', whose injury risk ratio was 58%. In contrast, the lowest injury risk ratio was 0.14% caused by zone 'G+M'. The highest injury risk ratio of MAIS 3-6 injured occupants caused by crush intrusion between 40 and 60 cm in LTV-PC nearside impact collisions and the damage region of the struck vehicle was in the zones 'E' and 'Y'.

  20. Assessing self-efficacy and college readiness level among new undergraduate students in computer science using metacognitive awareness inventory (MAI)

    Science.gov (United States)

    Othman, Wan Nor Afiqah Wan; Abdullah, Aziman

    2018-04-01

    This preliminary study was conducted to address the issue of academic planning skills among new university student. Due to lack of proper measurement mechanism for awareness and readiness among students, this study proposes Metacognitive Awareness Inventory (MAI) to assess the connection between student self-efficacy and college readiness. Qualitative and quantitative approach were used by provide an online self-assessment for new student of Faculty of Computer Systems & Software Engineering (FSKKP) and analyse the data respectively. The possible relationships between MAI and College Readiness Item (CRI) in self-assessment has been evaluated. The sample size of 368 respondents from UMP are responding to the online self-assessment. The initial finding shows most student (71%) of the respondent lack of skills in planning. We manage to use Pearson Product-moment correlation coefficient to find the significant relationship between MAI and CRI. Thus, we found that College Readiness provide sufficient evidence that there is a significant correlation with most of MAI items. The findings also indicated not much difference was found between gender in terms of self-efficacy level. This paper suggests the MAI and CRI is a reliable and valid scale to respond the planning skills issues among new university students.

  1. Effect of heat treatment and shelf life on chilling injury of mango cv. Nam Dok Mai

    Directory of Open Access Journals (Sweden)

    Apiradee Muangdech

    2017-10-01

    Full Text Available This study was aimed to investigate the effect of heat treatment and shelf life on chilling injury of mango cv.Nam Dok Mai.The heat treatment of mango pulp during storage were determined by hot air oven set at 34 and 38°C for three intervals, as 24, 48, and 72 hours, then they were subsequently stored at 5°C for 10, 20, and 30 days to determine the appropriate shelf life. The findings showed that the symptom of mango fruit after chilling injury appeared within the 30th day of storage at 5°C. Several symptoms of mango fruit after chilling injury treatment were observed, i.e., pitting, browning on the skin, water soaking, and rapid rotting of the fruits that resulted in shorter shelf life. It was found that chilling injury mangoes had lower level of total soluble solid, higher disease incidence, and lower quality of fruit when compared with normal ripe-mango fruits at 25°C. Mango fruits treated at 34°C for either 24 or 48 hours, and at 38°C for 24 hours prior to cold storage at 5°C for 10 and 20 days showed a significant reduction in the chilling injury (CI index when compared to that of non-heated fruits. On the other hand, the heat treatment did not affect fruit weight loss, firmness, color changes, and water soaking at 5°C.

  2. Development of economic MeV-ion microbeam technology at Chiang Mai University

    Science.gov (United States)

    Singkarat, S.; Puttaraksa, N.; Unai, S.; Yu, L. D.; Singkarat, K.; Pussadee, N.; Whitlow, H. J.; Natyanum, S.; Tippawan, U.

    2017-08-01

    Developing high technologies but in economic manners is necessary and also feasible for developing countries. At Chiang Mai University, Thailand, we have developed MeV-ion microbeam technology based on a 1.7-MV Tandetron tandem accelerator with our limited resources in a cost-effective manner. Instead of using expensive and technically complex electrostatic or magnetic quadrupole focusing lens systems, we have developed cheap MeV-ion microbeams using programmed L-shaped blade aperture and capillary techniques for MeV ion beam lithography or writing and mapping. The programmed L-shaped blade micro-aperture system consists of a pair of L-shaped movable aperture pieces which are controlled by computer to cut off the ion beam for controlling the beam size down to the micrometer order. The capillary technique utilizes our home-fabricated tapered glass capillaries to realize microbeams. Either system can be installed inside the endstation of the MeV ion beam line of the accelerator. Both systems have been applied to MeV-ion beam lithography or writing of micro-patterns for microfluidics applications to fabricate lab-on-chip devices. The capillary technique is being developed for MeV-ion beam mapping of biological samples. The paper reports details of the techniques and introduces some applications.

  3. Molecular Phylogenetics of Centrocestus formosanus (Digenea: Heterophyidae) Originated from Freshwater Fish from Chiang Mai Province, Thailand.

    Science.gov (United States)

    Wongsawad, Chalobol; Wongsawad, Pheravut; Sukontason, Kom; Maneepitaksanti, Worawit; Nantarat, Nattawadee

    2017-02-01

    This study aimed to investigate the morphology and reconstruct the phylogenetic relationships of Centrocestus formosanus originating from 5 species of freshwater fish, i.e., Esomus metallicus, Puntius brevis, Anabas testudineus, Parambassis siamensis , and Carassius auratus , in Chiang Mai province, Thailand. Sequence-related amplified polymorphism (SRAP) and phylogeny based on internal transcribed spacer 2 (ITS2) and mitochondrial cytochrome c oxidase subunit 1 (CO1) were performed. The results showed similar morphologies of adult C. formosanus from day 5 after infection in chicks. C. formosanus originated from 4 species of freshwater fish had the same number of circumoral spines on the oral sucker, except for those from C. auratus which revealed 34 circumoral spines. The phylogenetic tree obtained from SRAP profile and the combination of ITS2 and CO1 sequence showed similar results that were correlated with the number of circumoral spines in adult worms. Genetic variability of C. formosanus also occurred in different species of freshwater fish hosts. However, more details of adult worm morphologies and more sensitive genetic markers are needed to confirm the species validity of C. formosanus with 34 circumoral spines originating from C. auratus in the future.

  4. Management of patients with severe hypertension in emergency department, Maharaj Nakorn Chiang Mai hospital.

    Science.gov (United States)

    Sruamsiri, Kamphee; Chenthanakij, Boriboon; Wittayachamnankul, Borwon

    2014-09-01

    Management of patients with severe hypertension without progressive target organ damage remains controversial. Some guidelines mentioned oral anti-hypertensive medication as a treatment to reduce blood pressure in the emergency department, while others recommended against such treatment. To review the management ofpatients with severe hypertension without progressive target organ damage in the emergency department, Maharaj Nakorn Chiang Mai hospital. In a retrospective descriptive analysis study, medical records ofadult patients diagnosed with severe hypertension without progressive target organ damage between January 2011 and December 2012 were reviewed. Patient demographics, data on management including investigation sent and treatment given were collected. Statistical analysis was done by using descriptive statistics and Kruskal-Wallis one-way analysis of variance test. One hundred fifty one medical records were reviewed. Four oral anti-hypertensive medication were used to reduce blood pressure, Amlodipine, Captopril, Hydralazine, and Nifedipine. There were no significant diference between each medication in terms of their effect on bloodpressure reduction (p = 0.513). No side effect or other complications from the use of oral anti-hypertensive medication were recorded The choice of medication used for the treatment of hypertensive urgency ranged from Amlodipine, Captopril, Hydralazine, and Nifedipine, which varied in dosage. However their efficacies were the same when compared with each other and none produced any notable side effects.

  5. Acute air pollution-related symptoms among residents in Chiang Mai, Thailand.

    Science.gov (United States)

    Wiwatanadate, Phongtape

    2014-01-01

    Open burnings (forest fires, agricultural, and garbage burnings) are the major sources of air pollution in Chiang Mai, Thailand. A time series prospective study was conducted in which 3025 participants were interviewed for 19 acute symptoms with the daily records of ambient air pollutants: particulate matter less than 10 microm in size (PM10), carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2), and ozone (O3). PM10 was positively associated with blurred vision with an adjusted odds ratio (OR) of 1.009. CO was positively associated with lower lung and heart symptoms with adjusted ORs of 1.137 and 1.117. NO2 was positively associated with nosebleed, larynx symptoms, dry cough, lower lung symptoms, heart symptoms, and eye irritation with the range of adjusted ORs (ROAORs) of 1.024 to 1.229. SO2 was positively associated with swelling feet, skin symptoms, eye irritation, red eyes, and blurred vision with ROAORs of 1.205 to 2.948. Conversely, O3 was negatively related to running nose, burning nose, dry cough, body rash, red eyes, and blurred vision with ROAORs of 0.891 to 0.979.

  6. Coital Experience Among Adolescents in Three Social-Educational Groups in Urban Chiang Mai, Thailand

    Science.gov (United States)

    Tangmunkongvorakul, Arunrat; Carmichael, Gordon; Banwell, Cathy; Seubsman, Sam-ang; Sleigh, Adrian

    2012-01-01

    This article compares coital experience of Chiang Mai 17–20-year-olds who were: (1) out-of-school; (2) studying at vocational schools; and (3) studying at general schools or university. Four-fifths, two-thirds and one-third, respectively, of males in these groups had had intercourse, compared to 53, 62 and 15 per cent of females. The gender difference for general school/university students, but not vocational school students, probably reflects HIV/AIDS refocusing male sexual initiation away from commercial sex workers. Vocational school females may have been disproportionately affected. Loss of virginity was associated, for both sexes, with social-educational background and lifestyle, and was less likely in certain minority ethnic groups. Among males, it was also associated with age and parental marital dissolution, and among females, with independent living and parental disharmony. Within social-educational groups, lifestyle variables dominated, but among general school/university students, parental marital dissolution (for males) and disharmony (for females) were also important, and Chinese ethnicity deterred male sexual experimentation. PMID:22754584

  7. Sexual identities and lifestyles among non-heterosexual urban Chiang Mai adolescents: implications for health

    Science.gov (United States)

    Tangmunkongvorakul, Arunrat; Banwell, Cathy; Carmichael, Gordon; Utomo, Iwu Dwisetyani; Sleigh, Adrian

    2011-01-01

    Drawing upon quantitative and qualitative data we explore perspectives on and experiences of sexual lifestyles and relationships among more than 1,750 adolescents aged 17-20 years who reside in urban Chiang Mai, Thailand. We focus on respondents’ representations and understandings of their sexual/gender identities derived mainly from in-depth interviews and focus group discussions, supplemented with observations and field notes. Our results show that while many young Thais described themselves as heterosexual males or females others described themselves as gay, kathoey, tom, dii, bisexual or something else. Some were still questioning their own identities. The terms gay, kathoey, tom and dii are commonly used by these Thais to describe a range of sexual/gender identities relating to persons who are sexually or romantically attracted to the same biological sex. We use case studies to illustrate the distinctive characterizations, sexual lifestyles and relationships of each of these identities. We conclude that the sexual lifestyles encountered among Northern Thai non-heterosexual adolescents could lead to negative health consequences and indicated a need for improved relationship education, counselling and sensitive sexual health services. PMID:20665299

  8. Establishment of an ASEAN Ion Beam Analysis Centre for Material Characterizations at Chiang Mai University

    International Nuclear Information System (INIS)

    Kamwanna, T.; Junphong, P.; Yu, L.D.; Singkarat, S.; Intarasiri, S.; Suwannakachorn, D.

    2015-01-01

    A comprehensive ion beam analysis centre unique in the ASEAN (Association of Southeast Asian Nations) region has been established at Chiang Mai University, Thailand. The centre is equipped with a 1.7 MV Tandetron tandem accelerator and a 300 kV medium energy ion beam accelerator for ion beam analysis. The Tandetron accelerator employs two ion sources, a duoplasmatron ion source and a sputter ion source, capable of producing ion beams of both light species (hydrogen and helium) and heavy species. The beamline is currently able to perform ion beam analysis techniques, such as Rutherford backscattering spectrometry (RBS), RBS/channelling, elastic backscattering (EBS), particle induced x ray emission (PIXE) and ionoluminescence (IL) with the assistance of commercial and self-developed software. The medium energy ion accelerator features an ns pulsed beam so that time of flight (ToF) RBS analysis using medium energy ion beams is available for detailed analysis of materials. Ion beam analysis experiments and applications have been vigorously developed for the real time characterization of various materials. Examples are presented and qualities of the ion beam analysis techniques are discussed. (author)

  9. Soil-Gas Radon Anomaly Map of an Unknown Fault Zone Area, Chiang Mai, Northern Thailand

    Science.gov (United States)

    Udphuay, S.; Kaweewong, C.; Imurai, W.; Pondthai, P.

    2015-12-01

    Soil-gas radon concentration anomaly map was constructed to help detect an unknown subsurface fault location in San Sai District, Chiang Mai Province, Northern Thailand where a 5.1-magnitude earthquake took place in December 2006. It was suspected that this earthquake may have been associated with an unrecognized active fault in the area. In this study, soil-gas samples were collected from eighty-four measuring stations covering an area of approximately 50 km2. Radon in soil-gas samples was quantified using Scintrex Radon Detector, RDA-200. The samplings were conducted twice: during December 2014-January 2015 and March 2015-April 2015. The soil-gas radon map obtained from this study reveals linear NNW-SSE trend of high concentration. This anomaly corresponds to the direction of the prospective fault system interpreted from satellite images. The findings from this study support the existence of this unknown fault system. However a more detailed investigation should be conducted in order to confirm its geometry, orientation and lateral extent.

  10. Algumas memórias do cinema cubano mais polêmico

    Directory of Open Access Journals (Sweden)

    Joel del Río

    2011-01-01

    Full Text Available Desde a fundação, em 1959, do Instituto Cubano da Arte e Indústria Cinematográficas (Icaic, apareceu um grupo de filmes dedicados a incentivar a polêmica social e a fustigar os erros do socialismo na Ilha. Este texto se propõe a analisar alguns dos principais vetores de pensamento que gravitaram sobre alguns desses filmes (documentários e de ficção capazes de levantar a polêmica, sobretudo, em seu caráter de espelhos fiéis da realidade. Também se tenta demonstrar o vertical compromisso com a realidade e seus dilemas quotidianos que tem caracterizado o melhor cinema cubano - quer dizer, o cinema cubano mais polêmico -, amparado numa política institucional decidida a demonstrar, coerentemente, a relevância artística e social de um cinema anticonformista que revele e denuncie um cinema que critique e questione, profundamente ligado ao compromisso, ao esforço coletivo para atingir uma sociedade mais justa, igualitária e humanista. Desde PM até Fresa y chocolate [Morango e chocolate], passando por Un día de noviembre e Papeles secundarios, o texto se propõe a interpretar as nuanças de cada polêmica, enquanto descreve os aportes de tais filmes à fibra medular da cultura cubana.Desde la fundación, en 1959, del Instituto Cubano del Arte e Industria Cinematográficos (Icaic han aparecido un grupo de filmes dedicados a incentivar la polémica social y a fustigar los errores del socialismo en la Isla. Este texto se propone analizar algunos de los vectores principales de pensamiento que gravitaron sobre algunos de los filmes (documentales y de ficción capaces de levantar la polémica, sobre todo en cuanto a su carácter de espejos fieles de la realidad. También se intenta demostrar el vertical compromiso con la realidad y sus dilemas cotidianos que ha caracterizado al mejor cine cubano - es decir, al cine cubano más polémico - amparado en una política institucional decidida a demostrar, coherentemente, la relevancia art

  11. Sociologia da deficiência: vozes por significados e práticas (mais inclusivas

    Directory of Open Access Journals (Sweden)

    Franco Ezequiel Harlos

    2015-05-01

    Full Text Available Na presente pesquisa objetiva-se sistematizar histórias e teorias associadas com a Sociologia da Deficiência, e identificar, nestes elementos sistematizados, vozes para repensar o significado da deficiência e práticas da Educação Especial. Para tanto, percorreu-se na pesquisa bibliográfica e documental 48 obras compiladas, primordialmente, da revista Disability and Society, da Asociación Española de Sociología de la Discapacidad e da base de dados do Centre of Disability Studies da Universidade de Leeds. As obras compiladas foram analisadas por meio de análise categorial. A primeira das categorias identificadas centra-se nas principais interpretações adotadas pelas Ciências da Saúde (paradigma médico para pensar a deficiência; a segunda, em histórias associadas com a constituição da Sociologia da Deficiência - nos movimentos sociais que, em resposta às interpretações da deficiência adotadas pelas Ciências da Saúde, (resignificaram a deficiência e fundaram os Estudos da Deficiência (Disability Studies; e, a terceira, nas múltiplas faces teóricas da Sociologia da Deficiência e nos novos modelos de compreensão da deficiência. A sistematização do conteúdo desvelou um paradigma sociológico de interpretação da deficiência: este paradigma apresenta vozes por significados e práticas mais inclusivas.

  12. Cryptococcal meningitis in HIV-infected patients at Chiang Mai University Hospital: a retrospective study.

    Science.gov (United States)

    Chaiwarith, Romanee; Vongsanim, Surachet; Supparatpinyo, Khuanchai

    2014-05-01

    Cryptococcal meningitis (CM) is a common central nervous system infection in HIV-infected patients. This study aimed to determine treatment outcomes among HIV-infected patients who had cryptococcal meningitis and to determine predictors of death. We conducted a retrospective cohort study among HIV-infected patients receiving care at Chiang Mai University Hospital from January 1, 2005 to December 31, 2010. We studied 79 patients; 45 (57.0%) were male and the mean age was 35.1 +/- 7.2 years. Eleven patients (13.9%) had previous opportunistic infection. The most common presenting symptoms were headache (63 patients, 79.8%), fever (49 patients, 62.0%), and altered consciousness (21 patients, 26.6%). The median CD4+ cell count was 20 cells/mm3 [Interquartile range (IQR) 10, 53]. The in-hospital, 90-day, and 1-year mortality rates were 24.1%, 32.4%, and 52.2%, respectively. The CM attributable in-hospital, 90-day and 1-year mortality rates were 13.9%, 20.3%, and 23.2%, respectively. Predictors associated with a 1-year mortality were a high cerebrospinal (CSF) cryptococcal antigen titer (> 1:10,000) [Odds Ratio (OR) =7.08, 95% confidence interval (CI): 1.62-31.00, p = 0.009], and altered consciousness at presentation (OR = 5.27; 95% CI: 1.16-24.05; p = 0.032). Cryptococcal meningitis is an important cause of death in HIV-infected patients. HIV-infected patients with a low CD4+ cell count, a headache, fever and altered consciousness should be investigated for CM and those with a high CSF cryptococcal antigen titer are at high risk for mortality.

  13. Effects of seasonal smog on asthma and COPD exacerbations requiring emergency visits in Chiang Mai, Thailand.

    Science.gov (United States)

    Pothirat, Chaicharn; Tosukhowong, Apiwat; Chaiwong, Warawut; Liwsrisakun, Chalerm; Inchai, Juthamas

    2016-12-01

    Seasonal smog produces particulate matters that are less than 10 microns in diameter (PM₁₀), which are known to have several impacts on the respiratory system. This study was to determine the association of an increased PM10 level due to seasonal smog in Chiang Mai and emergency visits for asthma and chronic obstructive pulmonary disease (COPD) exacerbations. A retrospective cross-sectional study was conducted between the months of January and March from 2006 until 2009. The association of an increased PM₁₀ level and the daily number of asthma and COPD exacerbations were analyzed using a generalized linear model; a Poisson regression model was fit to the number of daily emergency visits using predictor variables: lags of PM10, day of the week, and time. There were a total of 917 emergency visits for acute exacerbations of asthma and COPD, with a median of 2 visits per day (range 0-10). The median PM₁₀ level during the same interval was 64.5 microgram per cubic meter (μg/m3) (16-304). For every 10 μg/m3 rise in PM10 concentration, there was a lag time of 6 days for asthma exacerbations [Adjusted relative risk (RR)=1.020; 95% confident interval (CI), 1.001-1.040; (p=0.014)], 7 days for COPD exacerbations [RR=1.030; 95%CI, 1.010-1.050 (p=0.024)] and 7 days for all exacerbations [RR=1.030 95%CI, 1.010-1.040 (p<0.001)]. This study confirms the effect of increasing PM₁₀ concentrations from seasonal smog on asthma and COPD exacerbations. However, there was an approximately 1 week lag time between the elevated PM₁₀ levels and time to emergency visits due to disease exacerbation.

  14. Access to antiretroviral therapy among HIV/AIDS patients in Chiang Mai province, Thailand.

    Science.gov (United States)

    Himakalasa, Woraluck; Grisurapong, Siriwan; Phuangsaichai, Sasipen

    2013-01-01

    The objective of this study is to investigate the access to antiretroviral treatment among human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) patients in Chiang Mai province, Thailand. Access to antiretroviral treatment is defined in terms of availability, affordability, and acceptability. The data for the study were collected during the period of April 1, 2012-May 31, 2012 from a sample of 380 HIV/AIDS patients in eight hospitals who had received antiretroviral treatment for more than 6 months at the time of data collection. The results of the study show that for most patients, the average traveling time to access health care was acceptable, but the nearly half day waiting time caused them to be absent from their work. In particular, it took longer for patients in the rural and lower income groups to access the treatment than the other groups. Their travel times and food costs relating to the treatment were found to be relatively high and therefore these patients had a higher tendency to borrow or seek financial assistance from their relatives. However, due to improvements in the access to treatment, most patients were satisfied with the services they received. The results imply that policy should be implemented to raise the potential of subdistrict hospitals where access to antiretroviral treatment is available, with participating HIV/AIDS patients acting as volunteers in providing services and other forms of health promotion to new patients. Privacy issues could be reduced if the antiretroviral treatment was isolated from other health services. Additionally, efforts to educate HIV/AIDS patients and society at large should be made.

  15. Problemas ginecológicos mais freqüentes em mulheres soropositivas para o HIV

    Directory of Open Access Journals (Sweden)

    Melo Victor Hugo de

    2003-01-01

    Full Text Available OBJETIVO: apresentar os achados ginecológicos mais freqüentes de uma coorte de 300 mulheres infectadas pelo HIV, acompanhadas ambulatorialmente. MÉTODOS: estudo prospectivo e descritivo de mulheres HIV-soropositivas atendidas em clínica ginecológica, no período de novembro de 1996 a dezembro de 2002. As pacientes foram submetidas ao protocolo de atendimento ginecológico que incluiu anamnese, exame ginecológico, colpocitologia oncótica (Papanicolaou, pesquisa de HPV (PCR e colposcopia. A biópsia cervical, quando necessária, foi realizada. Os dados foram armazenados e analisados no Epi-Info, versão 6.0. RESULTADOS: a idade média foi 34,5 anos. Destaca-se o pequeno número de parceiros sexuais, média de três parceiros, e a predominância do contágio heterossexual: 271 (90,6% pacientes adquiriram o vírus por meio do contato sexual com seus parceiros. Foi alta a prevalência de neoplasias intra-epiteliais cervicais (NIC, representando 21,7% do total da amostra. Dentre as 109 pacientes submetidas a PCR encontraram-se 89 (81,7% com algum genótipo do HPV. Esfregaço inflamatório à citologia esteve presente em 69% das pacientes. CONCLUSÕES: a infecção pelo HIV se associa com freqüência a NIC e a processos infecciosos genitais, em especial o HPV.

  16. The multi-level perspective and the scope for sustainable land use planning in Chiang Mai city

    NARCIS (Netherlands)

    Sangawongse, S.; Sengers, F.H.; Raven, R.P.J.M.

    2012-01-01

    This paper examines stability and change in land use and urban planning in Chiang Mai province, northern Thailand. Inappropriate land use zoning, lack of enforcement of city planning, lack of public transportation and many unresolved problems (e.g. frequent floods, traffic congestion) are indicative

  17. Alimentos mais consumidos no Brasil: Inquérito Nacional de Alimentação 2008-2009

    Directory of Open Access Journals (Sweden)

    Amanda de M. Souza

    2013-02-01

    Full Text Available OBJETIVO: Caracterizar o consumo alimentar mais frequente da população brasileira. MÉTODOS: Foram analisados dados referentes ao primeiro dia de registro alimentar de 34.003 indivíduos com dez anos ou mais de idade que responderam ao Inquérito Nacional de Alimentação, composto por amostra probabilística da Pesquisa de Orçamentos Familiares 2008-2009. O padrão de consumo foi analisado segundo sexo, grupo etário, região e faixa de renda familiar per capita. RESULTADOS: Os alimentos mais frequentemente referidos pela população brasileira foram arroz (84,0%, café (79,0%, feijão (72,8%, pão de sal (63,0% e carne bovina (48,7%, destacando-se também o consumo de sucos e refrescos (39,8%, refrigerantes (23,0% e menor presença de frutas (16,0% e hortaliças (16,0%. Essa configuração apresenta pouca variação quando se consideram os estratos de sexo e faixa etária; contudo, observa-se que os adolescentes foram o único grupo etário que deixou de citar qualquer hortaliça e que incluiu doces, bebida láctea e biscoitos doces entre os itens mais consumidos. Alimentos marcadamente de consumo regional incluem a farinha de mandioca no Norte e Nordeste e o chá na região Sul. Houve discrepâncias no consumo alimentar entre os estratos de menor e maior renda: indivíduos no quarto de renda mais elevada referiram sanduíches, tomate e alface e aqueles no primeiro quarto de renda citaram os peixes e preparações à base de peixe e farinha de mandioca entre os alimentos mais referidos. CONCLUSÕES: Existe um padrão básico do consumo alimentar no Brasil que inclui entre os alimentos mais consumidos arroz, café, feijão, pão de sal e carne bovina, associado ao consumo regional de alguns poucos itens. Particularmente entre os adolescentes, alimentos ricos em gordura e açúcar são também de consumo frequente.

  18. Application of intensity modulated radiation therapy for the cancer patients treatment in Bach Mai Hospital

    International Nuclear Information System (INIS)

    Mai Trong Khoa; Tran Dinh Ha; Le Chinh Dai; Nguyen Quang Hung; Vu Huu Khiem

    2011-01-01

    Intensity modulated radiotherapy (IMRT) is one of the modern techniques in cancer treatment, in which dose is delivered optimally into the shape of the tumor and minimally in surround benign tissues. In developed countries, this technique has been performed routinely by Linacs with MLC for tumors at the critical areas. In Vietnam, because of the wet climate, the use of Linacs with MLC is difficult to operate and maintain. However, IMRT can be implemented by Linacs without MLC via independent jaws, Jaws-only IMRT (JO-IMRT), in which beams are separated into many segments with different weights to optimize highest dose in the tumor and lowest dose in the surrounding health organs. Methods: We describe the new treatment technic application and compare it with normal radiotherapy method (3D-CRT). Results: From 7/2008, the Dep of Nuclear Medicine and Oncology at Bach Mai Hospital has been conducting JO-IMRT to treat cancer patients. Up to now, we have 81 cases treated by IMRT including head and neck cancers (NPC, larynx cancer, maxillary sinus cancer, brain tumor), cancers in the thorax (esophagus cancer, lung cancer, breast cancer), cancers in the pelvis (prostate cancer, cervical cancer, rectal cancer). On the average, beam number is from 5 to 9 and 5-9 segments per beam. Treatment time for a fraction is from 6 to 12 minutes with 2.25 Gy for CTV1 per day. Discrepancies of doses were below 3% (0.15 to 2.84%) between planning and practice. In plan, the preeminences with IMRT are clearly superior to 3D radiation therapy. In clinical, almost patients had good respond, whereas side effects were quite less than conventional radiotherapy. Conclusions: JO-IMRT is a modern technic with more advantage than normal 3D-CRT. It help radiation dose to concentrate maximally in treatment target while influence minimally for sensitive surrounding tissues. Another, it is a high technic to appropriate with the climatic condition in Vietnam. (author)

  19. Application of an extension of the MAI method to the Acapulco City, Mexico

    Science.gov (United States)

    Contreras, M.; Aguirre, J.

    2001-12-01

    The site effects and the source parameters, are inverted from a Fourier displacement spectra of seismograms that are corrected by geometrical spreading and regional attenuation valid for south center of Mexico(Ordaz and Singh, 1992). We used Genetic Algorithms (GA) to perform the non-linear inversion, like in the MAI method (Moya et al., 2000) . The GA have proved to produce better results than other traditional methods which are frequently trapped in a local minimum. GA is a method that mimics the evolution laws in living creatures. The best individuals reproduce and develop themselves with every generation. In our case each individual correspond to one source and the genes correspond to the source parameters. As in nature, the best source remain and are improved with each iteration. We assume that the site effect at each station are the same independently of the earthquake, because of that we can search for the combination of sources that can produce the smaller standard deviation of the estimated site effects from the different Fourier displacement earthquake spectra. Then we use the obtained site effects to generate a Fourier displacement spectra of an earthquake scenario. With this, we are able to compute the response spectra by means of random vibration theory (Reinoso et al., 1990). We apply this method to four stations located in the Acapulco City, Mexico, that recorded four earthquakes with epicenter located in the Guerrero Subduction Zone. The site effect estimated for one of the stations, called ACAZ, shows a good agreement with the estimated by Chávez-García et al. (1994) using spectral ratios between the ACAZ station and a rock reference site. Also we compare the response spectra from other earthquake, obtained by the former method and the response spectra computed using the acceleration record. We find an acceptable correlation between them. Chávez-García, J. Cuenca y M. Cárdenas (1994), "Estudio complementario de efectos de sitio en Acapulco

  20. Estudo das características gráficas mais frequentemente alteradas em disfarces de assinaturas

    Directory of Open Access Journals (Sweden)

    Roberta Petry Gorziza

    2017-03-01

    Full Text Available Assinaturas são os grafismos mais efetuados pelas pessoas, por demonstrar conhecimento e concordância a documentos diversos. O exame grafoscópico de assinaturas disfarçadas é uma das determinações mais difíceis de proceder na Documentoscopia. Os disfarces podem confundir os peritos e conduzir a erros quanto à autoria de assinaturas. O objetivo deste trabalho foi identificar as características mais frequentes encontradas em análises grafoscópicas de assinaturas disfarçadas. Foi solicitado a 102 voluntários que assinassem sua assinatura habitual por cinco vezes e, então, que tentassem disfarçar sua assinatura. Posteriormente, realizou-se o confronto gráfico entre as assinaturas padrão e as disfarçadas, e as alterações encontradas foram anotadas, sendo que as mais frequentes foram: modificações da forma de letras maiúsculas e minúsculas, de dimensão e calibre, na forma e na posição de ataques e remates, na quantidade de levantamentos da caneta durante a escrita (andamento gráfico e a alteração ou supressão de símbolos ou caracteres especiais. Esses dados podem ajudar os peritos a identificar características gráficas indicativas de disfarces, quando da verificação de autenticidade. Por outro lado, observou-se que características alteradas com menor frequência surgem em assinaturas disfarçadas e podem levar a uma conclusão errônea no sentido da falsificação do lançamento gráfico.

  1. Relations du voyage du prince Honoré II de Monaco à la cour de France (octobre 1646-mai 1647)

    OpenAIRE

    Venasque-Ferriol, Charles de; Bressan, Hyacinthe de

    2014-01-01

    Un protectorat devenu envahissant et le déclin des Habsbourg conduisent les Grimaldi de Monaco à quitter la domination espagnole et à se placer, en 1641, sous la protection du roi de France. L’application de l’accord appelle quatre séjours à la cour en dix ans. Le voyage de 1646-1647, en pleine Fronde, est surtout justifié par les doléances par rapport aux engagements royaux. La pérégrination de la petite suite princière jusqu’à Paris est aussi l’occasion d’un pèlerinage dans les fiefs frança...

  2. Efeito do composto "mais vida" na ativação de macrófagos de ratos diabéticos Effects of "mais vida", a commercial natural mix, on the activation of macrophages from diabetic rats

    Directory of Open Access Journals (Sweden)

    E.L. França

    2012-01-01

    Full Text Available O objetivo deste trabalho foi avaliar a atividade funcional de macrófagos de ratos diabéticos, através da liberação do ânion superóxido, na presença do composto "mais vida". Os animais foram divididos em dois grupos, controle (N=20 e diabético (N=20. Avaliou-se a glicemia, massa corpórea e a liberação de superóxido pelos macrófagos de baço de ratos. O composto "mais vida" foi obtido através da mistura de extratos de sete plantas, sendo Orbignia martiana Rodr., Tabebuia avellanedae L.G., Arctium lappa L., Rosa centifolia L., Maytenus ilicifolia Mart., Vernonia condensata Baker e Thuja occidentalis L. Observou-se que glicemia foi maior no grupo diabético. A liberação espontânea do ânion superóxido pelos macrófagos foi menor no grupo diabético. O composto "mais vida", independente dos níveis glicêmicos, aumentou a liberação de superóxido dos macrófagos. Quando as células foram estimuladas pelos extratos vegetais isolados, também houve aumento na liberação do ânion superóxido pelos macrófagos em ambos os grupos. As maiores liberações de superóxido ocorreram quando os macrófagos foram estimulados pela Thuja occidentalis L., Rosa centifolia L., Tabebuia avellanedae L.G. e Maytenus ilicifolia Mart. Estes dados sugerem que a ativação de macrófagos pelo composto "mais vida" pode representar um mecanismo alternativo de defesa para infecções em indivíduos diabéticos.This study investigated the effects of "mais vida", a commercial natural mix, on macrophages functional activity as evaluated by the superoxide release in diabetic rats. The animals were divided into two groups, control (N = 20 and diabetic (N = 20. This was achieved by determining blood glucose weight and the superoxide released by spleen macrophages. The "mais vida" mix was obtained by the combination of extracts from seven medicinal species, which were: Orbignia martiana Rodr., Tabebuia avellanedae L.G., Arctium lappa L., Rosa centifolia L

  3. Estratégias Locais para Tornar as Cidades mais Resilientes: o Caso de Garibaldi (RS

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    Constance Manfredini

    2015-08-01

    Full Text Available O conceito de sustentabilidade traz consigo a preocupação com a sobrevivência da vida e com as próximas gerações. A literatura aponta para possíveis cenários futuros que impactarão as cidades gerando crises e expondo as suas vulnerabilidades. Neste contexto surge o discurso sobre a resiliência, que pode ser entendida como a capacidade, de uma comunidade exposta a riscos, de resistir, absorver e recuperar-se dos efeitos de um desastre, preservando e restaurando suas estruturas e funções essenciais. O objetivo deste trabalho é propor estratégias de caráter local para que as cidades possam se tornar mais resilientes, especialmente, com relação às mudanças climáticas e à escassez de combustíveis fósseis. A metodologia inclui revisão bibliográfica e aplicação dos conceitos contidos na obra “Resilient Cities: responding to peak oil and climate change” de Newman et. al (2009 em um estudo de caso. A cidade selecionada é Garibaldi, na Serra Gaúcha, que é uma comunidade com, aproximadamente, 30.000 habitantes. Os resultados apresentados constituem-se de recomendações que podem ser implementadas pelo Poder Público Municipal, bem como podem ser utilizadas como referencial para iniciar uma discussão sobre os temas abordados. The concept of sustainability brings the concern about the survival of life and future generations. The literature points to possible future scenarios that will impact cities generating crises and exposing the vulnerabilities of the urban settlements. In this context arises the discourse on resilience, which can be understood as the ability of a community exposed to hazards to resist, absorb and recover from the effects of a hazard through the preservation and restoration of its essential basic structures and functions. The objective of this paper is to propose local strategies to turn cities more resilient, especially in relation to climate change and the scarcity of fossil fuels. The methodology

  4. Transtorno de ansiedade generalizada em idosos com oitenta anos ou mais

    Directory of Open Access Journals (Sweden)

    Xavier Flávio MF

    2001-01-01

    Full Text Available OBJETIVOS: Descrever a prevalência de transtorno de ansiedade generalizada (TAG em uma população de idosos residentes em uma comunidade e com idade acima de 80 anos e comparar os padrões de sono, a função cognitiva e a taxa de prevalência de outros diagnósticos psiquiátricos entre controles normais e sujeitos com TAG. MÉTODOS: Para o diagnóstico de TAG, foram utilizados os critérios do "Diagnostic and Statistical Manual of Mental Disorders" (DSM-IV. Selecionou-se uma amostra randômica e representativa de 77 sujeitos (35%, residentes em uma comunidade, entre todos os idosos com idade acima de 80 anos do município Veranópolis, RS. Os padrões de sono foram aferidos pelo índice de qualidade de sono de Pittsburgh e pelo diário sobre sono/vigília a ser preenchido ao longo de duas semanas. Cinco testes neuropsicológicos foram usados na avaliação cognitiva: teste das lembranças seletivas de Buschke-Fuld; lista de palavras da bateria CERAD (Consortium to Establish a Registry for Alzheimer's Disease; teste de fluência verbal e dois subtestes da escala de memória Wechsler. RESULTADOS: A prevalência estimada de TAG foi de 10,6%, cuja presença estava associada a uma maior ocorrência de depressão clinicamente diagnosticável, com um significativo maior número de sintomas depressivos, quando medidos pela escala de depressão geriátrica, e com uma maior ocorrência de depressão menor. Os padrões de sono e o funcionamento cognitivo, entre sujeitos com TAG, não estavam afetados. A gravidade das doenças físicas não variava entre sujeitos com TAG e os controles normais. A presença de TAG estava associada a um significativo pior padrão de qualidade de vida relativa à saúde. CONCLUSÃO: Em comparação com os estudos prévios, a prevalência de TAG é alta entre a população de idosos mais velhos. Esse transtorno ocorre em freqüente associação com a sintomatologia depressiva e também está associado a um pior padrão de

  5. Diagnosis and Monitoring of Chronic Myeloid Leukemia: Chiang Mai University Experience.

    Science.gov (United States)

    Tantiworawit, Adisak; Kongjarern, Supanat; Rattarittamrong, Ekarat; Lekawanvijit, Suree; Bumroongkit, Kanokkan; Boonma, Nonglak; Rattanathammethee, Thanawat; Hantrakool, Sasinee; Chai-Adisaksopha, Chatree; Norasetthada, Lalita

    2016-01-01

    A diagnosis of chronic myeloid leukemia (CML) is made on discovery of the presence of a Philadelphia (Ph) chromosome. The success of the treatment of this form of leukemia with tyrosine kinase inhibitor (TKI) is monitored by reduction of the Ph chromosome. To compare the role of conventional cytogenetic (CC) methods with a real time quantitative polymerase chain reaction (RQ-PCR) and fluorescence in situ hybridization (FISH) for diagnosis and treatment monitoring of CML patients. The secondary outcome was to analyze the treatment responses to TKI in CML patients. This was a retrospective study of CML patients who attended the Hematology clinic at Chiang Mai University Hospital from 2005-2010. Medical records were reviewed for demographic data, risk score, treatment response and the results of CC methods, FISH and RQ-PCR. One hundred and twenty three cases were included in the study, 57.7% of whom were male with a mean age of 46.9 years. Most of the patients registered as intermediate to high risk on the Sokal score. At diagnosis, 121 patients were tested using the CC method and 118 (95.9%) were identified as positive. Five patients failed to be diagnosed by CC methods but were positive for BCR-ABL1 using the FISH method. Imatinib was the first-line treatment used in 120 patients (97.6%). In most patients (108 out of 122, 88.5%), a complete cytogenetic response (CCyR) was achieved after TKI therapy and in 86 patients (70.5%) CCyR was achieved long term by the CC method. Five out of the 35 analyzed patients in which CCyR was achieved by the CC method had a positive FISH result. Out of the 76 patients in which CCyR was achieved, RQ-PCR classified patients to only CCyR in 17 patients (22.4%) with a deeper major molecular response (MMR) in 4 patients (5.3%) and complete molecular response (CMR) in 55 patients (72.4%). In the case of initial therapy, CCyR was achieved in 95 patients (79.1%) who received imatinib and in both patients who received dasatinib (100%). For the

  6. Penfigoide bolhoso no adulto mais jovem: relato de três casos Bullous pemphigoid in younger adults: three case reports

    Directory of Open Access Journals (Sweden)

    Roberta Richter Zanella

    2011-04-01

    Full Text Available O penfigoide bolhoso é uma dermatose bolhosa autoimune subepidérmica, mais comumente observada na população idosa (acima dos 70 anos. Autoanticorpos são formados contra antígenos específicos da zona de membrana basal: BP180 e BP230 (proteínas do hemidesmossomo. Apresentamos três casos de penfigoide bolhoso, em adultos com menos de 50 anos de idade, destacan do as peculiaridades clínicas na faixa etária mais jovem.Bullous pemphigoid is an autoimmune subepidermal bullous dermatosis more commonly observed in the elderly (over 70 years old. Autoantibodies are produced for specific antigens of the epidermal basement membrane zone: BP 180 and BP 230 (hemidesmosome proteins. We report three cases of bullous pemphigoid in adults younger than 50 years old, discussing the clinical characteristics of the disease in younger patients.

  7. A Mitigation Technique of High-Power MAI in the Multimedia Optical CDMA System with the Optical Power Selector

    Science.gov (United States)

    Ohba, Kohki; Miyazawa, Takaya; Sasase, Iwao

    In this paper, we propose a mitigation system of high-level multiple access interference (MAI) for multimedia optical Code-Division Multiple-Access (CDMA) systems using the optical power selector (OPS). The proposed system can eliminate high-intensity MAI at the receiver for low-priority users. Moreover, the proposed system can reduce by half the required number of code sequences compared to the conventional scheme. As a result, the proposed system can increase the number of weights at the same code-length and, thus, obtain higher code spreading gain. We analyze performances of the proposed system and show that both high-priority users and low-priority users achieve lower bit error rates in comparison to the conventional scheme.

  8. Heritage, cultural diversity and education school: education in Programa Mais Educação on heritage

    Directory of Open Access Journals (Sweden)

    Rodrigo Manoel Dias da Silva

    2016-04-01

    Full Text Available This article aims to understand the relationship between heritage education and cultural diversity in Brazilian educational politics, with emphasis on analysis of ministerial documents that belong to heritage education as a theme in Programa Mais Educação. The authors analyze two shifts in the production of sense historically attributed to heritage education and its relationship with contemporary schooling processes.

  9. Metionina mais cistina digestível e relação metionina mais cistina digestível: lisina para codornas japonesas Digestible methionine plus cystine and relation digestible methionine plus cystine: lysine for japanese quails

    Directory of Open Access Journals (Sweden)

    Julio Francisco Valiati Marin

    2011-09-01

    Full Text Available Objetivou-se determinar o melhor nível de metionina mais cistina digestível e a melhor relação metionina mais cistina digestível:lisina digestível em diferentes níveis de proteína para codorna em postura. Foram utilizadas 400 codornas japonesas produtoras de ovos de consumo com 45 dias de idade, em delineamento inteiramente casualizado, num esquema fatorial 2 x 5, dois níveis de proteína bruta (19,5% e 21,5% e cinco níveis de metionina mais cistina digestível (0,60%; 0,67%; 0,74%; 0,81% e 0,88%, com cinco repetições e oito aves por unidade experimental. Foram analisadas as taxas de postura (%, peso médio dos ovos (g, massa de ovos (g de ovos/ave/dia, consumo de ração (g/ave/dia, conversão alimentar (g de ração/g de ovos, peso e porcentagem de gema (g e %, peso e porcentagem de clara (g e % e peso e porcentagem de casca (g e %. Para o nível de 19,5% de proteína 0,60% de metionina mais cistina digestível e relação metionina mais cistina digestível:lisina digestível de 0,66% foram suficientes para otimizar a produção. Para o nível de 21,5% de proteína 0,851% de metionina mais cistina digestível com relação metionina mais cistina digestível:lisina digestível de 0,935% com consumo diário de 223,3mg/ave levou a uma melhor produção de ovos de codornas.This research had the purpose to determine the best level of digestible methionine plus cystine and the best relation of digestible methionine plus cystine:digestible lysine in different levels of protein for laying Japanese quails. 400 laying Japanese quails, with 45 days of age were used in a completely randomized design, with a factorial 2 x 5, two crude protein levels (19,5% and 21,5% and five levels of digestible methionine plus cystine (0,60%; 0,67%; 0,74%; 0,81% e 0,88%, with five replicates and eight quails per experimental unity. There were analysis of the posture rate (%, egg average weight (g egg mass (egg grams/bird/day, feed intake (g/bird/day, feed

  10. Gêneros de discurso e transgressão: por um ensino mais dinâmico e horizontalizado

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    Glaucia Muniz Proença Lara

    2017-02-01

    Full Text Available Este artigo apresenta, à luz dos aportes oriundos da Linguística do Texto e do Discurso, o breve relato de uma experiência de ensino, com os seguintes objetivos: (a refletir, no âmbito da discussão em torno dos gêneros textuais/discursivos, sobre alguns conceitos caros aqueles que trabalham nesse domínio, particularmente o de transgressão de gêneros; e (b retratar, de forma sucinta, alguns desafios e pontos positivos das práticas de ensino construídas a partir dos conceitos previamente descritos. A referida experiência foi realizada, no período de março a dezembro de 2010, com alunos de uma escola estadual de Minas Gerais. O lapso temporal de seis anos entre a experiência e seu relato permitiu-nos analisar o processo, de forma mais objetiva e distanciada, de modo a apreender seus aspectos mais relevantes, de acordo com os objetivos traçados. Grosso modo, a partir dos estudos de Bakhtin (1992, 2000, Marcuschi (2002, Bronckart (2003, Maingueneau (2004 e Lara (2008, 2009, 2013, entre outros estudiosos, e com base em uma metodologia qualitativa, pretendemos, com este estudo, contribuir para o avanço das práticas de ensino, tomadas numa vertente mais dinâmica e integradora.

  11. Lead and cadmium in leaves of deciduous trees in Beijing, China: Development of a metal accumulation index (MAI)

    International Nuclear Information System (INIS)

    Liu Yanju; Zhu Yongguan; Ding Hui

    2007-01-01

    Lead and cadmium uptake was investigated for common deciduous street trees in Beijing in this study. Species having Cd accumulation included Populus tomentosa, Sophora japonica and Catalpa speciosa. P. tomentosa had the highest ratios between leaf and soil Cd (0.848), followed by S. japonica (0.536), C. speciosa (0.493), Paulownia tomentosa (0.453) and Juglans regia (0.415). Pb levels were high in leaves of C. speciosa, J. regia and Pa. tomentosa. S. japonica had the highest ratio between leaf Pb and soil Pb (0.146), followed by Pa. tomentosa (0.143), Ginko biloba (0.103) and C. speciosa (0.095). A predictive foliar metal accumulation index (MAI) was developed and C. speciosa was calculated to have the highest MAI value (53.8). This suggests that C. speciosa would be a good choice for planting in areas of Beijing where soil contamination with Cd and Pb may be a problem. - Catalpa speciosa had the highest MAI value

  12. The Mais Médicos (More Doctors) Program, the infrastructure of Primary Health Units and the Municipal Human Development Index.

    Science.gov (United States)

    Soares, Joaquim José; Machado, Maria Helena; Alves, Cecília Brito

    2016-09-01

    The main objective of this article was to examine the context in which professionals working within the Mais Médicos (More Doctors) Program operate. This study used the infrastructure scale of primary health units (PHUs), which was recently developed by Soares Neto and colleagues to provide more information regarding the relationship between the infrastructure of PHUs and the Municipal Human Development Index (MHDI) of municipalities that received Mais Médicos Program doctors. Using exploratory and inferential statistics, the article shows that 65.2% of the PHUs that received Mais Médicos Program doctors had medium-quality infrastructure and only 5.8% of them had low-quality infrastructure. The correlation of 0.50 between the infrastructure indicator and the MHDI points to a moderate tendency for municipalities with low MHDIs to have more precarious PHUs. Using multiple linear regression analysis it can be inferred that the main factor that contributed to the increase in the infrastructure indicator of the PHUs was the average municipal income. On the other hand, the factor that negatively affected the infrastructure of the PHUs was being located in the north or northeast regions.

  13. E quando os estudantes pedem mais disciplina? Estudo de caso e reflexões sobre autonomia e vida escolar

    Directory of Open Access Journals (Sweden)

    Luiz Gustavo Silva Souza

    Full Text Available O objetivo deste artigo é discutir o papel social da escola sob o ângulo da experiência estudantil e das relações que os alunos estabelecem com as regras. Relatamos um estudo de caso feito a partir de entrevistas com duas alunas ingressantes no ensino médio. Em seu discurso, as alunas criticaram o funcionamento da escola e demandaram mais disciplina e regras mais rigorosas. Em nossa análise, refletimos sobre a construção histórica da escola como instrumento disciplinar. Em seguida, analisamos os sentidos conferidos pelas alunas às experiências escolares, à família, à adolescência, às regras e ao futuro profissional. Discutimos o pedido por mais disciplina feito pelas alunas, tendo em vista, além do contexto sociohistórico, o conjunto de suas práticas, vivências e sentidos subjetivos. Afirmamos que, para construir uma escola capaz de promover autonomia, os educadores precisam considerar esses sentidos subjetivos, e as práticas escolares devem contemplar análises da existência psicossocial. Para concluir, afirmamos que a escola deve sustentar seu lugar de autoridade e referência para os jovens e, ao mesmo tempo, abrir-se para a compreensão e para a incorporação da alteridade.

  14. Prevalence of Haplorchis taichui and Haplorchoides sp. Metacercariae in Freshwater Fish from Water Reservoirs, Chiang Mai, Thailand

    Science.gov (United States)

    Nithikathkul, Choosak

    2008-01-01

    A parasitological investigation on trematode metacercariae was made on 62 freshwater fishes of 13 species in northern Thailand; Cyclocheilichthys apogon, Puntioplites proctozysron, Labiobarbus siamensis, Barbodes gonionotus, Barbodes altus, Henicorhynchus siamensis, Osteochilus hasselti, Notopterus notopterus, Mystacoleucus marginatus, Anabas testudineus, Systomus orphoides, Morulius chrysophykadian, and Hampala macrolepidota. The fish were caught over the summer period (February-May 2007) from 2 Chiang Mai water reservoirs, i.e., the Mae Ngad (UTM 47Q E 503200, 47Q N 2119300) and the Mae Kuang Udomtara (UTM 47Q E 513000, 47Q N 2092600) Reservoirs in Chiang Mai province, Thailand. The prevalence of heterophyid (Haplorchis taichui and Haplorchoides sp.) metacercariae in these fish was 83.9% and 74.2% in the Mae Ngad and Mae Kuang Udomtara Reservoirs, respectively. The highest intensity of heterophyid metacercariae in H. siamensis in the Mae Ngad was 120.4 and that in P. proctozysron in the Mae Kuang Udomtara was 180.0. The fish, A. testudineus, C. apogon, and M. chrysophykadian, were not found to be infected with H. taichui metacercariae. The results show that the freshwater fish in Chiang Mai water reservoirs are heavily infected with H. taichui and Haplorchoides sp. metacercariae. PMID:18552549

  15. Factors in the Achievement of Below-Replacement Fertility in Chiang Mai, Thailand. Papers of the East-West Population Institute, Number 96, March 1986.

    Science.gov (United States)

    Pardthaisong, Tieng

    The study assesses the impact of family planning programs on the fertility of women in the Chiang Mai province of Thailand, where family planning programs were introduced early in 1963. The study documents and estimates the fertility trend of Chiang Mai's population from existing sources of data. A demographic survey, in which a random sample of…

  16. 5 anos de trabalho, 10 edições e mais de 100 trabalhos publicados: a identidade da revista Navus

    Directory of Open Access Journals (Sweden)

    Eduardo Gomes Carvalho

    2016-01-01

    Full Text Available Um dos principais veículos, se não o principal, para comunicação científica são os periódicos. Portanto, faz sentido estudar uma ou mais revistas científicas. Tais tipos de estudos não são raros na literatura, mesmo na brasileira, podendo citar como exemploMueller e Pecegueiro (2001. Esses estudos são importantes pois apresentam indicadores científicos de produção científica em uma determinada área. Assim, é objetivo do presente trabalho realizar uma análise bibliométrica da revista Navus buscando identificar características significativas da produção científica em gestão e tecnologia. A escolha do referido periódico se justifica primeiramente por publicar majoritariamente trabalhos nacionais, e em segundo por ser uma publicação jovem, trimestral e indexada em importantes bases. Serão apresentados os principais autores, os trabalhos mais relevantes do periódico e as palavras-chave mais utilizadas. Também serão apresentados caminhos para a melhoria da classificação do periódico no sistema Qualis de avaliação da Coordenação de Aperfeiçoamento de Pessoal de Nível superior. 

  17. Antidepressant-like effects of Gan-Mai-Dazao-Tang via monoamine regulatory pathways on forced swimming test in rats.

    Science.gov (United States)

    Huang, Hsiang-Ling; Lim, Swee-Ling; Lu, Kuan-Hung; Sheen, Lee-Yan

    2018-01-01

    Depression is a highly prevalent and recurrent mental disorder that impacts all aspects of human life. Undesirable effects of the antidepressant drugs led to the development of complementary and alternative therapies. Gan-Mai-Da-Zao-Tang (, gān mài dà zǎo tang) is a traditional herbal formula commonly used for the treatment of depression, but lack of scientific proof on its mechanism. It consisted of Glycyrrhiza uralensis Fisch. (licorice), Triticum aestivum L. (wheat) and Zizphus jujuba Mill. (jujube). The objective of this study is to investigate the antidepressant effects of Gan-Mai-Dazao-Tang and its ingredients in rats exposed to forced swimming test (FST). The 72 of male Nerl: Wistar rats (8 weeks old) were randomized into control (10 mL/kg bw H 2 O), licorice (0.4 g/kg bw), wheat (1.6 g/kg bw), jujube (0.5 g/kg bw), Gan-Mai-Da-Zao-Tang (2.5 g/kg bw of licorice: wheat: jujube in ratio of 5:20:6) and Prozac (18 mg/kg bw) groups. Samples were administered by oral gavage for 21 days. FST was performed on 21st day, with 15 min for pretest followed by 5 min for real test. Then, the animals were sacrificed and brain tissues were collected for monoamines analyses. The Gan-Mai-Da-Zao-Tang (LWJ) showed significantly down-regulation of immobility time, 3,4-dihydroxyphenylacetic acid (DOPAC) and DOPAC/dopamine (DA) turnover rates, and also enhanced the concentration of serotonin (5-HT) and DA in brain tissues, as compared with the control. The LWJ stated the potent antidepressant-like effect by modulating these monoamines concentration, while the licorice, wheat and jujube did not reported significant results as compared with control group. The positive control (Prozac) was noted with significantly reduction in body weight and appetite. In conclusion, the antidepressant-like effects of LWJ might be mediated by the regulation of monoamine neurotransmitters. Thus, it could beneficial in depression treatment as a complementary approach.

  18. Abilities of the pitchers of female Softball in the community Los Arados Maisí from Municipality

    Directory of Open Access Journals (Sweden)

    Roylis Noa-Chávez

    2011-06-01

    Full Text Available This study addresses a subject of great interest from the major deficiencies in female softball pitchers in the community “Los Arados” from Maisí municipality. In this sense, the researcher offers in detail a group of elements on an activity that is very young in the territory and where its practitioners are started for the first time. From the review and updating of these physical activities the specialists criteria method was applied, which confirmed the feasibility of the proposal to insert it into the female softball lesson plans.

  19. Patterns of Sexual Behavior in Lowland Thai Youth and Ethnic Minorities Attending High School in Rural Chiang Mai, Thailand

    OpenAIRE

    Aurpibul, Linda; Tangmunkongvorakul, Arunrat; Musumari, Patou Masika; Srithanaviboonchai, Kriengkrai; Tarnkehard, Surapee

    2016-01-01

    Introduction: The rural areas of Northern Thailand are home to a large cultural diversity of ethnic minority groups. Previous studies have shown that young people in rural Thailand have low levels of knowledge on HIV/AIDS and high sexual risks. We compared sexual behaviors between the lowland Thai youth and the youth from ethnic minority groups. Methods and findings: This is a cross-sectional quantitative study conducted among high-school Thai and ethnic students in Chiang Mai. From a total 1...

  20. A new forest-dwelling Bent-toed Gecko (Squamata: Gekkonidae: Cyrtodactylus) from Doi Suthep, Chiang Mai Province, northern Thailand.

    Science.gov (United States)

    Kunya, Kirati; Panmongkol, Aumporn; Pauwels, Olivier S G; Sumontha, Montri; Meewasana, Jiraporn; Bunkhwamdi, Woraphot; Dangsri, Siriwat

    2014-06-03

    We describe a new forest-dwelling Cyrtodactylus from Doi Suthep, Chiang Mai Province, northern Thailand. Cyrtodactylus doisuthep sp. nov. is characterized by a maximal known SVL of 90.5 mm; 19 or 20 longitudinal rows of dorsal tubercles; a continuous series of 34 or 35 enlarged femoro-precloacal scales, including six or seven pitted scales on each femur (male and females) separated by a diastema from six pitted (females) or pore-bearing (male) precloacal scales; no precloacal groove or depression; transversely enlarged subcaudal scales; and six or seven irregular thin beige dorsal bands between limb insertions. 

  1. Programa Mais Médicos: uma ação efetiva para reduzir iniquidades em saúde

    Directory of Open Access Journals (Sweden)

    Leonor Maria Pacheco Santos

    2015-11-01

    Full Text Available O Programa Mais Médicos objetiva diminuir a carência de médicos e reduzir as desigualdades regionais em saúde e envolve três frentes estratégicas: i i mais vagas e novos cursos de Medicina baseados em Diretrizes Curriculares revisadas; ii investimentos na construção de Unidades Básicas de Saúde;iii provimento de médicos brasileiros e estrangeiros. O programa efetuou, até julho de 2014, o provimento de 14.462 médicos em 3.785 municípios com áreas de vulnerabilidade. Evidências indicam redução em 53% no número de municípios com escassez de médicos; na região Norte 91% dos municípios que apresentavam escassez foram atendidos, com quase cinco médicos cada, em média. A integração dos profissionais nas Equipes de Saúde da Família fortaleceu e expandiu a capacidade de intervenção, especialmente na perspectiva da adoção de um modelo de atenção que englobe as diferentes demandas de promoção da saúde, prevenção, diagnóstico e tratamento de doenças e agravos, para enfrentar o desafio da dupla carga de doença. Prevalecem na população a obesidade e doenças crônicas não transmissíveis, lado a lado com as enfermidades infecciosas, parasitárias e carências nutricionais remanescentes. O povo das cidades, do campo e da floresta quer mais médicos e mais perspectivas de saúde e de justiça social.

  2. Spatial Correlation Analysis between Particulate Matter 10 (PM10) Hazard and Respiratory Diseases in Chiang Mai Province, Thailand

    Science.gov (United States)

    Trang, N. Ha; Tripathi, N. K.

    2014-11-01

    Every year, during dry season, Chiang Mai and other northern provinces of Thailand face the problem of haze which is mainly generated by the burning of agricultural waste and forest fire, contained high percentage of particulate matter. Particulate matter 10 (PM10), being very small in size, can be inhaled easily to the deepest parts of the human lung and throat respiratory functions. Due to this, it increases the risk of respiratory diseases mainly in the case of continuous exposure to this seasonal smog. MODIS aerosol images (MOD04) have been used for four weeks in March 2007 for generating the hazard map by linking to in-situ values of PM10. Simple linear regression model between PM10 and AOD got fair correlation with R2 = 0.7 and was applied to transform PM10 pattern. The hazard maps showed the dominance of PM10 in northern part of Chiang Mai, especially in second week of March when PM10 level was three to four times higher than standard. The respiratory disease records and public health station of each village were collected from Provincial Public Health Department in Chiang Mai province. There are about 300 public health stations out of 2070 villages; hence thiessen polygon was created to determine the representative area of each public health station. Within each thiessen polygon, respiratory disease incident rate (RDIR) was calculated based on the number of patients and population. Global Moran's I was computed for RDIR to explore spatial pattern of diseases through four weeks of March. Moran's I index depicted a cluster pattern of respiratory diseases in 2nd week than other weeks. That made sense for a relationship between PM10 and respiratory diseases infections. In order to examine how PM10 affect the human respiratory system, geographically weighted regression model was used to observe local correlation coefficient between RDIR and PM10 across study area. The result captured a high correlation between respiratory diseases and high level of PM10 in

  3. Antidepressant-like effects of Gan-Mai-Dazao-Tang via monoamine regulatory pathways on forced swimming test in rats

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    Hsiang-Ling Huang

    2018-01-01

    Full Text Available Depression is a highly prevalent and recurrent mental disorder that impacts all aspects of human life. Undesirable effects of the antidepressant drugs led to the development of complementary and alternative therapies. Gan-Mai-Da-Zao-Tang (甘麥大棗湯, gān mài dà zǎo tang is a traditional herbal formula commonly used for the treatment of depression, but lack of scientific proof on its mechanism. It consisted of Glycyrrhiza uralensis Fisch. (licorice, Triticum aestivum L. (wheat and Zizphus jujuba Mill. (jujube. The objective of this study is to investigate the antidepressant effects of Gan-Mai-Dazao-Tang and its ingredients in rats exposed to forced swimming test (FST. The 72 of male Nerl: Wistar rats (8 weeks old were randomized into control (10 mL/kg bw H2O, licorice (0.4 g/kg bw, wheat (1.6 g/kg bw, jujube (0.5 g/kg bw, Gan-Mai-Da-Zao-Tang (2.5 g/kg bw of licorice: wheat: jujube in ratio of 5:20:6 and Prozac (18 mg/kg bw groups. Samples were administered by oral gavage for 21 days. FST was performed on 21st day, with 15 min for pretest followed by 5 min for real test. Then, the animals were sacrificed and brain tissues were collected for monoamines analyses. The Gan-Mai-Da-Zao-Tang (LWJ showed significantly down-regulation of immobility time, 3,4-dihydroxyphenylacetic acid (DOPAC and DOPAC/dopamine (DA turnover rates, and also enhanced the concentration of serotonin (5-HT and DA in brain tissues, as compared with the control. The LWJ stated the potent antidepressant-like effect by modulating these monoamines concentration, while the licorice, wheat and jujube did not reported significant results as compared with control group. The positive control (Prozac was noted with significantly reduction in body weight and appetite. In conclusion, the antidepressant-like effects of LWJ might be mediated by the regulation of monoamine neurotransmitters. Thus, it could beneficial in depression treatment as a complementary approach.

  4. Terceirização no Brasil: velhos dilemas e a necessidade de uma ordem mais includente

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    Márcia da Silva Costa

    Full Text Available Resumo Discussão sobre o fenômeno da subcontratação nas organizações contemporâneas. Tal fenômeno é aqui entendido como parte do processo mais amplo de flexibilização das instituições sociais e do trabalho que acompanhou o desmonte do fordismo e tem sido responsável pela fragmentação e precarização dos mercados de trabalho em todos os países industrializados. Adota-se aqui a perspectiva de análise na qual são discutidas as implicações da terceirização para os trabalhadores. À luz das teses da crise da sociedade salarial e da acumulação flexível, cuja referência é encontrada no pensamento da escola da regulação fordista, argumenta-se que a subcontratação, mais conhecida no Brasil como terceirização, reforça as relações de dominação e o controle social sobre a força de trabalho, rebaixando ou retirando direitos historicamente conquistados. Esse processo tem sido muito mais pernicioso em sociedades de democracia recente, como a brasileira, nas quais as novas práticas de flexibilização do trabalho contribuíram para fragilizar, ainda mais, a estrutura do mercado de trabalho, historicamente marcada pelos baixos salários, pela excessiva instabilidade do vínculo empregatício, pela baixa qualificação dos seus trabalhadores, pela fraca organização coletiva, pelos parcos direitos cidadãos. A despeito dos avanços nos indicadores do emprego e da renda na última década no país, a subcontratação tem se disseminado, o que reitera esse padrão predatório de relações de trabalho.

  5. MaisTer® Power: a Terbuthylazin free new solution to control monocotyledonous and dicotyledonous weeds in maize.

    Directory of Open Access Journals (Sweden)

    Wegener, Martin

    2014-02-01

    Full Text Available MaisTer® power is a combination of the well-known active ingredients Foramsulfuron (31,5 g/L, Iodosulfuron (1,04 g/L and the new developed ai Thiencarbazone-methyl (10,0 g/L and the new safener Cyprosulfamide (15,0 g/L. All three active ingredients belong to the group of the ALS inhibitors. The product can be applied with a dose rate of 1,5 L/ha or 1,0 L/ha. Foramsulfuron and Iodosulfuron will be taken up via the leaves of the plants whereas Thiencarbazone-methyl can penetrate the plants via the roots and the leaves. By using a dose rate of 1,5 L/ha a very good residual activity against new flushes of grass or broadleaf weeds will be observed. All relevant grass and broadleaf weeds in maize will be controlled after the application of MaisTer power including Polygonum species. If a dose rate of 1,0 L/ha is used it could make sense to add a tank mix partner like Aspect to complete the spectrum against some weeds like Chenopodium album or Polygonum convolvulus.

  6. Diurnal variation, vertical distribution and source apportionment of carcinogenic polycyclic aromatic hydrocarbons (PAHs) in Chiang-Mai, Thailand.

    Science.gov (United States)

    Pongpiachan, Siwatt

    2013-01-01

    Diurnal variation of particulate polycyclic aromatic hydrocarbons (PAHs) was investigated by collecting PM10 at three different sampling altitudes using high buildings in the city center of Chiang-Mai, Thailand, during the relatively cold period in late February 2008. At site-1 (12 m above ground level), B[a]P concentrations ranged from 30.3 -1,673 pg m-3 with an average of 506±477 pg m-3, contributing on average, 8.09±8.69% to ?PAHs. Ind and B[b]F concentrations varied from 54.6 to 4,579 pg m-3 and from 80.7 to 2,292 pg m-3 with the highest average of 1,187±1,058 pg m-3 and 963±656 pg m-3, contributing on average, 19.0±19.3% and 15.4±12.0% to ?PAHs, respectively. Morning maxima were predominantly detected in all observatory sites, which can be described by typical diurnal variations of traffic flow in Chiang-Mai City, showing a morning peak between 6 AM. and 9 AM. Despite the fact that most monitoring sites might be subjected to specific-site impacts, it could be seen that PAH profiles in Site-1 and Site-2 were astonishingly homogeneous. The lack of differences suggests that the source signatures of several PAHs become less distinct possibly due to the impacts of traffic and cooking emissions from ground level.

  7. Incidence and presence of virulence factors of Streptococcus suis infection in slaughtered pigs from Chiang Mai, Thailand.

    Science.gov (United States)

    Padungtod, Pawin; Tharavichitkul, Prasit; Junya, Supansa; Chaisowong, Warangkhana; Kadohira, Mutsuyo; Makino, Souichi; Sthitmatee, Nattawooti

    2010-11-01

    This study was designed to determine the incidence of Streptococcus suis infection in slaughtered pigs raised in industrial facility and backyard system in Chiang Mai City, Thailand. A total of 90 tonsils and submaxillary salivary gland/lymph node samples from slaughtered pigs raised in industrial facility and 122 samples from slaughtered pigs raised in backyard system were collected. Isolation and identification of S. suis were conducted using standard bacteriological methods. Farm management and risk factor data were collected by a questionnaire. Serotyping and presence of virulence factor genes, epf, mrp and sly, were determined by multiplex PCR assay. The overall incidence of S. suis in this study was 9% (n = 212) and the incidence is significantly higher in districts located at a greater distance south of Chiang Mai City. S. suis serotype 2 was present more in healthy pigs (43%) than ill pigs (10%). Every S. suis isolate carried mrp and sly and ill pigs carried epf (80%) more than healthy pigs (57%). However, the probability of S. suis serotype 2 with epf+ (0.245) detected in healthy pigs was higher than in ill pigs (0.08) indicating people may have a higher risk of being infected with S. suis from healthy than ill pigs.

  8. Estudo sobre o ensino de uma formação médica mais humana

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    Sebastião Afonso Viana Macedo Neves

    2017-01-01

    Full Text Available Introdução: Uma educação mais voltada para humanização da relação médico paciente forma um profissional mais hábil para lidar com situações adversas na prática cotidiana. Objetivo: Relatar ações de extensão desenvolvidas pelos acadêmicos de medicina em ambiente hospitalar e domiciliar. Metodologia: As atividades foram realizadas durante as visitas nas enfermarias do hospital-escola e nos domicílios, contando com a participação de 5860 pessoas, durante o período de dezembro de 2005 a março de 2014. Resultados: Observou-se o desenvolvimento da abertura para escuta e o diálogo com os pacientes pelos profissionais da saúde. Conclusão: Verificou-se que as visitas domiciliares e hospitalares integraram o acadêmico de medicina a comunidade e permitiu o desenvolvimento das capacidades de humanização.

  9. Preliminary Monitoring of Soil gas Radon in Potentially Active Faults, San Sai District, Chiang Mai Province, Thailand

    Science.gov (United States)

    Pondthai, P.; Udphuay, S.

    2013-05-01

    The magnitude of 5.1 Mw earthquake occurred in San Sai District, Chiang Mai Province, Thailand in December 2006 was considered an uncommon event due to the fact that there was no statistical record of such significant earthquake in the area. Therefore the earthquake might have been associated with a potentially active fault zone within the area. The objective of this study is to measure soil gas radon across this unknown fault zone within the Chiang Mai Basin, northern Thailand. Two profiles traversing the expected fault zone of soil gas radon measurements have been monitored, using TASTRAK solid state track nuclear detectors (SSNTDs). Radon signals from three periods of measurement show a distinctive consistent spatial distribution pattern. Anomalous radon areas along the profiles are connected to fault locations previously interpreted from other geophysical survey results. The increased radon signal changes from the radon background level with the signal-to-background ratio above 3 are considered anomalous. Such pattern of radon anomaly supports the existence of the faults. The radon measurement, therefore is a powerful technique in mapping active fault zone.

  10. Stockholmi Saarlaste Ühingu küünlapäev / Ilari Meerits ; fotod: Mai-Liis Teär

    Index Scriptorium Estoniae

    Meerits, Ilari

    2007-01-01

    27. jaanuaril Stockholmi Eesti Majas Mai-Liis ja Jaan Teäre juhtimisel, sellel aastal oli külaliseks Tiiu Valmet, muusikaliste vahepaladega esinesid Charlotte, Carolina, Cecilia, Cassandra ja Alexander

  11. Visceral pentastomiasis caused by Armillifer armillatus in a captive striped hyena (Hyaena hyaena) in Chiang Mai Night Safari, Thailand.

    Science.gov (United States)

    Dechkajorn, Sakorn; Nomsiri, Raksiri; Boonsri, Kittikorn; Sripakdee, Duanghatai; Sukontason, Kabkaew L; Wannasan, Anchalee; Chailangkarn, Sasisophin; Tiwananthagorn, Saruda

    2016-02-01

    Visceral pentastomiasis (porocephalosis) caused by Armillifer armillatus larvae was incidentally diagnosed in a female striped hyena (Hyaena hyaena) of unknown age which died unexpectedly in 2013. The hyena had been imported from Tanzania 8years earlier and have been since then in a zoo in Chiang Mai, northern Thailand. Pathological examination revealed visceral nymph migrans of pentastomes throughout the intestine, liver, diaphragm, omentum and mesentery, spleen, kidneys, and urinary bladder. Polymerase chain reaction and sequencing that targeted the pentastomid-specific 18S rRNA gene determined 100% identity with reference sequence for A. armillatus, suggesting that its ova can infect the hyena to serve as an intermediate host for the parasite. Further studies to identify the source of infection, its risk factors, and host range for A. armillatus are important to determine its zoonotic potential and to better prevent and manage the disease to protect animal and human health. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. A new forest-dwelling Bent-toed Gecko (Squamata: Gekkonidae: Cyrtodactylus) from Doi Inthanon, Chiang Mai Province, northern Thailand.

    Science.gov (United States)

    Kunya, Kirati; Sumontha, Montri; Panitvong, Nonn; Dongkumfu, Wuttipong; Sirisamphan, Thana; Pauwels, Olivier S G

    2015-01-14

    We describe a new forest-dwelling Cyrtodactylus from Doi Inthanon, Chiang Mai Province, northern Thailand. Cyrtodactylus inthanon sp. nov. is characterized by a maximum known SVL of 87.3 mm; 18 to 20 longitudinal rows of dorsal tubercles; a continuous series of 34 to 37 enlarged femoro-precloacal scales, including four to six pitted (female) or pore-bearing (male) scales on each femur separated by a diastema from five pitted (females) or pore-bearing (male) precloacal scales; no precloacal groove or depression; transversely enlarged subcaudal scales; and three to five irregular beige dorsal bands between limb insertions. The discovery of a new reptile endemic to Doi Inthanon reinforces the high importance of this mountain in terms of biodiversity conservation.

  13. Serotype- and virulence-associated gene profile of Streptococcus suis isolates from pig carcasses in Chiang Mai Province, Northern Thailand.

    Science.gov (United States)

    Wongsawan, Kanruethai; Gottschalk, Marcelo; Tharavichitkul, Prasit

    2015-02-01

    In this present study, the serotype of 40 Streptococcus suis isolates from submaxillary glands of pig carcasses sold in wet markets in Chiang Mai Province, northern Thailand, was investigated. Eleven serotypes, including types 2, 3, 4, 5, 7, 8, 9, 17, 21, 22 and 31, were found in the isolates by a Multiplex PCR combined with serum agglutination. Of the eleven serotypes present, type 3 was the most prevalent, while types 2, 4, 5 and 21 were of primary interest due to their human isolate serotype. The mrp+/epf - /sly - genotype was found to be the most prevalent genotype. This study indicates the importance of effective control of human S. suis infection due to raw pork or pig carcass handling in northern Thailand.

  14. Local community participatory learning with a nature interpretation system: A case study in Ban Pong, Sansai district, Chiang Mai, Thailand

    Directory of Open Access Journals (Sweden)

    Raktida Siri

    2017-05-01

    The research employed multiple research methods consisting of surveys, focus group discussion, and participatory observation. Samples used in the study were members of the Agro-tourism Club of Ban Pong community, Ban Pong, Papai sub-district, Sansai district, Chiang Mai province. The community members undertook learning through a four-step participatory learning process; (1 analyzing problems, (2 planning, exploring, and voting, (3 implementation, and (4 evaluation. The results showed that the community members had gained knowledge about tourism interpretation and showed a positive attitude toward the development of tourism interpretation. Moreover, at the end of the study, they had actually developed an interpretative nature trail that was derived from the real needs of their community.

  15. Breeding ecology of buff-breasted babbler (Pellorneum tickelli at Doi Chiang Dao Wildlife Research Station, Chiang Mai province, Thailand

    Directory of Open Access Journals (Sweden)

    Patchareeyaporn Panyaarj

    2017-10-01

    Full Text Available The behavior of the buff-breasted babbler (Pellorneum tickelli was recorded from April 2010 to May 2012 along creeks in Doi Chiang Dao Wildlife Research Station, Chiang Mai, Thailand. Fifteen nests of the buff-breasted babbler were found on four creeks: Maeka, Maemard, Ong and Sikrobkrua. The general behavior of birds included foraging, excretion, locomotion, preening and vigilance. The complete breeding cycle of the buff-breasted babbler in this study was almost 1 mth. Egg clutch size was in the range 3–4 and the nestlings hatched almost simultaneously. The eggs were incubated by both the males and the females. After hatching, both parents invested in intensive parental care. As well as providing food, they also protected their nestlings. This information can be used to help with conservation planning in the area and elsewhere. Keywords: Bird nest, Breeding birds, Nestling, Parental care, Riparian

  16. História em quadrinhos e cinema: meios cada vez mais próximos no ambiente digital

    Directory of Open Access Journals (Sweden)

    Cappellari, Márcia Schmitt Veronezi

    2009-01-01

    Full Text Available A sequência é o principal fator de ligação entre duas das mais apaixonantes formas de comunicação de todos os tempos: o cinema e as histórias em quadrinhos. O surgimento da internet e as possibilidades que o meio dispõe estão proporcionando uma aproximação cada vez maior entre ambos. Os cybercomics estão ganhando som e movimento, rompendo barreiras com o que antes havia sido produzido analogicamente em histórias em quadrinhos. Desse modo, definir o que ainda é desenho seriado e o que é cinema no mundo digital pode acabar se tornando apenas uma questão de ponto de vista

  17. Um modelo de otimização para alíquotas do IPTU socialmente mais justas

    Directory of Open Access Journals (Sweden)

    José Delfino Sá

    2013-02-01

    Full Text Available Este artigo apresenta um modelo de otimização matemática não linear que determina novas alíquotas para o Imposto sobre a Propriedade Predial e Territorial Urbana (IPTU incidente sobre os apartamentos residenciais no município do Salvador (BA. São considerados a progressividade das alíquotas, os valores venais dos imóveis, as rendas médias dos contribuintes e as usuais metodologias de cálculo do valor do imposto. Os resultados obtidos na aplicação desse modelo demonstram ser possível tratar de forma objetiva e socialmente mais justa a definição das alíquotas de IPTU para todos os tipos de imóveis de um município.

  18. Influences of population, building, and traffic densities on urban heat island intensity in Chiang Mai City, Thailand

    Directory of Open Access Journals (Sweden)

    Kammuang-Lue Niti

    2015-01-01

    Full Text Available This research aims to evaluate the Urban Heat Island Intensity (UHII and study the influences of population density, building density, and traffic density on the UHII in Chiang Mai city on each season and time. The surrounding air temperature was measured by thermocouples at a constant height of 2 m above the road by mobile surveying approach. The surveyed routes were divided into urban routes and rural routes. The UHII was calculated from the average surrounding air temperature difference between the urban and the rural areas. Experimental investigations were carried out in two seasons, consisting of summer (March-May, 2014 and winter (December 2013-February 2014. Experimental investigations were carried out in two periods, which were a daytime period (01.00-03.00 pm and a nighttime period (10.00 pm-00.00 am on Mondays, Wednesdays, and Sundays. The results show that the UHII in summer day, summer night, winter day, and winter night were 1.07°C, 1.27°C, 0.58°C, and 1.34°C, respectively. This implies that the temperature in Chiang Mai city’s urban area is higher than that in the rural area the entire year. Moreover, it was found that the UHII in summer day, winter day, and winter night were primarily affected by the traffic density with the sensitivity percentage of 87.50%, 72.73%, and 63.33%, respectively. In contrast, the UHII in summer night was mainly affected by the building density with the sensitivity percentage of 50.00%.

  19. CARTOGRAFIA GEOGRÁFICA: ENTRE O “JÁ-ESTABELECIDO” E O “NÃO- MAIS-SUFICIENTE”

    Directory of Open Access Journals (Sweden)

    Gisele Girardi

    2014-04-01

    Full Text Available “Cartografia Geográfica” designa o campo da formação superior em Geografia que se dedica à cartografia. Ao se considerar as diversas possibilidades de cartografias e espacialidades que coexistem no contemporâneo, propõe-se entender este campo num “entre” o “já-estabelecido” e o “não mais suficiente”. Ambos os domínios, tomados separadamente, podem ser considerados como despotencializadores da cartografia na Geografia. Contudo, no “entre” os dois domínios pode ser situada a pertinência e a riqueza de se fazer e pensar a cartografia na geografia na atualidade. O propósito deste texto é trazer elementos para dar visibilidade ao “entre” mencionado. Parte-se inicialmente de uma discussão sobre a linguagem e sobre os caminhos da semiótica cartográfica que, ao se inspirar na linguística estrutural voltou-se para dentro do mapa (arranjos de signos, imprimindo um modelo fortemente representacional para a cartografia, aqui identificado como o “já-estabelecido”. A seguir são apresentadas ideias de alguns autores contemporâneos que trazem abordagens pós-representacionais, que ressituam a relação entre a ciência (cartografia e seu objeto (o mapa, pois, face às modificações contemporâneas de entendimento da espacialidade, o “já-estabelecido” passa a ser “não mais suficiente”. Nas considerações finais são delineadas algumas estratégias para se habitar este “entre” como potência criativa para expansão do campo da Cartografia geográfica.

  20. Hingekellad elektrijaamadele / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2001-01-01

    Ilmunud ka: Vooremaa 27. sept., lk. 4; Meie Maa 27. sept., lk. 2; Koit 27. sept., lk. 2; Põhjarannik 27. sept., lk. 6; Severnoje Poberezje 28. sept., lk. 2; Pärnu Postimees 3. okt., lk. 2; Hiiu Leht 2. okt., lk. 2; Virumaa Teataja 2. okt., lk. 7; Valgamaalane 2. okt., lk. 2. 12. sept. lükkasid koalitsioonierakonnad tagasi opositsioonierakondade otsuse "AS Narva Elektrijaamade erastamisest". Autor: ERL. Parlamendisaadik

  1. Krihvlikunsti meistrid / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2006-01-01

    Näitusest "19. sajandi saksa ja inglise graafikat Selma Lepa kunstikogust" Tallinna Keskraamatukogus. Eksponeeritakse James Abbot McNeill Whistleri, Wilhelm Leibli, Peter Halmi, Karl Stauffer-Berni, Max Klingeri, Franz von Stucki jt. töid

  2. Sotsiaalsest vastutusest / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2006-01-01

    Ilmunud ka: Meie Maa, Põhjarannik, Severnoje Poberezhje 1. apr. lk. 2, Hiiu Leht 7. apr. lk. 2, Valgamaalane 11. apr. lk. 2. Autori sõnul on vanuripoliitika nurgakiviks soliidne pension, mis võimaldab igale inimesele väärika vananemise. Enam ei piisa vaesuse leevendamiseks abinõudest, mis taandatud üksnes rahaliste hüvitiste maksmisele, olulisem on paindlik sotsiaalteenuste süsteem

  3. Klassikute menukus / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2010-01-01

    Richard Uutmaa näitus "Tuntud ja tundmatu Uutmaa" Tallinnas US Art Gallerys 12. detsembrini 2010. Richard Sagritsa näitus Rakvere Näitustemajas 31. jaanuarini 2011. Kuraator Teet Veispak, kujundaja Valeri Vinogradov

  4. Editorial 15 mai 1997

    Directory of Open Access Journals (Sweden)

    Denise Pumain

    1997-05-01

    Full Text Available Cybergeo se dote d'un éditorial pour signaler aux lecteurs les nouveautés du mois. D'abord, un nom enfin plus simple pour accéder au site: tapez désormais: www.cybergeo.presse.fr Sans doute avez-vous déjà repéré nos nouveaux services, sinon, regardez dans la colonne de gauche! Nous aimerions en outre insérer dans nos rubriques des résumés, en anglais, des thèses soutenues récemment. Les résumés en français sont déjà publiés dans la Lettre d'Intergéo, Cybergeo nous paraît l'endroit idéal pour...

  5. Juugendstiil / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2010-01-01

    Suurte metropolide mõju. Heimatkunst. Kristjan Raua naivism. Ants Laikmaa pastellid. Paul Raud ja juugend. Eestlased Peterburis. Nikolai Triigi ekspressionismigeenidega stiilsus. Konrad Mägi lõõmavad värvid. Aleksander Tassa minimalism. Roman Nyman ja teatridekoratsioon. August Jansen ja Peet Aren ning vene maalikool. Herbert Lukk. Laikmaa õpilased. Varaküps Erik Obermann. Balder Tomasberg. Eduard Wiiralt. Jaan Koorti juugendlik algus. Tarbekunst

  6. Eesti Raamatu Aasta kajastusi Ungaris : lühikroonika : 1. Ungari-Eesti Selts ja Szombathely Pedagoogikaülikool ; 2. Ungari Eesti Instituut ja Eesti Raamatu Aasta / Mai Kiisk-Bereczki

    Index Scriptorium Estoniae

    Kiisk-Bereczki, Mai

    2002-01-01

    Kokkuvõte inglise k. lk. 95-96. Ka Ungaris välja antud eesti luuleantoloogiast "Kellade hellus" (koost. Mai Kiisk-Bereczki, Szombathely, 2000). Mais 2000 viibis Ungari Eesti Instituudi kutsel Budapestis Jaan Kaplinski

  7. Overview of the Mechanics of the Active Mai'iu Low Angle Normal Fault (Dayman Dome), Southeastern Papua New Guinea

    Science.gov (United States)

    Little, T. A.; Boulton, C. J.; Webber, S. M.; Mizera, M.; Oesterle, J.; Ellis, S. M.; Norton, K. P.; Wallace, L.; Biemiller, J.; Seward, D.; Boles, A.

    2016-12-01

    The Mai'iu Fault is a corrugated low-angle normal fault (LANF) that has slipped >24 km. It emerges near sea level at 21° N dip, and flattens southward over the dome crest at 3000 m. This reactivated Paleogene suture is slipping at up to 1 cm/year based on previous GPS data and preliminary 10Be cosmogenic nuclide exposure scarp dating. An alignment of microseismicity (Eilon et al. 2015) suggests a dip of 30° N at 15-25 km depth. Pseudotachylites are abundant in lower, mylonitic parts of the footwall. One vein yielded 40Ar/39Ar ages of 1.9-2.2 Ma, implying seismicity at 8-10 km depth at the above slip rate. Widespread, antithetic normal faults in the footwall are attributed to rolling-hinge controlled yielding during exhumation. A single rider block is downfolded into synformal megamullion. Unconformities within this block, and ductile folding and conjugate strike-slip faulting of mylonitic footwall fabrics record prolonged EW shortening and constriction. Many normal and strike-slip faults cut the metabasaltic footwall recording Andersonian stresses and flipping between σ1 and σ2. To exhume the steep faults, the LANF must have remained active despite differential stress being locally high enough to initiate well-oriented faults—relationships that bracket the frictional strength of the LANF. Quantitative XRD on mafic and serpentinitic gouges reveal the Mai'iu fault core is enriched in weak clays corrensite and saponite. Hydrothermal friction experiments were done at effective normal stresses of 30-210 MPa, and temperatures of 50-450oC. At shallow depths (T≤200 oC), clay-rich fault gouges are frictionally weak (μ=0.13-0.15 and 0.20-0.28) and velocity-strengthening. At intermediate depths (T>200 oC), the footwall is frictionally strong (μ=0.71-0.78 and 0.50-0.64) and velocity-weakening. Velocity-strengthening is observed at T≥400 oC. The experiments provide evidence for deep unstable slip, consistent with footwall pseudotachylites and microseismicity at

  8. Caenorhabditis elegans ATPase inhibitor factor 1 (IF1 MAI-2 preserves the mitochondrial membrane potential (Δψm and is important to induce germ cell apoptosis.

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    L P Fernández-Cárdenas

    Full Text Available When the electrochemical proton gradient is disrupted in the mitochondria, IF1 (Inhibitor Factor-1 inhibits the reverse hydrolytic activity of the F1Fo-ATP synthase, thereby allowing cells to conserve ATP at the expense of losing the mitochondrial membrane potential (Δψm. The function of IF1 has been studied mainly in different cell lines, but these studies have generated contrasting results, which have not been helpful to understand the real role of this protein in a whole organism. In this work, we studied IF1 function in Caenorhabditis elegans to understand IF1´s role in vivo. C. elegans has two inhibitor proteins of the F1Fo-ATPase, MAI-1 and MAI-2. To determine their protein localization in C. elegans, we generated translational reporters and found that MAI-2 is expressed ubiquitously in the mitochondria; conversely, MAI-1 was found in the cytoplasm and nuclei of certain tissues. By CRISPR/Cas9 genome editing, we generated mai-2 mutant alleles. Here, we showed that mai-2 mutant animals have normal progeny, embryonic development and lifespan. Contrasting with the results previously obtained in cell lines, we found no evident defects in the mitochondrial network, dimer/monomer ATP synthase ratio, ATP concentration or respiration. Our results suggest that some of the roles previously attributed to IF1 in cell lines could not reflect the function of this protein in a whole organism and could be attributed to specific cell lines or methods used to silence, knockout or overexpress this protein. However, we did observe that animals lacking IF1 had an enhanced Δψm and lower physiological germ cell apoptosis. Importantly, we found that mai-2 mutant animals must be under stress to observe the role of IF1. Accordingly, we observed that mai-2 mutant animals were more sensitive to heat shock, oxidative stress and electron transport chain blockade. Furthermore, we observed that IF1 is important to induce germ cell apoptosis under certain types of

  9. Programa Mais Médicos: avaliando a implantação do Eixo Provimento de 2013 a 2015

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    Hêider Aurélio Pinto

    2017-08-01

    Full Text Available O Programa Mais Médicos foi criado em 2013 para enfrentar desafios que condicionavam a expansão e o desenvolvimento da Atenção Básica (AB, sobretudo, a insuficiência e má distribuição de médicos e o perfil de formação inadequado às necessidades da população. O programa é composto por três eixos: provimento emergencial, qualificação da infraestrutura e mudança da formação. Neste artigo realizamos análise documental, análise de bancos de dados oficiais e revisão de literatura, com o objetivo de avaliar resultados do provimento de médicos alcançados até 2015. Identificamos avanços importantes na alocação dos médicos com equidade; na ampliação da cobertura da AB; na ampliação do acesso da população às ações de AB; no impacto nos indicadores de saúde; e na avaliação positiva que usuários, médicos e gestores têm do programa. Na conclusão, são apontados desafios enfrentados pelo programa para alcançar efetivamente seus objetivos.

  10. Freud e Brentano: mais que um flerte filosófico = Freud and Brentano: more than a philosophical flirt

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    Cataldo-Maria, Thiago Marcellus de S.

    2013-01-01

    Full Text Available Não seria exagerado afirmar que a importância da relação entre Freud e Brentano tem sido negligenciada. Embora o tema não tenha sido ignorado, dentre os nomes que compõem a fileira dos que influenciaram Freud, o de Brentano certamente é um dos mais apagados. Este ensaio pretende sublinhar algumas marcas do filósofo nas formulações do metapsicólogo. Para tanto, começamos destacando as evidências históricas da estreiteza da relação Freud- Brentanto. Em seguida, investigamos o conceito de intencionalidade tendo em vista a proximidade das concepções de Freud e Brentano a respeito da representação em dois pontos principais: o primeiro é a impossibilidade de um ato de representação ocorrer na ausência de objeto representado e o segundo é o fato de o objeto representado não necessariamente existir enquanto coisa real. Após estes desenvolvimentos, finalizamos, apontando para outras marcas das concepções brentanianas na teoria freudiano e, portanto, para a riqueza desta linha de pesquisa

  11. Potentially pathogenic free-living amoebae in some flood-affected areas during 2011 Chiang Mai flood.

    Science.gov (United States)

    Wannasan, Anchalee; Uparanukraw, Pichart; Songsangchun, Apichart; Morakote, Nimit

    2013-01-01

    The survey was carried out to investigate the presence of potentially pathogenic free-living amoebae (FLA) during flood in Chiang Mai, Thailand in 2011. From different crisis flood areas, seven water samples were collected and tested for the presence of amoebae using culture and molecular methods. By monoxenic culture, FLA were detected from all samples at 37 °C incubation. The FLA growing at 37 °C were morphologically identified as Acanthamoeba spp., Naegleria spp. and some unidentified amoebae. Only three samples (42.8%), defined as thermotolerant FLA, continued to grow at 42 °C. By molecular methods, two non-thermotolerant FlA were shown to have 99% identity to Acanthamoeba sp. and 98% identity to Hartmannella vermiformis while the two thermotolerant FLA were identified as Echinamoeba exundans (100% identity) and Hartmannella sp. (99% identity). This first report of the occurrence of FLA in water during the flood disaster will provide information to the public to be aware of potentially pathogenic FLA.

  12. The use of intravitreal anti-vascular endothelial growth factor injection and its complications in Chiang Mai University Hospital.

    Science.gov (United States)

    Kunavisarut, Paradee; Saenpen, Nithiracht; Ittipunkul, Nimitr; Patikulsila, Direk; Choovuthayakorn, Janejit; Watanachai, Nawat; Pathanapitoon, Kessara

    2013-11-01

    To report the use of intravitreal (IVT) injections of anti-vascular endothelial growth factor agents (anti-VEGF) and its complications. The authors performed a retrospective review of consecutive patients treated with IVT injection of anti-VEGF between May 2006 and December 2010 at Chiang Mai University Hospital. Demographic data and complications were registered. The present study included 1,006 eyes of 878 patients. Mean age was 60 years (range 1 month to 91 years). Mean follow-up time was 12 months (range 1 month to 54 months). Total injections were 2,077 given as 47, 210, 399, 575, and 846 injection per year between 2006 and 2010, respectively. Anti-VEGF agents were bevacizumab (1,878; 90.42%), ranibizumab (190; 9.15%), and pegaptanib (9; 0.43%). Indications for injection based on primary diagnosis were neovascular macular degeneration (38.5%), diabetic retinopathy (38%), and retinal vein occlusion (15.9%). The incidence of endophthalmitis was 0.048% (1/2,077) for all injections and 0.053% (1/1878)for bevacizumab. The use of IVT injections of anti-VEGF is increasing, especially the use of bevacizumab. Incidence of ocular and systemic complications after IVT injection of anti- VEGF was low with no significant difference among the three anti-VEGFs agents.

  13. Adherence to guidelines on the diagnosis of cephalo-pelvic disproportion at Maharaj Nakorn Chiang Mai Hospital.

    Science.gov (United States)

    Srisukho, Sasivimol; Tongsong, Theera; Srisupundit, Kasemsri

    2014-10-01

    To determine the degree of adherence to guidelines on the diagnosis of cephalopelvic disproportion (CPD) in Maharaj Nakorn Chiang Mai Hospital. The database ofpregnant women who underwent cesarean delivery due to CPD between 2010 and 2012 was reviewed The degree of adherence to guidelines on the CPD diagnosis was recorded The guidelines were from Royal Thai College of Obstetricians and Gynecologists (RTCOG) and the American Congress of Obstetricians and Gynecologists (ACOG) as gold standard criteria for CPD diagnosis. Four hundred sixty four pregnant women diagnosed as CPD were recruited. The adherence to guidelines either RTCOG or ACOG criteria was 80.4%. Of 91 cases that had incomplete criteria to diagnose CPD, 25 cases (27.5%) had been suspected offetal macrosomia and CPD was diagnosed during latent phase of labor Unfortunately, 76% of these fetuses had birth weight less than 4000 grams, which were unlikely to be macrosomia. The adherence to guidelines on the diagnosis of CPD was 80.4%. Almost one-third of the cases that had no adherence were false diagnosed of fetal macrosomia. Therefore, the strategy of accurate fetal weigh estimation may reduce unnecessary cesarean section from false diagnosis of CPD.

  14. Factors related to mortality after osteoporotic hip fracture treatment at Chiang Mai University Hospital, Thailand, during 2006 and 2007.

    Science.gov (United States)

    Chaysri, Rathasart; Leerapun, Taninnit; Klunklin, Kasisin; Chiewchantanakit, Siripong; Luevitoonvechkij, Sirichai; Rojanasthien, Sattaya

    2015-01-01

    To investigate the one-year mortality rate after osteoporotic hip fracture and to identify factors associated with that mortality rate. A retrospective review of 275 osteoporotic patients who sustained a low-trauma hip fracture and were admitted in Chiang Mai University Hospital during January 1, 2006 to December 31, 2007 was accomplished. Eligibility criteria were defined as age over 50 years, fracture caused by a simple fall and not apathologicalfracture caused by cancer or infection. Results of this one-year mortality rate study were compared to studies of hip fracture patient mortality in 1997 and the period 1998-2003. The average one-year mortality rate in 2006-2007 was 21.1%. Factors correlated with higher mortality were non-operative treatment, delayed surgical treatment, and absence of medical treatment for osteoporosis. The 2006-2007 mortality rate was slightly higher than for the 1997 and 1998-2003 periods. The one-year mortality rate after osteoporotic hip fracture of 21.1% was approximately 9.3 times the mortality rate for the same age group in the general population, indicating that treatment of osteoporosis as a means of helping prevent hip fracture is very important for the individual, the family, and society as a whole.

  15. The Development of Thung Fa Bot Weekend Market into Cultural Tourism Attraction in San Pa Tong District, Chiang Mai Province

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    Phuwanatwichit Thongchai

    2014-01-01

    Full Text Available This study aimed to investigate for the socio-cultural and economic context, along with the issues of tourism potentiality of Thung Fa Bot weekend market into the cultural tourism attraction in San Pa Tong District, Chiang Mai Province. A study was created containing Mixed Methodology Research. The data collection was focus group and in-depth interviews from the target population and questionnaires of stakeholders. The study was determined that context of socio-cultural and economic structure,which was relying on farming in the past. The potentiality level to be the cultural tourist attraction in overall was moderate.the aspect of tourist Attraction and Spirit of a community were in high level. On the other hand Accessibility, Activities and Participation civil organizations were in moderate level. There were only the Amenities and Ancillary Services had shown on low level. The results suggested the need to develop its potentiality of cultural tourist attraction in [1] Amenities and Ancillary Services management at the tourist spots and tourism promoting and [2] Linking network with government agencies, private sectors, and communities to join in tourism management in order to enlarge Thung Fha Bod Weekend Market becoming the greater cultural tourism attraction for the tourists.

  16. CHOEP-21 chemotherapy for newly diagnosed nodal peripheral T-cell lymphomas (PTCLs) in Maharaj Nakorn Chiang Mai Hospital.

    Science.gov (United States)

    Rattarittamrong, Ekarat; Norasetthada, Lalita; Tantiworawit, Adisak; Chai-Adisaksopha, Chatree; Nawarawong, Weerasak

    2013-11-01

    To determine the effectiveness and tolerability of the combination of chemotherapy with cyclophosphamide, doxorubicin, vincristine, and prednisolone (CHOP) with the addition of etoposide (CHOEP-21) for newly diagnosed nodal peripheral T-cell lymphomas (PTCLs). Between January 2009 and October 2011, patients aged 18 to 60 years with newly diagnosed nodal PTCLs at the Maharaj Nakorn Chiang Mai Hospital were enrolled to receive CHOEP-21 every three weeks for eight cycles. G-CSF prophylaxis was given to all patients. Twenty-four patients were enrolled. Twenty of them were male with a median age of 49 years. The majority of patients (66.7%) had PTCL, not otherwise specified (PTCL, NOS), and 95.8% of the patients were in stage III or IV. The overall response rate was 58% with 42% having complete response. The response rates were better among patients with ALK-negative anaplastic large cell lymphoma (ALCL; 100%) and angioimmunoblastic T-cell lymphoma (AITL; 85%) than those with PTCL, NOS (44%). With a median follow-up of 21 months, the patients had an estimated 2-year event-free survival, and an overall survival rate of 37.6% and 54.4%, respectively. The most common adverse effects were infection and hematologic toxicities that was manageable. Although CHOEP-21 induced favorable responses in patients with ALK-negative ALCL and AITL, the responses were not durable and further therapy is mandated in management of patients with nodal PTCL.

  17. Treatment outcomes of patients co-infected with tuberculosis and HIV at Chiang Mai University Hospital, Thailand.

    Science.gov (United States)

    Limmahakhun, S; Chaiwarith, R; Nuntachit, N; Sirisanthana, T; Supparatpinyo, K

    2012-06-01

    Thailand has been greatly affected by the tuberculosis (TB) and HIV syndemic. This study aimed to determine treatment outcomes among HIV/TB co-infected patients. A retrospective cohort study was conducted at Chiang Mai University Hospital from 1 January 2000 to 31 December 2009. Of 171 patients, 100 patients were male (58.5%) and the mean age was 36.8 ± 8.0 years. Seventy-two patients (42.1%) had pulmonary tuberculosis. Median CD4+ count before TB treatment was 69 cells/mm(3) (interquartile range [IQR] 33, 151). The overall mortality was 3.5% (6 patients). Immune reconstitution inflammatory syndrome (IRIS) occurred in eight patients (6.0%). Disseminated TB infections increased risk of death (odds ratio [OR] = 2.55, 95% confidence interval [CI] 1.25, 5.18) and IRIS (OR = 9.16, 95% CI 1.67, 50.07). Initiating combination antiretroviral therapy (cART) within two months after TB treatment increased risk of IRIS (OR = 6.57, 95% CI 1.61-26.86) and physicians caring for HIV/TB co-infected patients should be aware of this condition.

  18. Prevalence of Centrocestus formosanus Metacercariae in Ornamental Fish from Chiang Mai, Thailand, with Molecular Approach Using ITS2.

    Science.gov (United States)

    Wanlop, Atcharaphan; Wongsawad, Chalobol; Prattapong, Pongphol; Wongsawad, Pheravut; Chontananarth, Thapana; Chai, Jong-Yil

    2017-08-01

    The prevalence of Centrocestus formosanus metacercariae was investigated in ornamental fish purchased from a pet shop in Chiang Mai, Thailand, including Carassius auratus (goldfish), Cyprinus carpio (Koi), Poecilia latipinna (Sailfin Molly), Danio rerio (Zebrafish), and Puntigrus tetrazona (Tiger barb). The parasite species was identified by the morphology of worms as well as by a molecular approach using ITS2. The results showed that 50 (33.3%) of 150 fish examined were infected with the metacercariae. The highest prevalence was found in C. auratus (83.3%), and the highest intensity was noted in C. carpio (70.8 metacercariae/fish). The most important morphological character was the presence of 32-34 circumoral spines on the oral sucker. The phylogenetic studies using the rRNA ITS2 region revealed that all the specimens of C. formosanus in this study were grouped together with C. formosanus in GenBank database. This is the first report on ornamental fish, C. carpio, P. latipinna, D. rerio, and P. tetrazona, taking the role of second intermediate hosts of C. formosanus in Thailand. Prevention and control of metacercarial infection in ornamental fish is urgently needed.

  19. Non-chemistry coupled PM10 modeling in Chiang Mai City, Northern Thailand: A fast operational approach for aerosol forecasts

    Science.gov (United States)

    Macatangay, Ronald; Bagtasa, Gerry; Sonkaew, Thiranan

    2017-09-01

    The Weather Research and Forecasting (WRF v. 3.7) model was applied to model PM10 data in Chiang Mai city for 10-days during a high haze event utilizing updated land use categories from the Moderate Resolution Imaging Spectroradiometer (MODIS). A higher resolution meteorological lateral boundary condition (from 1 degree to 0.25 degree) was also used from the NCEP GDAS/FNL Global Tropospheric Analyses and Forecast Grid system. A 3-category urban canopy model was also added and the Thompson aerosol-aware microphysics parameterization scheme was used to model the aerosol number concentrations that were later converted to PM10 concentrations. Aerosol number concentration monthly climatology was firstly used as initial and lateral boundary conditions to model PM10 concentrations. These were compared to surface data obtained from two stations of the Pollution Control Department (PCD) of Thailand. The results from the modeled PM10 concentrations could not capture the variability (r = 0.29; 0.27 for each site) and underestimated a high PM10 spike during the period studied. The authors then added satellite data to the aerosol climatology that improved the comparison with observations (r = 0.45; 43). However, both model runs still were not able to capture the high PM10 concentration event. This requires further investigation.

  20. Prefiguração de contrapúblicos em Brad – Uma noite mais nas barricadas

    Directory of Open Access Journals (Sweden)

    Bráulio de Britto Neves

    2011-01-01

    Full Text Available O ciberativismo, surgido na cultura hacker, constitui a principal referência para os movimentos de resistência às formas de dominação por controle difuso, exatamente porque é um movimento político que tematiza a liberdade de comunicação e informação. A despeito dos duros golpes sofridos pelo movimento, em decorrência da política de "guerra ao terror", o ciberativismo logrou produzir uma expressão no cinema documentário que inflete a tendência da retórica documentária subjetiva para um uso coletivo, a autopoiese de contrapúblicos. Para demonstrar as características dessa nova estratégia de resistência, este artigo examina as peculiaridades do ciberdocumentário Brad – Uma noite mais nas barricadas em termos de interpretabilidade e de condições de validez ética (sinceridade intencional, veracidade proposicional e correção relacional.

  1. Recent HIV Testing Among Young Men Who Have Sex with Men in Bangkok and Chiang Mai: HIV Testing and Prevention Strategies Must Be Enhanced in Thailand.

    Science.gov (United States)

    Johnston, Lisa G; Steinhaus, Mara C; Sass, Justine; Sirinirund, Petchsri; Lee, Catherine; Benjarattanaporn, Patchara; Gass, Robert

    2016-09-01

    HIV infection among men who have sex with men, particularly in Thai urban settings and among younger cohorts, is escalating. HIV testing and counseling (HTC) are important for prevention and obtaining treatment and care. We examine data from a 2013 survey of males, 15-24 years, reporting past-year sex with a male and living in Bangkok or Chiang Mai. Almost three quarters of young MSM (YMSM) in Bangkok and only 27 % in Chiang Mai had an HIV test in the previous year. Associations for HIV testing varied between cities, although having employment increased the odds of HIV testing for both cities. In Bangkok, family knowledge of same sex attraction and talking to parents/guardians about HIV/AIDS had higher odds of HIV testing. Expanded HTC coverage is needed for YMSM in Chiang Mai. All health centers providing HTC, including those targeting MSM, need to address the specific needs of younger cohorts.

  2. Comparação dos casos mais contrastantes: método pioneiro central na era da globalização

    OpenAIRE

    Giraud,Olivier

    2009-01-01

    Este artigo trata da metodologia comparativa centrada nos casos mais contrastantes e mostra a utilidade crescente deste método no mundo atual, marcado pela escalada da globalização. O método dos casos mais diferentes foi desenvolvido nos anos sessenta, época em que se privilegiavam as abordagens estrutural-funcionalistas, que tendiam a mostrar a unicidade ou, pelo menos, a uniformidade das trajetórias de mudança ou de desenvolvimento das sociedades humanas. Esse método demonstrou, em contrapa...

  3. PRODUÇÃO MAIS LIMPA EM AGROINDÚSTRIAS: UMA ANÁLISE DA ESTRUTURA DE PEQUENAS AGROINDÚSTRIAS DOS SETORES DE CARNE E LEITE

    OpenAIRE

    Cericato, Alceu; Meneghello, Géri; Filippin, Ivandro

    2013-01-01

    Aplicar os preceitos da Produção Mais Limpa, além de reduzir custos, apresenta benefícios ao meio ambiente por meio da redução de desperdícios e contaminantes. Dessa forma, a presente pesquisa tem por objetivo conhecer a realidade do sistema produtivo das pequenas agroindústrias apresentando uma proposta de melhoria com ênfase nos preceitos da Produção Mais Limpa. A pesquisa foi realizada em quatro agroindústrias de pequeno porte; dois empreendimentos são do setor de carnes e dois são do seto...

  4. Changes in urinary Cu, Zn, and Se levels in cancer patients after treatment with Sha Shen Mai Men Dong Tang

    Directory of Open Access Journals (Sweden)

    Tung-Yuan Lai

    2016-04-01

    Full Text Available Sha Shen Mai Men Dong Tang (SMD-2; 沙參麥冬湯 shā shēn mài dōng tāng is a Chinese medicinal herb (CMH; 中草藥 zhōng cǎo yào used to treat symptoms associated with cancer therapy. The objective of this study was to assess the effect of SMD-2 on the levels of urinary copper (Cu, zinc (Zn, and selenium (Se in lung cancer patients and head and neck cancer patients receiving chemoradiotherapy. Forty-two head and neck cancer patients and 10 lung cancer patients participated in our clinical trial. Each patient received chemoradiotherapy for 4 weeks. In addition, each patient was treated with SMD-2 for 8 weeks, including 2 weeks prior to and after the chemoradiotherapy treatment. Comparison of urinary Cu, Zn, and Se levels and the ratios of Zn to Cu and Se to Cu at three time points in the two types of cancer were assessed using the generalized estimating equations (GEEs. After the patients received chemoradiotherapy for 4 weeks, SMD-2 treatment was found to be associated with a significant decrease in urinary Cu levels, whereas urinary Zn and Se levels increased significantly. In addition, the ratios of Zn to Cu and Se to Cu in the urine samples of these patients also increased significantly. Both the urinary Zn levels and the ratio of Zn to Cu in head and neck cancer patients were significantly higher than in lung cancer patients. Urinary Zn and Se levels and the ratios of Zn to Cu and Se to Cu, but not urinary Cu levels, increased significantly during and after treatment when assessed using the GEE model. The SMD-2 treatments significantly increased Zn and Se levels in the urine of head and neck cancer patients. Increased Zn and Se levels in urine strengthened immune system.

  5. Alternativas para um produto cárneo mais saudável: uma revisão

    Directory of Open Access Journals (Sweden)

    Débora Francielly de Oliveira

    2013-09-01

    Full Text Available Considerando-se a evidente busca por alimentos de rápido e fácil preparo, as comunidades industrial e científica vêm investindo no desenvolvimento de novos produtos que, além de atenderem a essa demanda, possam oferecer benefícios à saúde do consumidor. Dentre os alimentos que não demandam muito tempo para o preparo no domicílio, o hambúrguer merece destaque, em função do seu elevado consumo. No entanto, em razão de conter gordura saturada e por ser submetido a processo de fritura, o consumo demasiado desse produto pode ser prejudicial à saúde humana, podendo causar doenças crônicas, entre as quais, a obesidade e a hipertensão. Estudos têm demonstrado a possibilidade de substituição de ingredientes na formulação de hambúrgueres, com a intenção de incorporar substâncias com propriedades funcionais; portanto, substâncias que possam contribuir para a saúde e o bem-estar dos consumidores. Nesse contexto, esta revisão aborda questões referentes ao hambúrguer, no sentido de conceituar o produto e, à luz da literatura, oferecer alternativas possíveis e que têm sido estudadas para tornar esse alimento mais saudável, com foco na substituição de gordura animal por fibras e na redução do teor de cloreto de sódio.

  6. Incidence of short-term complications and associated factors after primary trabeculectomy in Chiang Mai University Hospital.

    Science.gov (United States)

    Leeungurasatien, Thidarat; Khunsongkiet, Preeyanuch; Pathanapitoon, Kassara; Wiwatwongwana, Damrong

    2016-10-01

    To determine the incidence of early postoperative complications and associated factors after primary trabeculectomy in Thai glaucoma patients. This was a retrospective observational study performed in Chiang Mai University Hospital. One hundred and eighteen glaucoma patients participated in the study. All glaucoma patients underwent primary trabeculectomy with mitomycin C (MMC) using fornix-based conjunctival flap technique between December 2011 and May 2013. Surgical complications during the first 3 months of follow-up were recorded, and associated risk factors were analyzed. The incidence of posttrabeculectomy complications was the main outcome measure. One hundred and eighteen eyes of 118 patients were included. Early postoperative complications developed in 55 eyes (56.7%). Complications included hypotony (25 eyes, 27.2%), serous choroidal detachment (CD) (14 eyes, 15.6%), subconjunctival hemorrhage (12 eyes, 13.0%), hyphema (11 eyes, 12.4%), bleb leak (8 eyes, 8.8%), encapsulated bleb (2 eyes, 2.2%), aqueous misdirection (1 eyes, 1.1%), corneal epithelial defect (1 eyes, 1.1%), and overfiltration (1 eyes, 1.1%). There were no reported cases of endophthalmitis or blebitis. Hypotony was associated with serous CD (P = 0.006), and hyphema was associated with neovascular glaucoma (NVG) patients (P = 0.009). NVG was not associated with the increased rate of surgical failure (P = 0.083). The incidence of early complications after first-time trabeculectomy with MMC was high (56.7%) in this Thai clinic setting, but most were transient and self-limited conditions. The correlations between hypotony and CD as well as hyphema and NVG were compatible with the previous studies.

  7. Prevalence, associated factors and impact of loneliness and interpersonal problems on internet addiction: A study in Chiang Mai medical students.

    Science.gov (United States)

    Simcharoen, Sutapat; Pinyopornpanish, Manee; Haoprom, Pattaraporn; Kuntawong, Pimolpun; Wongpakaran, Nahathai; Wongpakaran, Tinakon

    2018-01-01

    Internet addiction is common among medical students, and the prevalence is higher than the general population. Identifying and creating solutions for this problem is important. The aim of this study was to examine the prevalence and associated factors, particularly loneliness and interpersonal problems among Chiang Mai medical students. Of 324 first to sixth year medical students, 56.8% comprised females with a mean age of 20.88 (SD 1.8). All completed questionnaires related to the objectives and activities of internet use, the Young Internet Addiction Test, the UCLA loneliness scale, and the Interpersonal Problems Inventory were employed to identify internet addiction. In all, 36.7% of the subjects exhibited internet addiction, mostly at mild level. Amount of time used daily, loneliness and interpersonal problems were strong predictors (beta = 0.441, p < 0.05, beta = 0.219, p < 0.001 and beta = 0.203 p < 0.001, respectively), whereas age and sex were not. All objectives of using internet contributed to the variance of internet addiction score. For internet activities, only non-academic or studying contributed. The final model accounted for 42.8% of total variance of the internet addiction score. Even though most addiction was at a mild level, careful strategies should be applied to better understand the situation. Along with a screening for potential internet addiction among medical students, attention should be paid to identifying those who experience loneliness and interpersonal problems, because both are strong predictors that can be improved by a variety of appropriate intervention. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Patterns of Sexual Behavior in Lowland Thai Youth and Ethnic Minorities Attending High School in Rural Chiang Mai, Thailand.

    Science.gov (United States)

    Aurpibul, Linda; Tangmunkongvorakul, Arunrat; Musumari, Patou Masika; Srithanaviboonchai, Kriengkrai; Tarnkehard, Surapee

    2016-01-01

    The rural areas of Northern Thailand are home to a large cultural diversity of ethnic minority groups. Previous studies have shown that young people in rural Thailand have low levels of knowledge on HIV/AIDS and high sexual risks. We compared sexual behaviors between the lowland Thai youth and the youth from ethnic minority groups. This is a cross-sectional quantitative study conducted among high-school Thai and ethnic students in Chiang Mai. From a total 1215 participants, 487 (40.1%) were lowland Thai and 728 (59.9%) were from ethnic minorities. Overall, 17.9% of respondents reported "ever had sex." Lowland Thai adolescents were more likely to have ever had sex compared with ethnic minority adolescents (AOR, 1.61; CI, 1.06-2.45; P< 0.01). A higher proportion of lowland Thai respondents reported having ≥ 2 lifetime sexual partners (51.9% vs. 33.3%, P = 0.003), or currently having a boy/girlfriend (59.9% vs. 45.3%, P< 0.001) compared to ethnic minority adolescents. Consistent condom use was low in both groups (22.6%). The common significant factors associated with "ever had sex" in both groups were "ever drunk alcohol in the past year" and "currently having a boy/girlfriend." Specifically, for lowland Thai youth, being around the age of 17 or 18 years and "ever used methamphetamine in the past year" were associated with increased odds of "ever had sex". For ethnic minority adolescents, being female and belonging to religions other than Buddhism were associated with decreased odds of "ever had sex". A substantially higher proportion of lowland Thai engage in risky sexual behaviors when compared to ethnic minorities. However, both groups remained vulnerable to HIV and other sexually transmitted infections. To minimize sexual risks, education program and school-based interventions are warranted to increase awareness of young people about risky behaviors and to promote essential life skills.

  9. RISKY SEXUAL BEHAVIOR AMONG OUT-OF-SCHOOL THAI AND NON-THAI YOUTH IN URBAN CHIANG MAI, THAILAND.

    Science.gov (United States)

    Musumari, Patou Masika; Tangmunkongvorakul, Arunrat; Srithanaviboonchai, Kriengkrai; Manoyosa, Veruree; Tarnkehard, Surapee; Techasrivichien, Teeranee; Suguimoto, S Pilar; Ono-Kihara, Masako; Kihara, Masahiro; Chariyalertsak, Suwat

    2017-01-01

    Out-of-school youth in Thailand engage in risky sexual behavior that puts them at risk for contracting HIV infection and can have other negative sexual reproductive health outcomes. No study has examined risky sexual behaviors and compared them between Thai and non-Thai out-of-school youth. The current study compares sexual risk behavior and HIV testing behavior between out-of-school Thai and non-Thai youth. We conducted face-to-face interviews in this study population in urban Chiang Mai during 2014. Participants were recruited through convenience sampling from two main sources: non-formal education centers (NFECs) and social meeting places. We recruited 924 youth, aged 15-24 years, of whom 424 (45.9%) were Thai and 500 (54.1%) were non-Thai. The majority were attending NFECs (82.3%). Of the sexually experienced participants (57.7%), 75.4% did not use condoms consistently, and 50.3% had at least 2 lifetime sexual partners. Among the study participants, the Thai studied youth had significantly higher odds of ever having had sex (AOR=2.33; 95% CI: 1.56-3.49; p<0.001), having an earlier sexual debut (AOR=5.52; 95% CI: 2.71-11.25; p<0.001) and having a larger number of lifetime sexual partners (AOR=2.31; 95% CI: 1.37-3.88; p=0.002) than non-Thai participants. There was no significant difference between the Thai and non-Thai participants in terms of having HIV testing. The Thai studied youth were more likely to engage in risky sexual behavior than the non-Thai youth. However, both groups displayed risky sexual behaviors. Future research should explore indepth the drivers of risky sexual behaviors among both Thai and non-Thai youth.

  10. Tuberculosis among Healthcare Workers at Chiang Mai University Hospital, Thailand: Clinical and Microbiological Characteristics and Treatment Outcomes.

    Science.gov (United States)

    Inchai, Juthamas; Liwsrisakun, Chalerm; Bumroongkit, Chaiwat; Euathrongchit, Juntima; Tajarernmuang, Pattraporn; Pothirat, Chaicharn

    2018-05-24

    Tuberculosis (TB) among healthcare workers (HCWs) highly affects morbidity and TB transmission in hospitals. A retrospective cohort study of TB among HCWs (HCW-TB) was conducted using a registered database from 2003 to 2016 at Chiang Mai University Hospital to determine clinical and microbiological characteristics and treatment outcomes of HCW-TB. A total of 76 patients comprising 54 nurses (71.1%), 12 physicians (15.8%), and 10 paramedics (13.2%) were diagnosed with TB disease. The men to women ratio was 25:51, with a mean age of 37.0±11.6 years, a median work duration of 12.0 years (5-20) and a body mass index of 19.4±2.5 kg/m 2 . Within the HCW-TB group, 28 (36.8%) worked in the Medical Department, 12 (15.8%) worked in the Outpatient Department/Emergency Room, and 9 (11.8%) worked in the Surgical Department. Pulmonary TB (PTB) was the most common manifestation of HCW-TB (92.1%). Sputum acid-fast stains were positive among 28 (40.0%) HCWs with PTB. Mycobacterium tuberculosis cultures were positive in 26 (34.2%) patients. Drug susceptibility testing showed sensitivity to all first-line drugs (75.0%), resistance to any one first-line drug (20.8%), and multidrug-resistant TB comprised 4.2%. The end-of-treatment success rate was 100%. Therefore, TB control guidelines should be strictly implemented to prevent TB transmission in healthcare settings.

  11. Comparison of wet-only and bulk deposition at Chiang Mai (Thailand) based on rainwater chemical composition

    Science.gov (United States)

    Chantara, Somporn; Chunsuk, Nawarut

    The chemical composition of 122 rainwater samples collected daily from bulk and wet-only collectors in a sub-urban area of Chiang Mai (Thailand) during August 2005-July 2006 has been analyzed and compared to assess usability of a cheaper and less complex bulk collector over a sophisticated wet-only collector. Statistical analysis was performed on log-transformed daily rain amount and depositions of major ions for each collector type. The analysis of variance (ANOVA) test revealed that the amount of rainfall collected from a rain gauge, bulk collector and wet-only collector showed no significant difference ( ∝=0.05). The volume weight mean electro-conductivity (EC) values of bulk and wet-only samples were 0.69 and 0.65 mS/m, respectively. The average pH of the samples from both types of collectors was 5.5. Scatter plots between log-transformed depositions of specific ions obtained from bulk and wet-only samples showed high correlation ( r>0.91). Means of log-transformed bulk deposition were 14% (Na + and K +), 13% (Mg 2+), 7% (Ca 2+), 4% (NO 3-), 3% (SO 42- and Cl -) and 2% (NH 4+) higher than that of wet-only deposition. However, multivariate analysis of variance (MANOVA) revealed that ion depositions obtained from bulk and wet-only collectors were not significantly different ( ∝=0.05). Therefore, it was concluded that a bulk collector can be used instead of a wet-only collector in a sub-urban area.

  12. Aerosol transport from Chiang Mai, Thailand to Mt. Lulin, Taiwan - Implication of aerosol aging during long-range transport

    Science.gov (United States)

    Chuang, Ming-Tung; Lee, Chung-Te; Chou, Charles C.-K.; Engling, Guenter; Chang, Shih-Yu; Chang, Shuenn-Chin; Sheu, Guey-Rong; Lin, Neng-Huei; Sopajaree, Khajornsak; Chang, You-Jia; Hong, Guo-Jun

    2016-07-01

    The transport of biomass burning (BB) aerosol from Indochina may cause a potential effect on climate change in Southeast Asia, East Asia, and the Western Pacific. Up to now, the understanding of BB aerosol composition modification during long-range transport (LRT) is still very limited due to the lack of observational data. In this study, atmospheric aerosols were collected at the Suthep/Doi Ang Khang (DAK) mountain sites in Chiang Mai, Thailand and the Lulin Atmospheric Background Station (Mt. Lulin) in central Taiwan from March to April 2010 and from February to April 2013, respectively. During the study period, an upwind and downwind relationship between the Suthep/DAK and Lulin sites (2400 km apart) was validated by backward trajectories. Comprehensive aerosol properties were resolved for PM2.5 water-soluble inorganic ions, carbonaceous content, water-soluble/insoluble organic carbon (WSOC/WIOC), dicarboxylic acids and their salts (DCAS), and anhydrosugars. A Modification Factor (MF) is proposed by employing non-sea-salt potassium ion (nss-K+) or fractionalized elemental carbon evolved at 580 °C after pyrolized OC correction (EC1-OP) as a BB aerosol tracer to evaluate the mass fraction changes of aerosol components from source to receptor regions during LRT. The MF values of nss-SO42-, NH4+, NO3-, OC1 (fractionalized organic carbon evolved from room temperature to 140 °C), OP (pyrolized OC fraction), DCAS, and WSOC were above unity, which indicated that these aerosol components were enhanced during LRT as compared with those in the near-source region. In contrast, the MF values of anhydrosugars ranged from 0.1 to 0.3, indicating anhydrosugars have degraded during LRT.

  13. O intervalo Escola-Universidade: mais do que uma questão genérica

    Directory of Open Access Journals (Sweden)

    Cristina Becker Lopes Perna

    2017-12-01

    Full Text Available O presente artigo almeja trazer à agenda das discussões sobre letramento na universidade a lacuna existente entre o ensino e a aprendizagem de gêneros escolares e de gêneros acadêmicos. Nossa inquietação é fruto de uma preocupação com os alunos ingressantes em instituições de ensino superior que não tiveram uma experiência escolar com vistas a uma prática social de letramento acadêmico. A partir do tema proposto, refletimos sobre como a teoria dos gêneros discursivos, bem como sua aplicabilidade, auxilia no desenvolvimento do letramento acadêmico desses alunos universitários. A proficiência, ou inserção, na esfera discursiva acadêmica está muito relacionada com a competência genérica que o aluno deve possuir para assegurar sua comunicação de forma a alcançar seu status de sujeito discursivo e transformador. Portanto, defendemos que, aliada à análise de gêneros discursivos acadêmicos, a metodologia de ensino de Português para Fins Acadêmicos, aos moldes da consagrada área de Inglês para Fins Acadêmicos (English for Academic Purposes, pode, em muito, contribuir para se criar uma tradição de letramento acadêmico que propicie ao estudante uma experiência mais significativa não somente na sua esfera acadêmica, mas também no domínio discursivo do qual ele venha a participar, uma vez egresso da universidade e apto para atuar na sua profissão.

  14. Achados oculares em pacientes com mais de 99 anos Ocular findings in patients older than 99 years

    Directory of Open Access Journals (Sweden)

    Marcela Colussi Cypel

    2006-10-01

    Full Text Available OBJETIVO: Determinar as condições visuais e oculares em indivíduos com mais de 99 anos. MÉTODO: Estudo prospectivo e descritivo de série casos. Trinta idosos com mais de 99 anos se inscreveram no Instituto da Visão da Universidade Federal de São Paulo, de forma voluntária, respondendo à busca ativa. O exame oftalmológico constou de anamnese, ectoscopia, acuidade visual, exame refracional, citologia e cultura de cílios e conjuntiva com antibiograma, teste de Schirmer basal, tempo de ruptura do filme lacrimal, coloração com Rosa Bengala da conjuntiva e córnea, exame de biomicroscopia, tonometria de aplanação e fundoscopia direta e indireta. Foram realizados exames complementares, como retinografia e tomografia de coerência óptica, quando indicados. RESULTADOS: Trinta pacientes acima de 99 anos (média de 101,5±1,8 anos, dos quais, 25 mulheres e 5 homens, foram examinados; destes, 10 não tinham condições de exame completo, em razão de limitações de saúde e mobilidade. A doença sistêmica mais encontrada foi hipertensão arterial (8 pacientes = 40%. Cinco pacientes (25% negaram qualquer doença ou uso de medicação. A melhor acuidade visual corrigida para longe foi de 20/100 ou melhor em 11 pacientes (55% e para perto variou de J4 ou melhor também em 11 pacientes (55%, sendo que sete destes idosos (63% não haviam sido submetidos à cirurgia de catarata. A principal queixa foi dificuldade para leitura em 55% e 40% demonstrou estar satisfeito com a sua visão. A melhora da acuidade com prescrição de óculos novos ocorreu em 4 casos (20%. Catarata foi identificada como comprometendo a visão de forma significativa em 5 casos (25%; porém, apenas 2 concordaram com a cirurgia. A principal causa de baixa visão foi a degeneração macular relacionada à idade, presente em todos os casos; na maioria da vezes (95%, na forma seca. CONCLUSÃO: As necessidades da população nessa faixa etária devem ser entendidas para o

  15. Suur rahvusvaheline välisbalti arhiivide konverents südasuvises Tartus / Mai Raud-Pähn ; fotod Madis Laas

    Index Scriptorium Estoniae

    Raud-Pähn, Mai, 1920-

    2006-01-01

    Ettekannetega esinesid: Tiiu Kravtsev, Riina Reinvelt, Juta Kivimäe, Piret Noorhani, Merike Kiipus, Anu Korb, Anne Valmas, Mihkel Volt, Mare Rand, Inga Kuljus, Enn Mainla, Roland Weiler, Teas Tanner, Tiina Kirss, Jüri Kivimäe, Enda-Mai Michelson-Holland, Andrae, Carl Göran, Katrin Meerits ja Maie Barrow

  16. Defining specific problems in the thai government hospital buildings. A study of architectural planning and space management of maharaj hospital, Chiang Mai Thailand

    DEFF Research Database (Denmark)

    Prugsiganont, Supuck; Jensen, Per Anker

    The purpose of this paper is to present and analyse the preliminary results of field work observation in one of the biggest government hospitals in Thailand – the Maharaj Hospital, Chiang Mai, Thailand. Hospitals in Thailand are the result of the imported concept from the European and American...

  17. Ernstig gewonde verkeersslachtoffers in Nederland in 1993-2008 : het werkelijke aantal in ziekenhuizen opgenomen verkeersslachtoffers met een MAIS van ten minste 2.

    NARCIS (Netherlands)

    Reurings, M.C.B. & Bos, N.M.

    2009-01-01

    Seriously injured road crash casualties in the Netherlands in the period 1993-2008; The real number of in-patients with a minimum MAIS of 2. Road safety policy is aimed at reducing the numbers of road deaths and seriously injured in road safety crashes. In the Netherlands, a 'seriously injured

  18. Patterns of Sexual Behavior in Lowland Thai Youth and Ethnic Minorities Attending High School in Rural Chiang Mai, Thailand.

    Directory of Open Access Journals (Sweden)

    Linda Aurpibul

    Full Text Available The rural areas of Northern Thailand are home to a large cultural diversity of ethnic minority groups. Previous studies have shown that young people in rural Thailand have low levels of knowledge on HIV/AIDS and high sexual risks. We compared sexual behaviors between the lowland Thai youth and the youth from ethnic minority groups.This is a cross-sectional quantitative study conducted among high-school Thai and ethnic students in Chiang Mai. From a total 1215 participants, 487 (40.1% were lowland Thai and 728 (59.9% were from ethnic minorities. Overall, 17.9% of respondents reported "ever had sex." Lowland Thai adolescents were more likely to have ever had sex compared with ethnic minority adolescents (AOR, 1.61; CI, 1.06-2.45; P< 0.01. A higher proportion of lowland Thai respondents reported having ≥ 2 lifetime sexual partners (51.9% vs. 33.3%, P = 0.003, or currently having a boy/girlfriend (59.9% vs. 45.3%, P< 0.001 compared to ethnic minority adolescents. Consistent condom use was low in both groups (22.6%. The common significant factors associated with "ever had sex" in both groups were "ever drunk alcohol in the past year" and "currently having a boy/girlfriend." Specifically, for lowland Thai youth, being around the age of 17 or 18 years and "ever used methamphetamine in the past year" were associated with increased odds of "ever had sex". For ethnic minority adolescents, being female and belonging to religions other than Buddhism were associated with decreased odds of "ever had sex".A substantially higher proportion of lowland Thai engage in risky sexual behaviors when compared to ethnic minorities. However, both groups remained vulnerable to HIV and other sexually transmitted infections. To minimize sexual risks, education program and school-based interventions are warranted to increase awareness of young people about risky behaviors and to promote essential life skills.

  19. “Evaluation of a peer network intervention trial among young methamphetamine users in Chiang Mai, Thailand”

    Science.gov (United States)

    Sutcliffe, Catherine; Srirojn, Bangorn; Latkin, Carl A; Aramratanna, Ajpinun; Sherman, Susan G

    2009-01-01

    Since the 1990s, there has been a proliferation of methamphetamine use in Thailand, particularly among young people. Simultaneously, risky sexual behaviors among this population have increased. This study examined the effects of a peer network intervention and a life skills intervention on methamphetamine and HIV risk behaviors among 18–25 year olds in Chiang Mai, Thailand. Between April 2005 and June 2007, we conducted a randomized behavioral trial to compare the efficacy of a peer educator, network-oriented intervention with a best practice, life-skills curriculum on methamphetamine use, sexual behaviors, and incident sexually transmitted infections (STIs). Follow-up occurred at three, six, nine, and twelve months. Both conditions consisted of seven, two hour, small group sessions. Longitudinal analyses of the three outcomes were conducted by fitting repeated measures logistic regression models using generalized estimating equations. Participants (N=983) attended a median of six sessions, with no differences between arms. At each follow-up visit, retention was greater than 85%. Participants were 75% male and were a median of 19 years old. Over time, participants in both conditions showed a significant and dramatic decline in self-reported methamphetamine use (99% at baseline versus 53% at 12-months, p<0.0001) and significant increase in consistent condom use (32% baseline versus 44% at 12 months, p<0.0001). Incident STIs were common, with no differences between arms. Chlamydia had the highest incidence rate, 9.85/100 person-years and HIV had a low incidence rate of 0.71/100 person-years. Among young Thais, we found that a peer educator, network-oriented intervention was associated with reductions in methamphetamine use, increases in condom use, and reductions in incident STIs over 12 months. We also found parallel reductions with the life skills condition. To our knowledge, this is the first such trial targeting this population. Small group interventions are an

  20. A population-based survey on physical inactivity and leisure time physical activity among adults in Chiang Mai, Thailand, 2014.

    Science.gov (United States)

    Thanamee, Sanhapan; Pinyopornpanish, Kanokporn; Wattanapisit, Apichai; Suerungruang, Suparerk; Thaikla, Kanittha; Jiraporncharoen, Wichuda; Angkurawaranon, Chaisiri

    2017-01-01

    Reducing physical inactivity among the population is a challenge for many nations. Targeting leisure time physical activity (LTPA) may be useful in increasing overall physical activity as it is assumed it is associated with a higher degree of free choice and personal preference than physical activity at work and during travel. The study explored the prevalence of physical inactivity and focused on the overall level of energy expenditure and energy level spent during leisure time among those who were physically inactive and assessed the stages of change for LTPA among those who were physically inactive. A population-based survey was conducted in 2014 in Chiang Mai, Thailand using a stratified two-stage cluster sampling technique. The Global Physical Activity Questionnaire (GPAQ) was used to collect the data on physical activity. Sufficient levels of physical activity (PA) were defined as ≥150 min/week of moderate-intensity PA or ≥75 min/week of vigorous-intensity PA or ≥600 metabolic equivalent of task (MET)-minutes/week. Weighted analyses were used to estimate the prevalence of physical inactivity, the total energy expenditure and expenditure during LTPA as well as stages of change among the physically inactive population. A total of 1744 people (808 men and 936 women), aged 15 to 64 years, participated in the study. We estimated that a quarter (26%) of the population were physically inactive. Physical inactivity was more commonly found among women than men in most age groups. LTPA contributed a small proportion of overall PA. On average, physically inactive men spent 132.8 MET-minutes/week and inactive women spent 208.2 MET-minutes/week in overall PA which is well below the 600 MET-minutes/week recommend by the World Health Organization. Around 75% of physically inactive people had no intention of engaging in regular LTPA. About a quarter of the investigative population were physically inactive. Most physically inactive members of the population

  1. Blood cholinesterase activity levels of farmers in winter and hot season of Mae Taeng District, Chiang Mai Province, Thailand.

    Science.gov (United States)

    Hongsibsong, Surat; Kerdnoi, Tanyaporn; Polyiem, Watcharapon; Srinual, Niphan; Patarasiriwong, Vanvimol; Prapamontol, Tippawan

    2018-03-01

    Organophosphate and carbamate pesticides have been widely used by farmers for crop protection and pest control. Inhibition of acetylcholinesterase (AChE) in erythrocyte and butyrylcholinesterase (BChE) in plasma is the predominant toxic effect of organophosphate and carbamate pesticides. Mae Taeng District, Chiang Mai Province, is one of the large areas of growing vegetables and fruits. Due to their regular exposure to these pesticides, the farmers are affected by this toxicity. The objective of the study was to examine the AChE and the BChE activity levels in the blood of 102 farmers for comparison of exposure in two cropping seasons, winter and hot. Blood samples were collected in December 2013 (winter) and April-June 2014 (hot). A total of 102 farmers joined the study, represented by 76 males (74.5 %) and 26 females (25.5 %). The age of most of the farmers was 53.4 ± 8.7 years. Out of 102, 21 farmers used carbamate pesticides. The results showed that the AChE and the BChE activity levels of all the farmers were 3.27 ± 0.84 Unit/mL and 2.15 ± 0.58 Unit/mL, respectively. The AChE and the BChE activity levels in males were 3.31 ± 0.88 Unit/mL and 1.97 ± 0.60 U/mL, respectively, during winter and 3.27 ± 0.82 Unit/mL and 2.15 ± 0.58 U/mL, respectively, during the hot season, and AChE and the BChE activity levels in females were 3.27 ± 0.82 U/mL and 2.44 ± 0.56 U/mL, respectively, during the hot season. The cholinesterase activity levels, both AChE and BChE, in the male farmers' blood had significant difference between the two seasons, while in the case of the female farmers, there was significant difference in the BChE activity levels, at p < 0.05. The BChE activity level was found to significantly correlate with self-spray (p < 0.05), which implies that the BChE activity decreased when they sprayed by themselves. The cholinesterase activity levels of the present study were lower than those of the other

  2. EVALUATION OF THE “MAIS MÉDICOS” (“MORE DOCTORS” PROGRAM AS A STRENGTHENING POLICY OF PRIMARY HEALTHCARE

    Directory of Open Access Journals (Sweden)

    Silvania Moraes Costa

    2017-07-01

    Full Text Available The “Mais Médicos” (“More Doctors” Program in Brazil aims to solve the shortage of doctors by providing Brazilian and foreign professionals to work in cities with difficult access and marked socioeconomic vulnerability. This study aims to describe existing researches on the implementation of the “Mais Médicos” (More Doctors Program on Primary Healthcare. This is a descriptive research, in the form of an integrative review of literature according to data collection in the online databases: BVS and Scielo, with interrelations of Boolean operators and and or. The studies analyzed are: opinion articles, editorials, open space technology and debates, denoting the scarcity of original research carried out in this area. It is perceived that SUS (“Brazilian Unified Health System” needs to develop much more to guarantee the universal right to health, since the population, besides the necessity of more doctors, also needs better perspectives of health and social justice.

  3. O Programa Mais Educação e suas possibilidades de intensificar a jornada escolar na formação do aluno

    Directory of Open Access Journals (Sweden)

    Cleide Aparecida Pereira Cirino

    2016-06-01

    Full Text Available Esta pesquisa investigou as possibilidades de intensificar a jornada escolar na formação integral dos alunos que estão inseridos no Programa Mais Educação, instituído pelo Governo Federal em 2007 para a ampliação da jornada escolar e a organização curricular, na perspectiva da educação integral que visa atender o aluno em período integral. A metodologia foi de cunho qualitativo desenvolvida na Escola de Educação Básica Basiliano do Carmo de Jesus no Município de Sinop, onde foi desenvolvido o Programa, ressaltando a importância de compreender na prática como é o processo de escolarização e aprendizagem. Palavras-chave: Programa Mais Educação; escolarização; aprendizagem.

  4. Like, comment, share and all that jazz : social media as communication and marketing tool case: Social media marketing approaches used by MaiJazz music festival

    OpenAIRE

    Tanaskovic, Nenad

    2014-01-01

    Master's thesis in International hotel and tourism management Social networks have become an integral part of everyday life for many. With an increasing number of companies using social media to communicate and build relationships with their customers, social media might be considered as the newest element of the marketing mix. The thesis’ objective is to explore the use of social media communication tools used by the jazz music festival, MaiJazz, in Stavanger, to define key...

  5. Bone mineral density at distal forearm in men over 40 years of age in Mae Chaem district, Chiang Mai Province, Thailand: a pilot study.

    Science.gov (United States)

    Tungjai, Montree; Kaewjaeng, Siriprapa; Jumpee, Chayanit; Sriburee, Sompong; Hongsriti, Pongsiri; Tapanya, Monruedee; Maghanemi, Utumma; Ratanasthien, Kwanchai; Kothan, Suchart

    2017-09-01

    To study the prevalence of bone mineral density (BMD) and osteoporosis in the distal forearm among Thai men over 40 years of age in Mae Chaem District, Chiang Mai Province, Thailand. The subjects in this study were 194 Thai men, aged between 40 and 87 years who resided in Mae Chaem District, Chiang Mai Province, Thailand. Self-administered questionnaires were used for receiving the demographic characteristics information. BMD was measured by peripheral dual energy X-ray absorptiometry at the nondominant distal forearm in all men. The BMD was highest in the age-group 40-49 years and lowest in the age-group 70-87 years. The average T-score at the distal forearm was also highest in the age-group 40-49 years and lowest in the age-group 70-87 years. The BMD decreased as a function of age-group (p  .05). The percentage of osteopenia and osteoporosis are increased as a function of age-group in, while decreased in that of normal bone density. We found the prevalence of osteoporosis in men who resided in Mae Chaem District, Chiang Mai Province, Thailand.

  6. Recent Trends in Alcohol Outlet Density, Distances from Educational Institutions and Sales Campaigns in Chiang Mai Municipality (Metropolitan), Thailand: Should We Be Worried for Our Youths?

    Science.gov (United States)

    Thaikla, Kanittha; Jiraporncharoen, Wichuda; Semmahasak, Sukho; Likhitsathian, Surinporn; Angkurawaranon, Chaisiri

    2016-03-01

    Since 2008, alcohol control policies in Thailand have been considered quite comprehensive. The study aimed to investigate the subsequent changes in alcohol outlet density and patterns of sales promotion, which may be useful for monitoring the effectiveness of policies and helpful for planning prevention strategies to reduce alcohol-related harms. All accessible routes in the Chiang Mai Municipality (Metropolitan: CMM) were surveyed in 2009, 2011 and 2014. During each round of survey, the geographical coordinates of alcohol outlets and educational institutions in the CMM were recorded using the Global Navigation Satellite System (GNSS). In addition, alcohol sales campaigns were documented. Three main trends emerged by 2014. The first was that alcohol outlet density had increased. Second, the average distances between alcohol outlets and educational institutions decreased with evidence of clustering near educational institutions. Lastly, increased advertising of alcohol promotions and new sales campaigns not previously seen in 2009 and 2011 promoted high volume drinking in Chiang Mai Municipality (CMM). Our study reflects the potential gaps between some of the intended consequences of alcohol control policies and the actural trends emerging in Chiang Mai, Thailand. Young people in CMM may be at a particularly high risk for alcohol-related problems due to high exposure to alcohol outlets and sales campaigns near their educational institution. © The Author 2015. Medical Council on Alcohol and Oxford University Press. All rights reserved.

  7. Diverse HIV epidemics among people who inject drugs in Thailand: evidence from respondent-driven sampling surveys in Bangkok and Chiang Mai.

    Science.gov (United States)

    Prybylski, Dimitri; Manopaiboon, Chomnad; Visavakum, Prin; Yongvanitjit, Kovit; Aramrattana, Apinun; Manomaipiboon, Parnrudee; Tanpradech, Suvimon; Suksripanich, Orapin; Pattanasin, Sarika; Wolfe, Mitchell; Whitehead, Sara J

    2015-03-01

    Thailand's long-standing HIV sero-sentinel surveillance system for people who inject drugs (PWID) is confined to those in methadone-based drug treatment clinics and representative data are scarce, especially outside of Bangkok. We conducted probability-based respondent-driven sampling (RDS) surveys in Bangkok (n=738) and Chiang Mai (n=309) to increase understanding of local HIV epidemics and to better inform the planning of evidence-based interventions. PWID had different epidemiological profiles in these two cities. Overall HIV prevalence was higher in Bangkok (23.6% vs. 10.9%, pChiang Mai, HIV infections appear to be more recently acquired and PWID were younger and had higher levels of recent injecting and sexual risk behaviors with lower levels of intervention exposure. Methamphetamine was the predominant drug injected in both sites and polydrug use was common although levels and patterns of the specific drugs injected varied significantly between the sites. In multivariate analysis, recent midazolam injection was significantly associated with HIV infection in Chiang Mai (adjusted odds ratio=8.1; 95% confidence interval: 1.2-54.5) whereas in Bangkok HIV status was not associated with recent risk behaviors as infections had likely been acquired in the past. PWID epidemics in Thailand are heterogeneous and driven by local factors. There is a need to customize intervention strategies for PWID in different settings and to integrate population-based survey methods such as RDS into routine surveillance to monitor the national response. Published by Elsevier Ireland Ltd.

  8. Sexual health, risky sexual behavior and condom use among adolescents young adults and older adults in Chiang Mai, Thailand: findings from a population based survey.

    Science.gov (United States)

    Pinyopornpanish, Kanokporn; Thanamee, Sanhapan; Jiraporncharoen, Wichuda; Thaikla, Kanittha; McDonald, Jessica; Aramrattana, Apinun; Angkurawaranon, Chaisiri

    2017-12-04

    Sexual health is one of the key dimensions of health across all ages. Understanding risky sexual behaviors remains an important area of public health research. This study aimed to explore sexual health, risky sexual behaviors and factors associated with recent condom use as condom use is considered a main intervention proven to reduce negative health consequences of risky sexual behaviors, specifically related to sexually transmitted infections and unintended pregnancies. A stratified two-stage cluster sampling technique survey was conducted in Chiang Mai, Thailand. Information was obtained about age of first sexual intercourse, sexual activity, condom use, number of partners and history of drug/alcohol use prior to sexual activities within the past 3 months. A weighted analysis was performed to account for data clustering. It is estimated that most men (93%) and women (86%) in Chiang Mai have engaged in sexual intercourse. More than 70% of the people in Chiang Mai over age 30 remained sexually active in the past 3 months, even for populations over age 50. Eight percent of male teenagers reported having more than one sexual partner in the past 3 months. Regular condom use was reported in less than 5% of the population (6.6% men and 3.1% women). Our study demonstrated that sexual health is an important public health issue across all age groups. Condom use has been promoted as one way to minimize and prevent unintended consequences of sexual behavior but overall use remains low.

  9. Effects of pharmacists' interventions on appropriateness of prescribing and evaluation of the instruments' (MAI, STOPP and STARTs' ability to predict hospitalization--analyses from a randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Ulrika Gillespie

    Full Text Available Appropriateness of prescribing can be assessed by various measures and screening instruments. The aims of this study were to investigate the effects of pharmacists' interventions on appropriateness of prescribing in elderly patients, and to explore the relationship between these results and hospital care utilization during a 12-month follow-up period.The study population from a previous randomized controlled study, in which the effects of a comprehensive pharmacist intervention on re-hospitalization was investigated, was used. The criteria from the instruments MAI, STOPP and START were applied retrospectively to the 368 study patients (intervention group (I n = 182, control group (C n = 186. The assessments were done on admission and at discharge to detect differences over time and between the groups. Hospital care consumption was recorded and the association between scores for appropriateness, and hospitalization was analysed.The number of Potentially Inappropriate Medicines (PIMs per patient as identified by STOPP was reduced for I but not for C (1.42 to 0.93 vs. 1.46 to 1.66 respectively, p<0.01. The number of Potential Prescription Omissions (PPOs per patient as identified by START was reduced for I but not for C (0.36 to 0.09 vs. 0.42 to 0.45 respectively, p<0.001. The summated score for MAI was reduced for I but not for C (8.5 to 5.0 and 8.7 to 10.0 respectively, p<0.001. There was a positive association between scores for MAI and STOPP and drug-related readmissions (RR 8-9% and 30-34% respectively. No association was detected between the scores of the tools and total re-visits to hospital.The interventions significantly improved the appropriateness of prescribing for patients in the intervention group as evaluated by the instruments MAI, STOPP and START. High scores in MAI and STOPP were associated with a higher number of drug-related readmissions.

  10. Produits locaux entre nature et culture : de la ferme voisine au terroir. Entretien avec Laurence Bérard

    Directory of Open Access Journals (Sweden)

    Virginie Amilien

    2005-05-01

    Full Text Available V.A. : Laurence Bérard, vous représentez la moitié du célèbre duo Bérard et Marchenay, dont articles et ouvrages sur produits de terroir en France sont incontournables, et c’est à ce titre que vous nous accordez un entretien aujourd’hui pour le numéro sur les produits alimentaires locaux du journal Anthropology of Food. Alors je commencerais par la traditionnelle question : si je vous dis produits locaux, à quoi pensez-vous ?  L.B. : Produits locaux… et pas de produits de terroir…I.T. : Non j...

  11. Resultados perinatais em grávidas com mais de 35 anos: estudo controlado Perinatal results in pregnant women with more than 35 years: a controlled study

    Directory of Open Access Journals (Sweden)

    Priscilla Chamelete Andrade

    2004-10-01

    Full Text Available OBJETIVO: avaliar os resultados perinatais em gestantes com mais de 35 anos e verificar diferenças nos grupos entre 35 e 39 anos e acima de 40 anos. MÉTODOS: entre janeiro de 2000 e julho de 2003, realizou-se estudo retrospectivo por análise de fichas obstétricas de 3093 gestantes, excluindo-se 933 gestantes. As pacientes foram divididas em 3 grupos: 18 a 29 anos (grupo controle, 30 a 39 anos e mais de 40 anos. A coleta de dados foi realizada por meio de formulário padronizado e os dados foram transferidos para uma planilha eletrônica (Excel - Microsoft Office 2000. Para a análise estatística, foram utilizados o teste do chi2 e o teste de Fisher, sendo considerado risco a (alfa menor ou igual a 5% e intervalo de confiança de 95%. RESULTADOS: a via de parto mais utilizada para essas pacientes foi a cesárea, tanto no grupo de 35 a 39 anos (438/792; 55,3%, quanto nas gestantes com mais de 40 anos (153/236; 64,8%. A taxa de prematuridade (39/236; 16,5%, o baixo peso ao nascer (37/236; 15,7% e a restrição de crescimento fetal (38/236; 16,1% foram mais altas entre as gestantes tardias, com mais de 40 anos, com diferença significante em relação aos demais grupos. Quanto à ocorrência de óbito fetal, foi constatado nas gestantes de 40 anos incidência cinco vezes maior quando comparado aos outros grupos (diferença estatisticamente significante. CONCLUSÃO: a comparação entre o grupo de gestantes de 35 a 39 anos com o grupo controle apenas diferiu significantemente quanto ao índice de cesáreas, o que nos permite sugerir acompanhamento pré-natal diferenciado para o grupo de gestantes acima de 40 anos.PURPOSE: to evaluate perinatal results in pregnant women over 35 years old and to check differences between two groups: 35 to 39-year-old women and women older than 40. METHODS: a retrospective survey was made during the period between January/2000 and July/2003, through the analysis of obstetric charts of 3,093 pregnant women who

  12. Sucesso na escola: só o currículo, nada mais que o currículo! Success at scholl: all curriculum, nothing else!

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    Philippe Perrenoud

    2003-01-01

    Full Text Available O desenvolvimento e o caráter oficial das avaliações internacionais e de padrões nacionais de rendimento escolar favorecem a coexistência de uma dupla definição institucional de sucesso escolar. A definição habitual leva em conta o ensino efetivamente ministrado, adapta-se ao nível dos alunos e apresenta uma fidedignidade duvidosa. A segunda é mais objetiva, mas privilegia o que pode ser medido por testes padronizados: o cognitivo mais do que o socioafetivo, as capacidades e conhecimentos mais que as competências e a relação com o saber. As duas avaliações entram em conflito. As regulações necessárias poderiam levar a uma aproximação do ideal: considerar, na avaliação do sucesso escolar, todos os componentes do currículo prescrito e tão-somente eles.Development and the official character of international assessments surveys and national standards of school performance favour the coexistence of a double institutional definition of success at school. The usual ones take into account the curriculum effectively taught, adapt itself to the levels of the pupils and present a rather doubtful reliability. The second one is more objective, but gives a too great weight to what can be measured through standardised tests: the cognitive more than the socio-emotional, the capacities and the knowledge more than the competencies and the relationship to knowledge. Both assessment and ordinary school evaluations are now in conflict. Necessary regulations could move them closer to the ideal, if they employed in order to consider the success at school, all the components of the formal curriculum and them only.

  13. Prevalence of infection and molecular confirmation by using ITS-2 region of Fasciola gigantica found in domestic cattle from Chiang Mai province, Thailand.

    Science.gov (United States)

    Phalee, Anawat; Wongsawad, Chalobol

    2014-03-01

    To investigate the infection of Fasciola gigantica (F. gigantica) in domestic cattle from Chiang Mai province and molecular confirmation using ITS-2 region. The liver and gall bladder of Bubalus bubalis (B. bubalis) and Bos taurus (B. taurus) from slaughterhouses were examined adult worms and prevalence investigation. The species confirmation with phylogenetic analysis using ITS-2 sequences was performed by maximum likelihood and UPGMA methods. The total prevalences of infection in B. bubalis and Bubalus taurus (B. taurus) were 67.27% and 52.94% respectively. The respective prevalence in both B. bubalis and B. taurus were acquired from Doi-Saket, Muang, and Sanpatong districts, with 81.25%, 62.50% and 60.00% for B. bubalis and 62.50%, 50.00% and 47.06% for Bos taurus respectively. The species confirmation of F. gigantica and some related species by basing on maximum likelihood and UPGMA methods used, 4 groups of trematodes were generated, first F. gigantica group including specimen of Chiang Mai, second 2 samples of F. hepatica, third group of 3 rumen flukes; Orthocoelium streptocoelium, F. elongatus and Paramphistomum epliclitum and fourth group of 3 minute intestinal flukes; Haplorchis taichui, Stellantchasmu falcatus, Haplorchoides sp. and liver fluke; Opisthorchis viverrini respectively. These results can be confirmed the Giant liver fluke which mainly caused fascioliasis in Chiang Mai was identified as F. gigantica and specimens were the same as those of F. gigantica recorded in other different countries. Nucleotide sequence of ITS-2 region has been proven as effective diagnostic tool for the identification of F. gigantica. Copyright © 2014 Hainan Medical College. Published by Elsevier B.V. All rights reserved.

  14. Like nobody else: the secrets of metaphorical style Como ninguém mais: os segredos do estilo metafórico

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    Jeannine M. Fontaine

    2004-06-01

    Full Text Available Metaphor is pervasive in literature, and metaphorical choices can be seen as central to what we call an author's 'style.' This study provides an illustrative overview, based on fifty-page prose excerpts from fourteen authors representing diverse genres and periods. Categorizing examples by frequency, syntactic form and meaning, a clear characteristic or combination of characteristics readily emerges for each novelist. Having covered these, we then look in more detail at the semantics of metaphor in Arundhati Roy's novel The God of Small Things. Finally, we hypothesize that an expanded study, considering the function of metaphors in text and their interre lationships, could yield an increasingly fine-grained measure of metaphorical style.A metáfora é uma constante na literatura, e escolhas metafóricas podem ser consideradas essenciais ao que chamamos do estilo do autor. Este estudo fornece uma revisão ilustrada, baseada em trechos de cinqüenta páginas, selecionadas de catorze autores que representam diversos gêneros e períodos. Quando categorizamos exemplos por freqüência, forma sintática, e significado, facilmente emerge uma característica evidente, ou uma combinação de características para cada autor. Nós então analisamos mais detalhadamente a semântica da metáfora no livro The God of Small Things, de Arundhati Roy. Finalmente, propomos que um estudo mais extensivo, considerando a função das metáforas e suas Inter-relações, pode resultar numa medida cada vez mais precisa do estilo metafórico.

  15. Source indicators of biomass burning associated with inorganic salts and carboxylates in dry season ambient aerosol in Chiang Mai Basin, Thailand

    Science.gov (United States)

    Tsai, Ying I.; Sopajaree, Khajornsak; Chotruksa, Auranee; Wu, Hsin-Ching; Kuo, Su-Ching

    2013-10-01

    PM10 aerosol was collected between February and April 2010 at an urban site (CMU) and an industrial site (TOT) in Chiang Mai, Thailand, and characteristics and provenance of water-soluble inorganic species, carboxylates, anhydrosugars and sugar alcohols were investigated with particular reference to air quality, framed as episodic or non-episodic pollution. Sulfate, a product of secondary photochemical reactions, was the major inorganic salt in PM10, comprising 25.9% and 22.3% of inorganic species at CMU and TOT, respectively. Acetate was the most abundant monocarboxylate, followed by formate. Oxalate was the dominant dicarboxylate. A high acetate/formate mass ratio indicated that primary traffic-related and biomass-burning emissions contributed to Chiang Mai aerosols during episodic and non-episodic pollution. During episodic pollution carboxylate peaks indicated sourcing from photochemical reactions and/or directly from traffic-related and biomass burning processes and concentrations of specific biomarkers of biomass burning including water-soluble potassium, glutarate, oxalate and levoglucosan dramatically increased. Levoglucosan, the dominant anhydrosugar, was highly associated with water-soluble potassium (r = 0.75-0.79) and accounted for 93.4% and 93.7% of anhydrosugars at CMU and TOT, respectively, during episodic pollution. Moreover, levoglucosan during episodic pollution was 14.2-21.8 times non-episodic lows, showing clearly that emissions from biomass burning are the major cause of PM10 episodic pollution in Chiang Mai. Additionally, the average levoglucosan/mannosan mass ratio during episodic pollution was 14.1-14.9, higher than the 5.73-7.69 during non-episodic pollution, indicating that there was more hardwood burning during episodic pollution. Higher concentrations of glycerol and erythritol during episodic pollution further indicate that biomass burning activities released soil biota from forest and farmland soils.

  16. Investigation of Ionospheric Disturbances Using Radio and Optical Observations in South-East Asia -- The Initial Results of the ASI and FPI Observations in Chiang Mai, Thailand

    Science.gov (United States)

    Kubota, M.; Nagatsuma, T.; Otsuka, Y.; Shiokawa, K.; Komonjinda, S.; Komolmis, T.; Somboon, E.; Tsugawa, T.; Maruyama, T.; Murata, K. T.

    2010-12-01

    For the purpose of monitoring and forecasting equatorial ionospheric disturbances, SEALION (SouthEast Asia Low-latitude IOnospheric Network) has been developed since 2003 as a cooperation project by National Institute of Information and Communications Technology (NICT), King Mongkut's Institute of Technology Ladkrabang (KMITL) in Thailand, Chiang Mai University (CMU) in Thailand, National Institute of Aeronautics and Space (LAPAN) in Indonesia, Hanoi Institute of Geophysics (HIG), Vietnamese Academy of Science and Technology in Vietnam, Center for Space Science and Applied Research (CSSAR), Chinese Academy of Sciences in China, Kyoto University in Japan, and Solar-Terrestrial Environment Laboratory (STEL), Nagoya University in Japan. SEALION consists of five ionosondes, four GPS receivers, two GPS scintillation monitors, and a magnetometer. As a part of this project, we newly installed an all-sky imager (ASI) and a Fabry-Perot Interferometer (FPI) at Sirindhorn observatory in Chiang Mai (18.8N, 98.9E, Dip lat. 13.1), Thailand. This site is located near conjugate to EAR site in Kototabang, Indonesia. One of main targets of the ASI observation is the large-scale wave structure (LSWS) with wavelengths of 100-1000 km. The LSWS is thought to be connected to the generation mechanism of equatorial plasma bubbles (EPB). The optical observations in Chiang Mai started in February 2010, and we have detected several ionospheric disturbance events with these instruments In this paper, we will show the initial results of the optical observations from Sirindhorn observatory, and discuss the features of ionospheric disturbances in Southeast Asia.

  17. A relação de trabalho dos médicos no projeto “mais médicos para o Brasil”

    OpenAIRE

    Soares, Elaine Cristina; Botelho, Marcos César

    2016-01-01

    This paper studies the legal relationships created by the law 12.871/2.013 that instituted the program “Mais Médicos para o Brasil”, which translates to “more medics or doctors for Brazil”. This program allows Brazilian and foreign doctors to practice medicine in the Brazilian territory and allows for the possible legal relationship ?s framework of physicians as an employment relationship. The law 12.871/2.013 disciplined the practice of medicine by the program ?s doctors and is acknowledged ...

  18. Doenças hereditárias, aconselhamento genético e redes familiares e sociais: da ética intergeracional ao papel dos mais velhos

    Directory of Open Access Journals (Sweden)

    Álvaro Mendes

    2012-11-01

    Full Text Available Este artigo de revisão da literatura centra tópicos relevantes na investigação e intervenção em redes familiares e sociais no âmbito do aconselhamento genético. Foca o papel dos familiares mais idosos na gestão psicossocial do risco genético a doenças hereditárias (particularmente, cancros hereditários e suas implicações no aconselhamento genético, nomeadamente apoio social e comunicação intrafamiliar sobre o risco genético.

  19. Dreams of the Hmong Kingdom: The Quest for Legitimation in French Indochina, 1850- 1960, by Mai Na M. Lee. Madison, University of Wisconsin Press, 2015. 430 pages.

    Directory of Open Access Journals (Sweden)

    Nengher N. Vang

    2015-12-01

    Full Text Available This article provides a book review of Mai Na M. Lee’s Dreams of the Hmong Kingdom: The Quest for Legitimation in French Indochina, 1850-1960. Dreams of the Hmong Kingdom. It highlights the contribution of the book to the historiography of the Hmong and provides a critical assessment of the dichotomous analytical framework that Lee uses to analyze the rivalry between Hmong messianic leaders and Hmong political brokers and the competition between the Ly and Lo clans for paramountcy in French Indochina

  20. Pela possibilidade do uso de novas metáforas na pesquisa transcultural: menos distância e mais fricção

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    Ana Celano

    Full Text Available A metáfora da distância cultural vem dominando a área de estudos transculturais há mais de quatro décadas por meio de uma visão centrada, sobretudo, no interesse econômico e nas diferenças culturais entre países. O uso dessa metáfora se fundamenta em epistemologia positivista e adota lentes de uma visão estreita; embora, paradoxalmente, seja aplicada à área internacional. O objetivo deste artigo é problematizar os argumentos de Shenkar (2001; 2008 e Luo e Shenkar (2007, segundo os quais a metáfora de "distância" não é apropriada para compreensão, descrição e análise do impacto da questão cultural em negócios internacionais. Propõe-se, aqui, sua substituição pela metáfora da "fricção cultural", que captura de forma mais legítima a essência das questões transculturais aplicadas aos fenômenos em negócios internacionais.

  1. The Associations of Perceived Social Support with Key HIV Risk and Protective Factors Among Young Males Who Have Sex with Males in Bangkok and Chiang Mai, Thailand.

    Science.gov (United States)

    Johnston, Lisa; Steinhaus, Mara; Sass, Justine; Benjarattanaporn, Patchara; Sirinirund, Petchsri; Siraprapasiri, Taweesap; Gass, Robert

    2018-06-01

    This study used respondent-driven sampling to explore the effects of social support on HIV risk and protective factors among young males who have sex with males (YMSM) in Bangkok (N = 273) and Chiang Mai (N = 243), Thailand. It compared different measures of social support, including living situation, the proportion of family and friends to whom the respondent had disclosed their same-sex attraction, and scores on the multi-dimensional scale of perceived social support as predictors of two outcomes of interest-coerced first sex and HIV knowledge. Social support from family played a mediating role in both outcomes among YMSM in Bangkok but not those from Chiang Mai. Though social support from friends was also studied, it was less strongly associated with the outcomes of interest. The findings support interventions designed to leverage social support networks to increase HIV knowledge and decrease coerced first sex among YMSM. At the same time, they demonstrate that there is not a single risk or demographic profile encompassing all YMSM. Successful programs and policies will need to consider the specific attributes and social environment of YMSM in particular locations in order to effectively address HIV risks.

  2. Sexually transmitted disease prevalence in brothel-based commercial sex workers in Chiang Mai, Thailand: impact of the condom use campaign.

    Science.gov (United States)

    Rugpao, S; Wanapirak, C; Sirichotiyakul, S; Yutabootr, Y; Prasertwitayakij, W; Suwankiti, S; Wongworapat, K; Tovanabutra, S; Natpratan, C; Saba, J

    1997-07-01

    One hundred and ninety five (195) brothel-based commercial sex workers (CSW) in Chiang Mai, Thailand, were screened for sexually transmitted disease (STD) between October 1994 and April 1995, prior to their enrollment in a multi-center comparative trial of the effectiveness of two strategies using male and female condoms. These CSW had a mean age of 22.2 (SD 4.3) years. Forty-seven per cent were Thai and 57.4 per cent had no formal education. Median duration of prostitution was 16 months and median cost for sexual service was 50 baht (US$ 2) per client. Ninety-four per cent of CSW reported always using condoms with clients. There were 63 (32.3%) CSW infected with at least one type of the STD screened. The prevalence of STD included chlamydial infection (16.9%), gonococcal infection (14.4%), condyloma accuminata (4.6%), moluscum contagiosum (2.6%) and trichomoniasis (1.0%). There was no statistically significant risk factor for STD found in this study. Despite an active programme for prevention of STD in CSW and the provision of free condoms, STD were diagnosed in one-third of the screened CSW in Chiang Mai. The programme needs to be strengthened by more intensive education and practice in the correct and consistent use of condoms and integrated with other STD prevention programmes.

  3. University Cooperation Platform (UCP) between Christian-Albrechts-University Kiel (Germany) and Chiang Mai University (Thailand): implementation of image-guided gynecological brachytherapy.

    Science.gov (United States)

    Galalae, Razvan; Tharavichitkul, Ekkasit; Wanwilairat, Somsak; Chitapanarux, Imjai; Kimmig, Bernhard; Dunst, Jürgen; Lorvidhaya, Vicharn

    2015-02-01

    Starting in 1999, the University Cooperation Platform (UCP) implemented an exchange program of researchers and clinicians/physicists between the Christian-Albrechts-University Kiel in Germany and Chiang Mai University in Thailand, to initiate a sustainable base for long-term development of image-guided brachytherapy and in general for high-technology radiotherapy in Chiang Mai. A series of UCP protocols, based constructively on each other, were performed and evaluated at intermediate term follow-up. The first protocol, addressing computed tomography (CT)-optimized brachytherapy for advanced cervical cancer (n = 17), showed a significant reduction of D2cc for the bladder and sigmoid (p 80 Gy for bladder in only 17.2% versus 62.1% in conventional planning, and in rectum EQD2 > 75 Gy in 44.8% versus 79.3%, respectively. In conclusion, analyses revealed excellent results for the high-dose-rate IGBT in patients with advanced gynecological cancer both by using CT and MRI, and/or the combination with WP-IMRT. They also define MRI as gold standard for soft tissue assessment and to determine more accurately HR-CTV. The use of TAUS-guidance adds quality aspects to the "classical" conventional X-ray based planning, especially in terms of real-time measures and adequate soft tissue information, and may lower significantly the dose in OARs. The review of all UCP-results reconfirms the importance of the established program that will continue to operate with subsequent projects.

  4. Development of a NEHRP site classification map of Chiang Mai city, Thailand, based on shear-wave velocity using the MASW technique

    Science.gov (United States)

    Thitimakorn, Thanop

    2013-08-01

    To account for site amplification and seismic hazard mapping, the shear-wave velocity (Vs) profile to a depth of 30 m (Vs (30)) is an important parameter and can be used to calculate the ground motion for specific site conditions. In this study, the near-surface Vs profiles of soils were collected at 44 sites in Chiang Mai city using the multi-channel analysis of surface-wave technique. The Vs of each tested location was average weighted to Vs (30) based on the National Earthquake Hazards Reduction Program (NEHRP) criteria. The average Vs (30) value of the alluvium soils was about 362 m s-1, which falls between NEHRP site classes C and D. The average Vs (30) values of flood plain, fluvial clay and natural levee soils (at 300, 299 and 311 m s-1, respectively) all equated to NEHRP class D. The colluvial deposits in the north-western part of the city were mainly composed of gravel, coarse sand and rock fragments, and were assigned to class C (average Vs (30) of 412 m s-1). Soils with lower Vs values will experience higher earthquake ground shaking than those of the bedrock. Accordingly the major part of Chiang Mai city may experience substantial ground shaking due to the amplification in the soft soils.

  5. O RISCO DOS EXTREMOS: UMA ANÁLISE DA IMPLANTAÇÃO DO PROGRAMA MAIS MÉDICOS EM UM CONTEXTO DE VOLATILIDADE ORÇAMENTÁRIA

    Directory of Open Access Journals (Sweden)

    Annabelle de Fátima Modesto Vargas

    2016-07-01

    Full Text Available O artigo busca analisar desafios e impasses na implementação do Programa Mais Médicos, no município de Campos dos Goytacazes, no Estado do Rio de Janeiro. O estudo pretende ressaltar a guinada nas estratégias e ações da gestão pública municipal de saúde e, mais especificamente, traz como diferencial analítico a mudança de status orçamentário do município, decorrente da queda dos royalties do petróleo e as implicações na condução das políticas públicas. O argumento parte, de um lado, dos tempos de abundância e de escassez de recursos; e de outro, da empiria, relatada pela experiência profissional na Estratégia Saúde da Família. Os achados apontam que a chegada de médicos estrangeiros promoveu uma reestruturação positiva dos serviços de saúde. No entanto, pode-se perceber que o intercâmbio cultural, possibilitado pelo contato entre os profissionais brasileiros e cubanos no cotidiano de trabalho, propiciou novas práticas profissionais, valorizando as tecnologias relacionais.

  6. Mapping Two-Dimensional Deformation Field Time-Series of Large Slope by Coupling DInSAR-SBAS with MAI-SBAS

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    Liming He

    2015-09-01

    Full Text Available Mapping deformation field time-series, including vertical and horizontal motions, is vital for landslide monitoring and slope safety assessment. However, the conventional differential synthetic aperture radar interferometry (DInSAR technique can only detect the displacement component in the satellite-to-ground direction, i.e., line-of-sight (LOS direction displacement. To overcome this constraint, a new method was developed to obtain the displacement field time series of a slope by coupling DInSAR based small baseline subset approach (DInSAR-SBAS with multiple-aperture InSAR (MAI based small baseline subset approach (MAI-SBAS. This novel method has been applied to a set of 11 observations from the phased array type L-band synthetic aperture radar (PALSAR sensor onboard the advanced land observing satellite (ALOS, spanning from 2007 to 2011, of two large-scale north–south slopes of the largest Asian open-pit mine in the Northeast of China. The retrieved displacement time series showed that the proposed method can detect and measure the large displacements that occurred along the north–south direction, and the gradually changing two-dimensional displacement fields. Moreover, we verified this new method by comparing the displacement results to global positioning system (GPS measurements.

  7. Seasonal variation, risk assessment and source estimation of PM 10 and PM10-bound PAHs in the ambient air of Chiang Mai and Lamphun, Thailand.

    Science.gov (United States)

    Pengchai, Petch; Chantara, Somporn; Sopajaree, Khajornsak; Wangkarn, Sunanta; Tengcharoenkul, Urai; Rayanakorn, Mongkon

    2009-07-01

    Daily PM10 concentrations were measured at four sampling stations located in Chiang Mai and Lamphun provinces, Thailand. The sampling scheme was conducted during June 2005 to June 2006; every 3 days for 24 h in each sampling period. The result revealed that all stations shared the same pattern, in which the PM10 (particulate matters with diameter of less than 10 microm) concentration increased at the beginning of dry season (December) and reached its peak in March before decreasing by the end of April. The maximum PM10 concentration for each sampling station was in the range of 140-182 microg/m(3) which was 1.1-1.5 times higher than the Thai ambient air quality standard of 120 microg/m(3). This distinctly high concentration of PM10 in the dry season (Dec. 05-Mar. 06) was recognized as a unique seasonal pattern for the northern part of Thailand. PM10 concentration had a medium level of negative correlation (r = -0.696 to -0.635) with the visibility data. Comparing the maximum PM10 concentration detected at each sampling station to the permitted PM10 level of the national air quality standard, the warning visibility values for the PM10 pollution-watch system were determined as 10 km for Chiang Mai Province and 5 km for Lamphun Province. From the analysis of PM10 constituents, no component exceeded the national air quality standard. The total concentrations of PM10-bond polycyclic aromatic hydrocarbons (PAHs) are calculated in terms of total toxicity equivalent concentrations (TTECs) using the toxicity equivalent factors (TEFs) method. TTECs in Chiang Mai and Lamphun ambient air was found at a level comparable to those observed in Nagasaki, Bangkok and Rome and at a lower level than those reported at Copenhagen. The annual number of lung cancer cases for Chiang Mai and Lamphun Provinces was estimated at two cases/year which was lower than the number of cases in Bangkok (27 cases/year). The principal component analysis/absolute principal component scores (PCA

  8. Fall-related factors among less and more active older outpatients Fatores associados a quedas em pacientes idosos ambulatoriais menos ativos e mais ativos

    Directory of Open Access Journals (Sweden)

    Monica R. Perracini

    2012-04-01

    Full Text Available BACKGROUND: Fall-related factors in older adults with different levels of physical activity, within a multidimensional approach, have not been widely investigated. OBJECTIVE: To explore fall-related factors among older adults with different physical activity levels. METHODS: A cross-sectional, exploratory study with 118 older adult outpatients. Participants who reported at least one fall in the previous 12 months were considered fallers. The activity level was assessed through the Human Activity Profile. A cutoff of 54 points was used to define the less active group and the more active group. A multidimensional questionnaire and a set of physical functioning tests were applied. RESULTS: Fall prevalence was lower among the more active older adults (47.4% when compared with the less active older adults (71.4% (pCONTEXTUALIZAÇÃO: Fatores relacionados a quedas em idosos com diferentes níveis de atividade física, por meio de uma abordagem multidimensional, não têm sido amplamente investigados. OBJETIVO: Explorar os fatores relacionados a quedas em idosos com diferentes níveis de atividade física. MÉTODOS: Estudo transversal exploratório com 118 pacientes idosos ambulatoriais. Participantes que relataram ao menos uma queda nos últimos 12 meses foram considerados caidores. O nível de atividade física foi avaliado por meio do Perfil de Atividade Humana (PAH. O ponto de corte de 54 pontos foi usado para definir o grupo menos ativo e o grupo mais ativo. Um questionário multidimensional e uma bateria de testes físico-funcionais foram utilizados. RESULTADOS: A prevalência de quedas foi menor no grupo de idosos mais ativos (47,4% quando comparada à dos idosos menos ativos (71,4% (p<0,013. A análise de regressão logística multivariada identificou que, no grupo mais ativo, ter caído estava associado a sintomas depressivos (OR=0,747, IC95%=0,575-0,970; p=0,029, preocupação em cair (OR=1,17, IC95%=1,072-1,290; p=0,001 e velocidade de

  9. Como conhecer o trabalho quando o trabalho não é mais o trabalho? How to recognize work when is not work anymore?

    Directory of Open Access Journals (Sweden)

    Abdallah Nouroudine

    2011-01-01

    Full Text Available Como conhecer o trabalho quando o trabalho não é mais o trabalho? Esta pergunta comporta dois aspectos: o primeiro é de ordem metodológica (como conhecer o trabalho?. O segundo diz respeito a este objeto hipotético que seria 'o trabalho que não é mais o trabalho'. Se este último designa o trabalho não mercantil e o trabalho informal por distinção (ou oposição ao trabalho mercantil, então o 'trabalho que não é mais o trabalho' continua sendo, na realidade, um trabalho. Todavia, ele é diferente do trabalho mercantil, que, de acordo com uma postura etnocêntrica, supostamente constitui uma referência para a avaliação da natureza das atividades humanas. Mas, qualquer que seja o modo de trabalho dominante num coletivo de vida, uma análise da norma na atividade dita informal, do duplo ponto de vista do conceito e da experiência, permite sugerir que uma atividade humana socializada não pode ser verdadeiramente informal. Algumas balizas metodológicas permitem tentar compreender as atividades supostamente informais, chamando a atenção para os princípios epistemológicos da ergonomia e da ergologia.How to recognize work when is not work anymore? This question entails two aspects: the first one is a question of method (how to recognize work?. The second one is about this hypothetical subject that is 'work when it is not work anymore?'. If we talk about non-profit and informal work opposed to 'standard' work, then 'work that is not work anymore' is actually still work. Although, from an ethnocentric point of view, it is different from 'standard' work, which is supposed to be a reference in order to identify the nature of human activities. However, when analyzing the norm in informal activities, whatever the prevailing kind of work in a society, and from a conceptual as well as from a practical point of view, allows us to consider that a social human activity cannot be informal. A few methodological points will help us to

  10. Mais Médicos program: provision of medical doctors in rural, remote and socially vulnerable areas of Brazil, 2013-2014.

    Science.gov (United States)

    Pereira, Lucélia L; Santos, Leonor M P; Santos, Wallace; Oliveira, Aimê; Rattner, Daphne

    2016-01-01

    The Mais Médicos program was introduced in 2013 with the aim of reducing the shortage of doctors in priority regions and diminishing regional inequalities in health. One of the strategies has been to offer 3-year contracts for doctors to work in primary healthcare services in small towns, inland, rural, remote, and socially vulnerable areas. This report describes the program's implementation and the allocation of doctors to these target areas in 2014. To describe the provision of doctors in the first year of implementation, we compared the doctor-to-population ratio in the 5570 municipalities of Brazil before and after the program, based on the Federal Board of Medicine database (2013), and the official dataset provided by the Ministry of Health (2014). In its first public call (July 2013) 3511 municipalities joined the Mais Médicos program, requesting a total of 15 460 doctors; although the program prioritizes the recruitment of Brazilians, only 1096 nationals enrolled and were hired, together with 522 foreign doctors. As a consequence, an international cooperation agreement was set in place to recruit Cuban doctors. In 12 months the program recruited 14 462 doctors: 79.0% Cubans, 15.9% Brazilians and 5.1% of other nationalities, covering 93.5% of the doctors demanded; they were assigned to all the 3785 municipalities enrolled. The study reveals a major decrease in the number of municipalities with fewer than 0.1 doctors per thousand inhabitants, which dropped from 374 in 2013 to 95 in 2014 (75% reduction). Of the total, 294 doctors were sent to work in the country's 34 Indigenous Health Districts (100% coverage) and 3390 doctors were deployed in municipalities containing certified rural maroon communities (formed centuries ago by runaway slaves). After 1 year of implementation, the municipalities with maroon communities with less than 0.1 doctors per thousand inhabitants were reduced by 87% in the poorest north region. More than 30% of municipalities with

  11. ESTRATÉGIAS DE QUALIDADE AMBIENTAL E DE PRODUÇÃO MAIS LIMPA NO SETOR DE CONSTRUÇÃO CIVIL

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    Paulo Roberto Nóbrega Cavalcante

    2014-07-01

    Full Text Available Nas últimas décadas a temática em torno das questões que permeiam o meio ambiente se constituiu um dos assuntos relevantes dentro das muitas discussões no contexto das organizações. Nesse sentido, o objetivo dessa pesquisa se concentra em identificar as estratégias empresariais adotadas pelos gestores do setor de construção civil da cidade de Campina Grande, PB, em relação à qualidade ambiental e produção mais limpa. Para tanto, foi realizada uma pesquisa exploratória e descritiva, através de um questionário estruturado, junto a uma amostra de 41 empresas de um total de 67 organizações. O tipo de amostragem adotada foi a não probabilística e por acessibilidade. Os resultados evidenciam as estratégias mais usuais no sentido de obter a P+L, dentre elas, o treinamento de funcionários e a melhoria tecnológica. No entanto, boa parte dos respondentes não utiliza nenhuma técnica de P+L. Quanto ao tratamento dos resíduos da produção foi possível identificar que estão sendo destinados para o lixão da cidade. Apenas uma empresa utiliza tratamento dos entulhos em projetos paisagísticos, não obstante a estratégia mais relevante utilizada pelos gestores foi racionalização construtiva. Com tais resultados pode-se inferir e reconhecer que as estratégias adotadas pelos gestores do segmento estudado necessitam de uma redefinição, uma vez que o nível de competitividade de uma empresa depende de um conjunto de fatores, que se inter-relacionam dentro de questões econômicas, sociais e ambientais.

  12. Methamphetamine use is associated with high levels of depressive symptoms in adolescents and young adults in Rural Chiang Mai Province, Thailand

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    Lauren E. DiMiceli

    2016-02-01

    Full Text Available Abstract Background High levels of depressive symptoms often occur among individuals that use or that are dependent on methamphetamine (MA. Thailand is currently experiencing an epidemic of MA use among youth. Understanding the nature of the relationship between depressive symptoms and MA use and identifying those most at risk can further understanding of prevention and treatment options for youth who use MA and present with depressive symptoms. Methods In 2011, we conducted a cross sectional epidemiologic study that examined associations between MA use and high levels of depressive symptoms among adolescents and young adults aged 14–29 living in Chiang Mai province, Thailand. A combination of cluster and systematic sampling was conducted to obtain a study sample of participants actively recruited in Chiang Mai province. Depressive symptoms were measured using a Thai translation of the Centers for Epidemiologic Studies Depression scale (CES-D. The independent variables measured reported lifetime and recent MA use within the past 3 months. Multivariate logistic regression models were used to assess associations between MA use and high levels of depressive symptoms. Results Approximately 19 % (n = 394 of the sample reported ever having consumed MA and 31 % (n = 124 of lifetime users reported recent MA use within the past 3 months. Recent MA use was associated with high levels of depressive symptoms (aPOR recent use: 2.60, 95 % CI: 1.20, 5.63. Conclusions This is one of the first studies to examine the association between MA use and high levels of depressive symptoms in a general Thai population. The odds of having high levels of depressive symptoms was significantly greater among recent MA users compared to non-users. These findings support the need for policies, programs and interventions to prevent and treat depressive symptoms presenting among MA using Thai adolescents and young adults in rural Chiang Mai province, Thailand to

  13. Methamphetamine use is associated with high levels of depressive symptoms in adolescents and young adults in Rural Chiang Mai Province, Thailand.

    Science.gov (United States)

    DiMiceli, Lauren E; Sherman, Susan G; Aramrattana, Apinun; Sirirojn, Bangorn; Celentano, David D

    2016-02-19

    High levels of depressive symptoms often occur among individuals that use or that are dependent on methamphetamine (MA). Thailand is currently experiencing an epidemic of MA use among youth. Understanding the nature of the relationship between depressive symptoms and MA use and identifying those most at risk can further understanding of prevention and treatment options for youth who use MA and present with depressive symptoms. In 2011, we conducted a cross sectional epidemiologic study that examined associations between MA use and high levels of depressive symptoms among adolescents and young adults aged 14-29 living in Chiang Mai province, Thailand. A combination of cluster and systematic sampling was conducted to obtain a study sample of participants actively recruited in Chiang Mai province. Depressive symptoms were measured using a Thai translation of the Centers for Epidemiologic Studies Depression scale (CES-D). The independent variables measured reported lifetime and recent MA use within the past 3 months. Multivariate logistic regression models were used to assess associations between MA use and high levels of depressive symptoms. Approximately 19% (n = 394) of the sample reported ever having consumed MA and 31% (n = 124) of lifetime users reported recent MA use within the past 3 months. Recent MA use was associated with high levels of depressive symptoms (aPOR recent use: 2.60, 95% CI: 1.20, 5.63). This is one of the first studies to examine the association between MA use and high levels of depressive symptoms in a general Thai population. The odds of having high levels of depressive symptoms was significantly greater among recent MA users compared to non-users. These findings support the need for policies, programs and interventions to prevent and treat depressive symptoms presenting among MA using Thai adolescents and young adults in rural Chiang Mai province, Thailand to aid in cessation of MA use. Furthermore, additional research is needed to

  14. Assessment of contamination and misclassification biases in a randomized controlled trial of a social network peer education intervention to reduce HIV risk behaviors among drug users and risk partners in Philadelphia, PA and Chiang Mai, Thailand.

    Science.gov (United States)

    Simmons, Nicole; Donnell, Deborah; Ou, San-San; Celentano, David D; Aramrattana, Apinun; Davis-Vogel, Annet; Metzger, David; Latkin, Carl

    2015-10-01

    Controlled trials of HIV prevention and care interventions are susceptible to contamination. In a randomized controlled trial of a social network peer education intervention among people who inject drugs and their risk partners in Philadelphia, PA and Chiang Mai, Thailand, we tested a contamination measure based on recall of intervention terms. We assessed the recall of test, negative and positive control terms among intervention and control arm participants and compared the relative odds of recall of test versus negative control terms between study arms. The contamination measures showed good discriminant ability among participants in Chiang Mai. In Philadelphia there was no evidence of contamination and little evidence of diffusion. In Chiang Mai there was strong evidence of diffusion and contamination. Network structure and peer education in Chiang Mai likely led to contamination. Recall of intervention materials can be a useful method to detect contamination in experimental interventions.

  15. Cross-cultural understandings of festival food-related activities for older women in Chiang Mai, Thailand, Eastern Kentucky, USA and Auckland, New Zealand.

    Science.gov (United States)

    Wright-St Clair, Valerie A; Pierce, Doris; Bunrayong, Wannipa; Rattakorn, Phuanjai; Vittayakorn, Soisuda; Shordike, Anne; Hocking, Clare

    2013-06-01

    This cross-country, cross-cultural study explored the meaning of older women's food-related activities for the annual festivals of Songkran (Thai New Year) in Chiang Mai, Thailand; and Christmas in Richmond, Kentucky, USA; and Auckland, New Zealand. A derived etic method was used. The community-dwelling participants were 33 Thai women, aged 60 and older, and 16 New Zealand and 23 eastern Kentucky women, aged 65 and older. This article focuses on the final cross-cultural analysis of the data. Emic, or within-country, findings are presented, followed by the derived etic, or cross-cultural, interpretations for two themes of meaning; older women's 'protecting what matters' and 'leading the way'. Applying derived etic methods helped reveal how, despite the highly different food-related practices, preparing and sharing celebratory foods at Songkran or Christmas held related meanings for older women in Thailand, Kentucky USA, and New Zealand.

  16. Evolução temporal da mortalidade por suicídio em pessoas com 60 anos ou mais nos estados brasileiros, 1980 a 2009

    OpenAIRE

    Pinto,Liana Wernersbach; Pires,Thiago de Oliveira; Silva,Cosme Marcelo Furtado Passos da; Assis,Simone Gonçalves de

    2012-01-01

    Este artigo objetiva verificar a evolução temporal da mortalidade por suicídio em pessoas com 60 anos ou mais segundo a unidade da federação no período de 1980 a 2009. Na construção das séries históricas empregaram-se dados da mortalidade por suicídio (CID-9 códigos E950 a E959 e CID-10 códigos X60 a X84 e Y87.0) obtidos do Sistema de Informação sobre Mortalidade (SIM/MS). Dados referentes à contagem populacional foram obtidos do Instituto Brasileiro de Geografia e Estatística. Na avaliação d...

  17. Princípios e ferramentas da produção mais limpa: um estudo exploratório em empresas brasileiras

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    Geraldo Cardoso de Oliveira Neto

    2015-06-01

    Full Text Available O presente trabalho visa avaliar os princípios e ferramentas da produção mais limpa utilizados pelas empresas brasileiras e, de forma específica, entender como estes princípios são agrupados e organizados pelas organizações de maneira a tornar mais efetivos tais princípios. Foi utilizado para coleta de dados o survey exploratório em organizações associadas ao Instituto Ethos. Para a análise dos dados foram utilizadas estatísticas descritivas e análise multivariada, consubstanciando seis conjuntos de fatores explicativos. A estatística descritiva indicou que mais de 68% das empresas brasileiras pesquisadas adotaram o planejamento e controle da produção com educação ambiental com foco na análise da intensidade de material para redução de emissões e resíduos na produção, além da substituição e desenvolvimento de insumos tradicionais em ecológicos junto aos fornecedores, visando desenvolver produto ambientalmente correto. Entretanto, a adoção desses princípios exigiu investimento em pesquisa e inovação e treinamentos em educação ambiental, gerando aumento dos custos operacionais. Já os princípios menos utilizados pelas empresas explicam a falta de conhecimentos sobre as normas de rotulagem ambiental (13%, AA1000 para inclusividade dos stakeholders nas decisões operacionais (25% e de Eco-Management Audit System(28%. Os princípios foram agrupados em seis fatores pelas empresas, que são: (i a adoção de produção mais limpa e ecologia industrial com sistema de gestão ambiental baseada na ISO 14001, visando o desenvolvimento de projetos para o meio ambiente no produto, processo produtivo e redes logísticas; (ii a cocriação com os clientes no desenvolvimento de produto ecológico com foco na logística reversa de remanufatura; (iii a adoção de planejamento e controle da produção ambiental favoreceu o investimento em pesquisa e inovação com foco na redução de riscos ambientais externos; (iv a cocria

  18. Os Cinco Problemas mais Frequentes nos Projetos das Organizações no Brasil: Uma Análise Crítica

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    Armando Terribili Filho

    2013-12-01

    Full Text Available Este artigo visa discutir os aspectos relevantes relativos aos cinco problemas mais frequentes nos projetos das organizações no Brasil de acordo com os resultados do Benchmarking em Gerenciamento de Projetos Brasil – 2010, que teve a participação de 460 organizações públicas e privadas. Os cinco problemas com maior frequência estão associadas ao gerenciamento do tempo, gerenciamento do escopo, gerenciamento da comunicação e gerenciamento dos custos. O artigo propõe a utilização de indicadores de monitoração durante a “vida do projeto”, como instrumento de avaliação contínua.DOI:10.5585/gep.v4i2.99

  19. Determinação do número mais provável de microrganismos do solo pelo método de plaqueamento por gotas

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    M. C. Jahnel

    1999-09-01

    Full Text Available A determinação do número mais provável (NMP de fungos e bactérias do solo foi realizada pelo método de plaqueamento por gotas, por meio do qual foi possível economizar meio de cultura e trabalho. O método foi apresentado e comparado com o procedimento convencional de contagem de microrganismos do solo em amostras de solo de diferentes texturas. A sensibilidade desse método foi também observada em experimentos para contagem de microrganismos quando da adição de diferentes fontes de matéria orgânica e de sais de crômio.

  20. Distribution and characterization of methicillin-resistant Staphylococcus aureus (MRSA) at the small animal hospital, faculty of veterinary medicine, Chiang Mai University, Thailand.

    Science.gov (United States)

    Patchanee, Prapas; Tadee, Pakpoom; Ingkaninan, Pimlada; Tankaew, Pallop; Hoet, Armando E; Chupia, Vena

    2014-03-01

    Of 416 samples taken from veterinary staff (n = 30), dogs (n = 356) and various environmental sites (n = 30) at the Small Animal Hospital, Faculty of Veterinary Medicine, Chiang Mai University, Thailand, 13 samples contained methicillin-resistant Staphylococcus aureus (MRSA), of which 1 (SCCmec type II) came from veterinarian, 9 (SCCmec types I, III, IVa, V and untypeable) from dogs, and 3 (SCCmec types I, III, and IVb) from environmental samples. The MRSA isolates were 100% susceptible to vancomycin (100%), 69% to cephazolin and 62% to gentamicin, but were up to 92% resistant to tetracycline group, 69% to trimethoprim-sulfamethoxazoles and 62% to ceftriaxone. In addition, all MRSA isolates showed multidrug resistance. As the MRSA isolates from the veterinary staff and dogs were of different SCCmec types, this suggests there were no cross-infections. However, environmental contamination appears to have come from dogs, and appropriate hygienic practices should be introduced to solve this problem.

  1. My space, my body, my sexual subjectivity: social media, sexual practice and parental control among teenage girls in urban Chiang Mai.

    Science.gov (United States)

    Fongkaew, Warunee; Fongkaew, Kangwan

    2016-01-01

    This ethnographic study conducted among young women aged 18-21 years in Chiang Mai, northern Thailand, explored the parental control mechanisms imposed by Thai middle-class families on the sexuality of their daughters. It addressed the ways in which young women tactically use the social media in order to negotiate the sexual controls they encountered in everyday life. Taking the teenage girls' point of view, this paper argues that, as active agents, young women achieve a certain level of sexual autonomy and construct their own sexual selves in modern northern Thai society, despite their parents' attempts to prevent this. The paper highlights the ways in which social media are used by Thai girls in order to achieve such a goal. Research findings should inform the development of future programmes on sexual health promotion, parental skills and sexual communication between Thai parents and their children.

  2. Prevalence of anemia, iron deficiency, thalassemia and glucose-6-phosphate dehydrogenase deficiency among hill-tribe school children in Omkoi District, Chiang Mai Province, Thailand.

    Science.gov (United States)

    Yanola, Jintana; Kongpan, Chatpat; Pornprasert, Sakorn

    2014-07-01

    The prevalaence of anemia, iron deficiency, thalassemia and glucose-6-phosphate dehydrogenase (G-6-PD) deficiency were examined among 265 hill-tribe school children, 8-14 years of age, from Omkoi District, Chiang Mai Province, Thailand. Anemia was observed in 20 school children, of whom 3 had iron deficiency anemia. The prevalence of G-6-PD deficiency and β-thalassemia trait [codon 17 (A>T), IVSI-nt1 (G>T) and codons 71/72 (+A) mutations] was 4% and 8%, respectively. There was one Hb E trait, and no α-thalassemia-1 SEA or Thai type deletion. Furthermore, anemia was found to be associated with β-thalassemia trait in 11 children. These data can be useful for providing appropriate prevention and control of anemia in this region of Thailand.

  3. Detection of Mycobacterium marinum in clinically asymptomatic Siamese fighting fish (Betta splendens from ornamental fih shops in Chiang Mai Province, Thailand

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    Anucha Sirimalaisuwan

    2017-06-01

    Full Text Available Objective: To detect Mycobacterium marinum (M. marinum infections in healthy Siamese fighting fish from ornamental fish shops in Chiang Mai, Thailand. Methods: Mycobacterium spp. were isolated from 380 internal organs of healthy Siamese fighting fish using Löwenstein-Jensen and Middlebrook 7H10 culture media. A 924-bp DNA fragment from mycobacterial 16S rRNA was amplified and digested with BanI and ApaI restriction enzymes to yield unique restriction patterns for each mycobacterial specie. Results: Thirty-five mycobacterial isolates (8.42% were recovered from 380 Siamese fighting fish; 21 isolates (5.5% and 11 isolates (2.29% were identified as M. marinum and Mycobacterium chelonae, respectively. Conclusions: The results demonstrated the presence of M. marinum zoonotic bacterial pathogens in healthy Siamese fighting fish, and underlined the infection risk to humans of not only exposure to infected fish, but also when they manipulate clinically asymptomatic fish.

  4. Tutoria acadêmica do Projeto Mais Médicos para o Brasil em Santa Catarina: perspectiva ético-política

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    Rita de Cássia Gabrielli Souza Lima

    Full Text Available Resumo O estudo teve por objetivo identificar os fundamentos que conduzem a tutoria acadêmica do Projeto Mais Médicos para o Brasil em Santa Catarina, a partir da unidade de análise “valores realizados”. Trata-se de um estudo exploratório e compreensivo realizado, em 2015, com tutores catarinenses, profissionais de referência descentralizados dos Ministérios da Educação e da Saúde e profissionais de referência técnica do Ministério da Educação. Utilizou-se como instrumentos de coleta de dados entrevista semiestruturada e grupo focal. Com base na categoria Provimento emergencial como força inovadora da operação cultural Programa Mais Médicos, a análise foi conduzida pelo método ético-político. Revelaram-se três fundamentos: apagar incêndios, qualificação do Projeto e perspectiva processual. Concluiu-se que a tutoria acadêmica das atividades produtivas de médicos do provimento emergencial não corresponde a um enfrentamento pedagógico isolado, pois é parte e consequência do desenvolvimento histórico da teoria e da prática. A atividade corresponde dialeticamente a movimentos de ruptura, resistência, emancipação e não prescinde da reflexão coletiva sobre os valores eleitos e realizados no agir deliberativo.

  5. Salient aspects of inflation and growth in selected countries Aspectos mais salientes da inflação e do crescimento em países selecionados

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    Pichai Chumvichitra

    1982-11-01

    Full Text Available Análise do figurativo dos problemas de inflação e de crescimento e seu trade-off. Com o problema de choques externos, os acontecimentos exógenos afetaram extremamente suas relações. Uma observação empírica de vários países e vários períodos daria a compreensão mais útil e complementaria análises mais abrangentes de problemas. Alguns resultados obtidos de indicadores econômicos específicos refletiram aspectos salientes desse problema, tal como o papel de tomador de preço, a inflexibilidade da oferta de produto e a moeda passiva que produziram mudanças não antecipadas permitiram explorar persistentemente a característica desse problema em geral para vários países.This paper comments on the figurative problems of inflation and growth, and the character of its trade-off a topic which was the subject of heated numerous studies in developed countries. As a problem of external shocks, the unexpected procedures produce an extra point of their relationship. The observation of evidence in several level of country experiences and various periods should provide a useful comprehension and complement to the wide analysis of these problems. Some lessons obtained from the specific economic indicators reflect to general aspects of the subject under the role of price taker, inflexibility output supply and passive money which make the unexpected changes explore persistently to the character of this problem in general for many countries.

  6. Produção mais limpa: contributos teórico-práticos para a sustentabilidade da cerâmica vermelha

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    R. G. da Silva

    Full Text Available Resumo Sustentabilidade tem sido, na atualidade, um termo com crescente utilização no segmento da cerâmica vermelha ou estrutural brasileira, setor em que abordagens como a produção mais limpa (P+L podem vir a contribuir, uma vez que suas técnicas visam prevenir a geração de desperdícios e de resíduos ao longo do ciclo de vida de produtos e processos. Nessa perspectiva, este estudo buscou analisar a literatura acerca dos temas produção mais limpa, sustentabilidade e cerâmica vermelha, almejando contribuir por meio de elementos teórico-práticos para o aprimoramento sustentável da produção desse ramo fabril. Além disso, objetivou desvendar lacunas e desafios para futuros estudos que envolvam as temáticas citadas. A metodologia foi fundamentada em dados bibliográficos, documentais e de sítios eletrônicos (nacionais e estrangeiros. Para tanto, foi realizada uma pesquisa bibliográfica de artigos científicos no Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES, em que foram selecionados e analisados 23 artigos em um período de cinco anos, a fim de identificar e classificar as técnicas de P+L propostas e, por fim, discutir suas contribuições para a sustentabilidade do setor. Os resultados apontaram que houve vários avanços, mas que ainda restam hiatos e desafios relevantes a serem superados.

  7. Avaliação do escopo de prática de médicos participantes do Programa Mais Médicos e fatores associados

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    Sábado Nicolau Girardi

    Full Text Available Resumo O objetivo deste estudo foi caracterizar o escopo de prática de médicos inseridos na Atenção Primária em Saúde (APS, participantes do Programa Mais Médicos (PMM e investigar os fatores associados à execução de maior número de atividades clínicas. Trata-se de um estudo exploratório transversal realizado entre janeiro e março de 2016, por meio de questionário autoaplicável, contendo uma lista de 49 procedimentos, atividades e ações realizadas na APS. Participaram do estudo 1.241 médicos, a maioria do sexo feminino, entre 40-49 anos de idade, de nacionalidade cubana. Os médicos realizaram uma média de 22,8 ± 8,2 procedimentos, porém, relataram saber fazer um número maior. Fatores associados à realização de maior número de procedimentos foram sexo masculino, menor tempo de graduação, dois anos ou menos de atuação na UBS, atuar na região geográfica Norte ou Sul, em municípios de pequeno porte e mais distantes da sede da região de saúde. O principal motivo para não realizar os procedimentos e atividades que relataram saber fazer foi a falta de materiais e a infraestrutura inadequada. Os resultados revelam que o escopo de prática dos médicos do PMM está abaixo de suas capacidades, sendo necessárias intervenções para o ampliar.

  8. Globaalne peastsoojenemine : Bangkok / Mai Loog

    Index Scriptorium Estoniae

    Loog, Mai, 1960-

    2006-01-01

    Dan Browni samanimelise romaani järgi valminud põnevusfilm "Da Vinci kood" : režissöör Ron Howard : Ameerika Ühendriigid 2006. Tais lisati filmi algusse ja lõppu hoiatavad teated, et tegemist on väljamõeldisega

  9. Aditivos fitogênicos e glutamina mais ácido glutâmico na dieta de frangos desafiados com coccidiose

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    Everton Moreno Muro

    2015-06-01

    Full Text Available O objetivo deste trabalho foi avaliar a suplementação da dieta com aditivos fitogênicos (AFs e glutamina mais ácido glutâmico (Gln/Glu como alternativa aos antibióticos melhoradores de desempenho e anticoccidianos (AMD/AC, sobre o desempenho e rendimento de carcaça e partes de frangos de corte desafiados com Eimeria acervulina. Foram distribuídos de maneira inteiramente casualizada 600 pintos machos em seis tratamentos e quatro repetições: dieta controle (DC; DC + Vacina de coccidiose; DC+AMD/AC; DC+Gln/Glu; DC+AFs; DC+Gln/Glu+AFs. Aos 21 dias de idade, as aves do tratamento AMD/AC apresentaram maior ganho de peso em relação às aves dos tratamentos DC+Vacina e DC+Gln/Glu, não diferindo dos demais tratamentos. A melhor conversão alimentar (CA foi observada para aves do tratamento AMD/AC em relação às aves dos tratamentos DC+Vacina, DC+AFs e DC+Gln/Glu + AFs. Aos 42 dias de idade as aves do tratamento DC+AFs apresentaram maior consumo de ração em relação às aves do tratamento DC+Gln/Glu, não diferindo dos demais tratamentos. Não houve diferença para as variáveis de rendimento de carcaça e partes. De modo geral, os melhores resultados de desempenho ocorreram para as aves dos tratamentos contendo AFs e AMD/AC. A adição de aditivos fitogênicos, associados ou não à glutamina mais ácido glutâmico, na dieta de frangos de corte desafiados com Eimeria acervulina, pode substituir o antibiótico melhorador de desempenho e anticoccidiano. Os dados obtidos foram analisados pelo procedimento GLM do programa estatístico SPSS® e as médias foram comparadas pelo teste de Tukey a 5% de probabilidade.

  10. Os militantes são mais informados? Desigualdade e informação política nas eleições de 2002

    Directory of Open Access Journals (Sweden)

    Lucio Rennó

    2006-11-01

    Full Text Available As organizações da sociedade civil têm um papel didático na instrução de seus membros sobre política que extrapola as questões imediatas de interesse dessas organizações? A maior parte da literatura, especialmente aquela sobre o orçamento participativo (OP do Partido dos Trabalhadores do Brasil, sustenta que o OP é uma estrutura de oportunidade para que os indivíduos se reúnam e debatam não só problemas locais, mas também discutam política num sentido mais amplo. A mesma lógica se aplica a outras formas de militância, tais como participação em sindicatos, partidos políticos, associações de bairro e grupos de igreja. Este trabalho procura testar, usando dados longitudinais de opinião pública de eleitores brasileiros coletados nas eleições de 2002, se os militantes da sociedade civil organizada são, de fato, mais bem informados sobre política, especificamente, sobre questões eleitorais. Além disso, este trabalho testa também se potenciais diferenças de informação causadas por gênero, raça e classe são atenuadas pela participação em organizações da sociedade civil.Do civil society organizations have a didactic role in instructing its members about politics that extrapolates the immediate issues of interest of that organization? Most of the literature, especially that on the role of the participatory budgeting process of the Workers´ Party in Brazil, claims that such meetings are an opportunity structure for individuals to come together and not only debate their local problems, but also discuss politics more broadly. The same logic applies to other forms of activism, such as participation in Labor Unions, political parties, neighborhood associations and even church groups. This paper attempts to test, using a unique public opinion panel dataset of Brazilian voters collected in the 2002 elections, if activists are, in fact, better informed about politics, specifically, about campaign issues. In addition

  11. Prevalence and Correlates of HIV Testing among Young People Enrolled in Non-Formal Education Centers in Urban Chiang Mai, Thailand: A Cross-Sectional Study.

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    Patou Masika Musumari

    Full Text Available HIV testing is the gateway to HIV prevention, treatment, and care. Despite the established vulnerability of young Thai people to HIV infection, studies examining the prevalence and correlates of HIV testing among the general population of Thai youth are still very limited. This study investigates socio-demographic, behavioral, and psychosocial factors associated with HIV testing among young Thai people enrolled in Non-formal Education Centers (NFEC in urban Chiang Mai, Northern Thailand.This was a cross-sectional quantitative study conducted among young unmarried Thai youth--between the ages of 15 and 24--who were enrolled in NFEC in urban Chiang Mai. Multiple logistic regressions were used to identify correlates of "ever tested for HIV" among the sexually active participants.Of the 295 sexually active participants, 27.3% reported "ever tested for HIV;" 65.4% "did not consistently use condom;" and 61.7% "had at least 2 lifetime partners." We found that "self-efficacy" (AOR, 4.92; CI, 1.22-19.73; "perception that it is easy to find a location nearby to test for HIV" (AOR, 4.67; CI, 1.21-18.06; "having at least 2 lifetime sexual partners" (AOR, 2.05; CI, 1.09-3.85; and "ever been pregnant or made someone pregnant" (AOR, 4.06; CI, 2.69-9.15; were associated with increased odds of having ever been tested. On the other hand, "fear of HIV test results" (AOR, 0.21; CI, 0.08-0.57 was associated with lower odds of ever having been tested for HIV.The main finding is that a substantially high proportion of Thai youth is engaged in risky sexual behaviors--yet reports low rates of ever having been tested for HIV. This highlights an urgent need to develop appropriate interventions--based on the identified correlates of HIV testing. There is also an urgent need to enhance HIV testing and to promote safer sexual behaviors among young Thai people--particularly those who are out-of-school.

  12. Prevalence and Correlates of HIV Testing among Young People Enrolled in Non-Formal Education Centers in Urban Chiang Mai, Thailand: A Cross-Sectional Study.

    Science.gov (United States)

    Musumari, Patou Masika; Tangmunkongvorakul, Arunrat; Srithanaviboonchai, Kriengkrai; Yungyuankul, Sawang; Techasrivichien, Teeranee; Suguimoto, S Pilar; Ono-Kihara, Masako; Kihara, Masahiro; Chariyalertsak, Suwat

    2016-01-01

    HIV testing is the gateway to HIV prevention, treatment, and care. Despite the established vulnerability of young Thai people to HIV infection, studies examining the prevalence and correlates of HIV testing among the general population of Thai youth are still very limited. This study investigates socio-demographic, behavioral, and psychosocial factors associated with HIV testing among young Thai people enrolled in Non-formal Education Centers (NFEC) in urban Chiang Mai, Northern Thailand. This was a cross-sectional quantitative study conducted among young unmarried Thai youth--between the ages of 15 and 24--who were enrolled in NFEC in urban Chiang Mai. Multiple logistic regressions were used to identify correlates of "ever tested for HIV" among the sexually active participants. Of the 295 sexually active participants, 27.3% reported "ever tested for HIV;" 65.4% "did not consistently use condom;" and 61.7% "had at least 2 lifetime partners." We found that "self-efficacy" (AOR, 4.92; CI, 1.22-19.73); "perception that it is easy to find a location nearby to test for HIV" (AOR, 4.67; CI, 1.21-18.06); "having at least 2 lifetime sexual partners" (AOR, 2.05; CI, 1.09-3.85); and "ever been pregnant or made someone pregnant" (AOR, 4.06; CI, 2.69-9.15); were associated with increased odds of having ever been tested. On the other hand, "fear of HIV test results" (AOR, 0.21; CI, 0.08-0.57) was associated with lower odds of ever having been tested for HIV. The main finding is that a substantially high proportion of Thai youth is engaged in risky sexual behaviors--yet reports low rates of ever having been tested for HIV. This highlights an urgent need to develop appropriate interventions--based on the identified correlates of HIV testing. There is also an urgent need to enhance HIV testing and to promote safer sexual behaviors among young Thai people--particularly those who are out-of-school.

  13. Estimation of gas-particle partitioning coefficients (Kp) of carcinogenic polycyclic aromatic hydrocarbons in carbonaceous aerosols collected at Chiang-Mai, Bangkok and Hat-Yai, Thailand.

    Science.gov (United States)

    Pongpiachan, Siwatt; Ho, Kin Fai; Cao, Junji

    2013-01-01

    To assess environmental contamination with carcinogens, carbonaceous compounds, water-soluble ionic species and trace gaseous species were identified and quantified every three hours for three days at three different atmospheric layers at the heart of Chiang-Mai, Bangkok and Hat-Yai from December 2006 to February 2007. A DRI Model 2001 Thermal/Optical Carbon Analyzer with the IMPROVE thermal/optical reflectance (TOR) protocol was used to quantify the organic carbon (OC) and elemental carbon (EC) contents in PM10. Diurnal and vertical variability was also carefully investigated. In general, OC and EC mass concentration showed the highest values at the monitoring period of 21.00-00.00 as consequences of human activities at night bazaar coupled with reduction of mixing layer, decreased wind speed and termination of photolysis at nighttime. Morning peaks of carbonaceous compounds were observed during the sampling period of 06:00-09:00, emphasizing the main contribution of traffic emission in the three cities. The estimation of incremental lifetime particulate matter exposure (ILPE) raises concern of high risk of carbonaceous accumulation over workers and residents living close to the observatory sites. The average values of incremental lifetime particulate matter exposure (ILPE) of total carbon at Baiyoke Suit Hotel and Baiyoke Sky Hotel are approximately ten times higher than those air samples collected at Prince of Songkla University Hat-Yai campus corpse incinerator and fish-can manufacturing factory but only slightly higher than those of rice straw burning in Songkla province. This indicates a high risk of developing lung cancer and other respiratory diseases across workers and residents living in high buildings located in Pratunam area. Using knowledge of carbonaceous fractions in PM10, one can estimate the gas-particle partitioning of polycyclic aromatic hydrocarbons (PAHs). Dachs-Eisenreich model highlights the crucial role of adsorption in gas

  14. Atmospheric pollutants in Chiang Mai (Thailand) over a five-year period (2005-2009), their possible sources and relation to air mass movement

    Science.gov (United States)

    Chantara, Somporn; Sillapapiromsuk, Sopittaporn; Wiriya, Wan

    2012-12-01

    Monitoring and analysis of the chemical composition of air pollutants were conducted over a five-year period (2005-2009) in the sub-urban area of Chiang Mai, Thailand. This study aims to determine the seasonal variation of atmospheric ion species and gases, examine their correlations, identify possible sources and assess major air-flow patterns to the receptor. The dominant gas and particulate pollutants were NH3 (43-58%) and SO42- (39-48%), respectively. The annual mean concentrations of NH3 (μg m-3) in descending order were 4.08 (2009) > 3.32 (2007) > 2.68 (2008) > 2.47 (2006) and 1.87 (2005), while those of SO42- (μg m-3) were 2.60 (2007) > 2.20 (2006) > 1.95 (2009) > 1.75 (2008) and 1.26 (2005). Concentrations of particulate ions were analyzed by principle component analysis to find out the possible sources of air pollutants in this area. The first component of each year had a high loading of SO42- and NH4+, which probably came from fuel combustion and agricultural activity, respectively. K+, a tracer of biomass burning, also contributed to the first or the second components of each year. Concentrations of NH4+ and SO42- were well correlated (r > 0.777, p Chiang Mai from 2005 to 2009 were analyzed using the hybrid single particle langrangian integrated trajectory (HYSPLIT) model and grouped by cluster analysis. The air mass data was analyzed for the dry season (n = 18; 100%). The trajectory of air mass in 2005 mainly originated locally (67%). In 2006, the recorded data showed that 56% of air mass was emitted from the western continental region of Thailand. In 2007, the percent ratios from the western and eastern continental areas were equal (39%). In 2008, 67% originated from the western continental area. In 2009, the recorded air mass mainly came from the western continental area (72%). In conclusion, the major trajectories of air mass from 2006 to 2009 originated from the southwest direction of the receptor, but in 2005, the air mass appeared to be locally

  15. Monitoring and evaluation of the PAHO/WHO cooperation project, the Mais Médicos (More Doctors) Program: a mid-term assessment.

    Science.gov (United States)

    Molina, Joaquín; Tasca, Renato; Suárez, Julio

    2016-09-01

    Working relations between the Pan- American Health Organization/World Health Organization (PAHO/WHO) and Brazilian health institutions accumulated a long history of cooperation with mutual benefits, which in many cases were shared with other nations under various cooperation frameworks among countries for health development. A milestone in this relationship is the technical cooperation provided by PAHO/WHO to the More Doctors Program (Programa Mais Médicos - PMM). This cooperation has added both strategic value in reducing gaps in health equality and has capitalized on the unique nature of the Cuba-Brazil South-South cooperation experience, triangulated through PAHO/WHO. This paper discusses PAHO/WHO's role in the evaluation of its technical cooperation within PMM. A Monitoring and Evaluation (M&E) Framework has been developed in order to progressively identify the advances in coverage and quality of primary health care provided by the Unified Health System (Sistema Único de Saúde - SUS) through the PMM. Special attention was given to identify best practices in health services, to analyze results and impacts of the PMM, and to manage and share knowledge that has been produced by its implementation, through a web-based knowledge platform. Some relevant results of PMM are briefly presented and discussed.

  16. A COPA E A MÍDIA: reflexões sobre a mais-valia ideológica, a soberania comunicacional e o jornalismo

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    Elaine Tavares

    2010-10-01

    Full Text Available http://dx.doi.org/10.5007/2175-8042.2009n32-33p156O texto traz uma reflexão sobre a forma como a mídia comercial tem atuado no que diz respeito ao anúncio das benesses da realização da Copa do Mundo no Brasil em 2014. A análise se faz a partir dos conceitos de mais-valia ideológica, proposto por Ludovico Silva, soberania comunicacional, uma construção coletiva dos comunicadores populares venezuelanos e brasileiros, e o jornalismo como forma de conhecimento, proposto por Adelmo Genro Filho. Parte-se da pedagogia de sedução capitalista, incensada pela mídia, e chega-se a propostas de controle popular soberano e jornalismo libertador.

  17. Effect of organic fertiliser residues from rice production on nitrogen fixation of soya (Glycine max L. Merrill, Chiang Mai 60 variety

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    Nattida Luangmaka

    2013-09-01

    Full Text Available A field study was undertaken on the residual effect of organic fertilisers applied to the preceding rice cropping on nitrogen fixation of soya in a rice-soya cropping system. The experiment was conducted on a farmer’s lowland paddy in Mae Rim district, Chiang Mai province, Thailand. Organic fertiliser treatments assigned were: 1 control (no fertiliser, 2 animal manure of cattle (AM, 3 compost (CP, 4 azolla (AZ, 5 AM + CP, 6 AM + AZ, 7 CP + AZ and 8 AM + CP + AZ. Soya seeds were planted without rhizobial inoculation in December 2011, four months after the application of organic fertilisers. Nodule weight, total shoot nitrogen accumulation and relative ureide index at various growth stages were recorded as the indices of nitrogen fixation. Results of the study demonstrate that the residues from the application the organic fertilisers of narrow C/N ratios during the land preparation for rice cropping four months before soya cultivation promoted nitrogen fixation by native rhizobia.

  18. L'électronique pour les débutants qui sèchent les cours mais soudent sans se brûler les doigts

    CERN Document Server

    Mallard, Rémy

    2012-01-01

    Par où commencer pour débuter en électronique ? Vais-je m'égarer en explorant l'internet ? Il regorge de schémas, mais sont-ils fiables ? Me faut-il un livre avec des montages simples ou plutôt un livre sur les composants ? Après trente ans de pratique, l'auteur de ce livre, resté l'éternel débutant qui réalisait lui-même son premier montage dès l'âge de dix ans, partage ici sa soif toujours vive d'apprendre. Fin pédagogue, il guide les débutants et répond aux questions que trop de livres laissent en suspens : "Quel type de fer à souder acheter ?"... "Un multimètre à 5 € peut-il suffire ?"... "Un oscilloscope est-il indispensable ?"... "Peut-on installer son montage dans une boîte à cigares ?"... Rémy Mallard démystifie l'électronique en n'utilisant que ce qu'il vous faut de théorie pour aborder joyeusement la pratique sans risque de faire de grosses bêtises. Vous apprendrez à identifier les composants et leur rôle (résistances, condensateurs, bobines, diodes, transistors, rela...

  19. INTERFACE PARA UM AMBIENTE 
DE CONSUMO MAIS PARTICIPAÇÃO: UM WIDGET SOCIAL PARA A EXPERIÊNCIA GLOBO.COM

    Directory of Open Access Journals (Sweden)

    Marianne Abreu

    2011-10-01

    Full Text Available Com a fragmentação do consumo de conteúdo pela Internet, e consequente pluralização da participação do usuário através de plataformas de redes sociais, novos desafios aos portais de notícias e entretenimento surgiram em agregar esses dois universos. O objetivo agora é permitir ao público consumir um assunto e manifestar sua opinião dentro de um ambiente híbrido, ao mesmo tempo de consumo e participação. Esse artigo desvenda alguns pontos da necessidade da construção deste tipo de experiência tomando como exemplo a Globo.com. Percebe-se que, quanto mais os usuários interagem entre si pelas redes, maior é a vontade irrefutável de opinar sobre os assuntos que tangem à sua vida e de refletir essas mensagens junto às entidades oficiais que tratam esses assuntos, propiciando o processo colaborativo.

  20. SEXUAL PRACTICES AMONG MEN WHO HAVE SEX WITH MEN IN CHIANG MAI, THAILAND: PART OF THE ANTIRETROVIRAL PRE-EXPOSURE PROPHYLAXIS TRIAL.

    Science.gov (United States)

    Tangmunkongvorakul, Arunrat; Chariyalertsak, Suwat; Amico, K Rivet; Guptarak, Marisa; Saokhieo, Pongpun; Sangangamsakun, Thirayut; Songsupa, Radchanok; McMahan, Vanessa; Grant, Robert

    2016-05-01

    This study aimed to gain a better understanding of the association between participation in a blinded antiretroviral pre-exposure prophylaxis (PrEP) clinical trial and sexual practices among men who have sex with men and transgender women. This study utilized both quantitative and qualitative methodologies. Data included reported PrEP medication adherence and sexual behavior among 114 study participants. Forty-six participants took part in qualitative data collection, 32 were interviewed and 14 participated in one of three focus group discussions. The average percentage of study medication adherence, number of sex partners and rates of sex without a condom were calculated. For qualitative data, content analysis was used to identify repeated normative themes, some of which arose spontaneously from interview interactions. Participants at the Chiang Mai site reported good adherence to the study medication. The sexual risk behavior of these participants had decreased by their final study visit; this was unrelated to level of adherence. Qualitative findings describe sexual practices that were highly contextual; participants used risk assessments to determine sex practices. Condoms were used with casual partners but not necessarily with primary partners. Our findings suggest that while PrEP is an exciting new development for HIV prevention, it must be paired with behavioral interventions to fully address sexual risk among this population. Interventions should provide this population with skills to negotiate condom use with their primary partners as well as in situations in which their sexual partners do not support condom use.

  1. "Without this program, women can lose their lives": migrant women's experiences with the Safe Abortion Referral Programme in Chiang Mai, Thailand.

    Science.gov (United States)

    Tousaw, Ellen; La, Ra Khin; Arnott, Grady; Chinthakanan, Orawee; Foster, Angel M

    2017-11-01

    For displaced and migrant women in northern Thailand, access to health care is often limited, unwanted pregnancy is common, and unsafe abortion is a major contributor to maternal death and disability. Based on a pilot project and situational analysis research, in 2015 a multinational team introduced the Safe Abortion Referral Programme (SARP) in Chiang Mai, Thailand, to reduce the socio-linguistic, economic, documentation, and transportation barriers women from Burma face in accessing safe and legal abortion care in Thailand. Our qualitative study documented the experiences of women with unwanted pregnancies who accessed the SARP in order to inform programme improvement and expansion. We conducted 22 in-depth, in-person interviews and analysed them for content and themes using deductive and inductive techniques. Women were overwhelmingly positive about their experiences using the SARP. They reported lack of costs, friendly programme staff, accompaniment to and interpretation at the providing facility, and safety of services as key features. Financial and legal circumstances shaped access to the programme and women learned about the SARP through word-of-mouth and community workshops. After accessing the SARP and receiving support, women became community advocates for reproductive health. Efforts to expand the programme and raise awareness in migrant communities appear warranted. Our findings suggest that referral programmes for safe and legal abortion can be successful in settings with large displaced and migrant populations. Identifying ways to work within legal constraints to expand access to safe services has the potential to reduce harm from unsafe abortion even in humanitarian settings.

  2. Factors affecting local recurrence and distant metastases of invasive breast cancer after breast-conserving surgery in Chiang Mai University Hospital.

    Science.gov (United States)

    Ditsatham, Chagkrit; Somwangprasert, Areewan; Watcharachan, Kirati; Wongmaneerung, Phanchaporn; Khorana, Jiraporn

    2016-01-01

    The purpose of this study was to collect data regarding breast cancer profiles and factors that affect local recurrence and distant metastasis after breast-conserving surgery (BCS) in Chiang Mai University Hospital. This study was a retrospective review in a single institution of newly diagnosed invasive breast cancer patients who were treated with BCS between April 9, 2001 and December 25, 2011. A total of 185 patients treated with BCS were included in this study, with an average age of 46.83 years. The average recurrence age was 41.1 years and the average nonrecurrence age was 47.48 years, with a recurrence rate of 10.27%. Premenopause was significant in recurrence (P=0.047), as well as non-estrogen-expression patients (P=0.001) and patients who did not receive antihormonal treatment (P=0.011). The recurrence rate in our institute was 10.27%. Factors affecting recurrence after BCS included young age, premenopausal status, nonexpression of the estrogen receptor, and patients who had not received antihormonal treatment. The recurrence rate was higher in the first 90 postoperative months.

  3. Class 1 integrons characterization and multilocus sequence typing of Salmonella spp. from swine production chains in Chiang Mai and Lamphun provinces, Thailand.

    Science.gov (United States)

    Boonkhot, Phacharaporn; Tadee, Pakpoom; Yamsakul, Panuwat; Pocharoen, Chairoj; Chokesajjawatee, Nipa; Patchanee, Prapas

    2015-05-01

    Pigs and pork products are well known as an important source of Salmonella, one of the major zoonotic foodborne pathogens. The emergence and spread of antimicrobial resistance is becoming a major public health concern worldwide. Integrons are genetic elements known to have a role in the acquisition and expression of genes conferring antibiotic resistance. This study focuses on the prevalence of class 1 integrons-carrying Salmonella, the genetic diversity of strains of those organisms obtained from swine production chains in Chiang Mai and Lamphun provinces, Thailand, using multilocus sequence typing (MLST) and comparison of genetic diversity of sequence types of Salmonella from this study with pulsotypes identified in previous study. In 175 Salmonella strains, the overall prevalence of class 1 integrons-carrying-Salmonella was 14%. The gene cassettes array pattern "dfrA12-orfF-aadA2" was the most frequently observed. Most of the antimicrobial resistance identified was not associated with related gene cassettes harbored by Salmonella. Six sequence types were generated from 30 randomly selected strains detected by MLST. Salmonella at the human-animal-environment interface was confirmed. Linkages both in the farm to slaughterhouse contamination route and the horizontal transmission of resistance genes were demonstrated. To reduce this problem, the use of antimicrobials in livestock should be controlled by veterinarians. Education and training of food handlers as well as promotion of safe methods of food consumption are important avenues for helping prevent foodborne illness.

  4. Quantification of contamination levels and particular risk of Salmonella spp. in pigs in slaughterhouses in Chiang Mai and Lamphun provinces, Thailand.

    Science.gov (United States)

    Tadee, Pakpoom; Boonkhot, Phacharaporn; Patchanee, Prapas

    2014-11-01

    Salmonella spp. is one of the important foodborne pathogens, and the slaughtering process is recognized as a potential point of contamination and the spread of the pathogens. The three objectives of this study are first, to quantify the contamination levels of Salmonella spp. in pig skins and carcasses, second, to evaluate the outcomes from different pig supply sources and different practices at three critical steps (scalding, splitting, and washing) for Salmonella spp. contamination, and third, to assess risk of Salmonella spp. contamination in pork products after slaughtering level. The study was performed in three representative slaughterhouses in Chiang Mai and Lamphun provinces, Thailand. Investigation conducted from May 2013 through October 2013 found the overall prevalence and contamination levels mean to be 11.85% and 0.34 MPN/cm2, respectively. There was no statistically significant in Salmonella spp. prevalence and contamination levels detected with different patterns at the slaughterhouses which were supplied pigs from either co-operative or integrated farms. Factors found to reduce Salmonella spp. loads on carcasses included good practices, e.g., regular changing of water in the scalding tank after each batch and the use of chlorine in the washing step. Risk of Salmonella spp. contamination of pork products at the final stage of slaughtering was nearly 10%. Good practices and proper hygiene measures should be applied to minimize the risk of Salmonella spp. exposure in the slaughtering line, which can reduce the contamination pressure downstream at retail shops as well as for end consumers.

  5. Isolation of Ralstonia solanacearum-infecting bacteriophages from tomato fields in Chiang Mai, Thailand, and their experimental use as biocontrol agents.

    Science.gov (United States)

    Bhunchoth, A; Phironrit, N; Leksomboon, C; Chatchawankanphanich, O; Kotera, S; Narulita, E; Kawasaki, T; Fujie, M; Yamada, T

    2015-04-01

    To isolate and characterize novel bacteriophages infecting the phytopathogen, Ralstonia solanacearum, and to evaluate them as resources with potential uses in the biocontrol of bacterial wilt. Fourteen phages infecting R. solanacearum were isolated from soil samples collected in Chiang Mai, Thailand. The phages showed different host ranges when tested against 59 R. solanacearum strains isolated from Thailand and Japan. These phages were characterized as nine podoviruses and five myoviruses based on their morphology. Podovirus J2 in combination with another podovirus (φRSB2) lysed host cells very efficiently in contaminated soil. J2 treatment prevented wilting of tomato plants infected with a highly virulent R. solanacearum strain. Treatment with J2 effectively reduced the amount of the bacterial wilt pathogen in contaminated soil and prevented bacterial wilt of tomato in pot experiments. Myovirus J6 possessed jumbo phage features, giving a unique opportunity to study its utilization as a biocontrol agent. As exemplified by J2, the phages isolated in this study represent valuable resources with potential uses in biocontrol of bacterial wilt. A rare jumbo phage J6 served as a valuable subject to understand and utilize this new group of phages. © 2015 The Society for Applied Microbiology.

  6. The result of surgical treatment in patients with cerebral aneurysms in Maharaj Nakorn Chiang Mai Hospital: a report of 225 cases.

    Science.gov (United States)

    Watcharasaksilp, Wanarak; Limpastan, Kriengsak; Norasathada, Tanya; Vaniyapong, Tanat

    2013-07-01

    Evaluate the result of intracranial aneurysm surgery in Maharaj Nakorn Chiang Mai Hospital. A retrospective study ofpatients who underwent surgery for intracranial aneurysms between 2003 and 2007. The patients'age, gender, signs and symptoms, CT brain findings, Subarachnoid hemorrhage (SAH), World Federation of Neurosurgical Society grading (WFNS), and aneurysm location were studied and correlated with outcome after surgery. Two hundred twenty five patients ofintracranial aneurysm were operated on between 2003 and 2007. Two hundred nine patients (92%) had anterior circulation aneurysms and 18 (8%) had posterior circulation aneurysms. The outcome, as evaluated by Glasgow Outcome Scale (GOS), showed good recovery and moderate disability patients (142, 62.9%) were classified as favorable outcome group whereas patients with severe disability, vegetative state, and dead (83, 36.9%) were classified as unfavorable outcome. According to WFNS grading, the patients with unruptured aneurysm and WFNS grade 1-2 had favorable outcome in 116 patients (78.37%) and unfavorable outcome in 32 patients (21.62%). Whereas the patients with WFNS grade 3-5 had favorable outcome in 32 patients (33.76%) and unfavorable outcome in 51 patients (66.23%). This study of 225 cases revealed 142 cases with favorable outcome and 83 cases with unfavorable outcome. Factors that affected the outcome were WFNS grading and age.

  7. Mais Médicos no Paraná - Acolhimento e o Processo de Trabalho na Atenção Básica.

    Directory of Open Access Journals (Sweden)

    Edevar DANIEL

    2015-12-01

    Full Text Available Este artigo relata a experiência da tutoria e supervisão do Programa Mais Médicos no Estado do Paraná, na perspectiva de melhoria da qualidade da Atenção Básica e na capacidade dos serviços de saúde em responder de forma efetiva às necessidades dos usuários do sistema. No inicio do programa em setembro de 2015, com a chegada dos médicos nos municípios a supervisão percebeu uma dificuldade que os serviços encontravam em relação ao Acolhimento e Processo de Trabalho nas Unidades de Saúde. Partindo desta situação os tutores e supervisores embasados nos referenciais teóricos existentes, iniciaram um processo dialógico e participativo junto aos gestores locais, estruturada a partir das visitas de supervisão, reuniões loco regionais, encontros de planejamento e execução de ações de educação em saúde, com o objetivo de garantir a acessibilidade e discutir a reorganização do processo de trabalho. Tais práticas potencializam a construção do Sistema Único de Saúde e são fundamentais para o fortalecimento da Atenção Básica.

  8. O PROGRAMA MAIS MÉDICOS: A FORMULAÇÃO DE UMA NOVA POLÍTICA PÚBLICA DE SAÚDE NO BRASIL

    Directory of Open Access Journals (Sweden)

    Mariele Pena COUTO

    2015-12-01

    Full Text Available O Programa Mais Médicos, ao contratar profissionais médicos para atuar nas regiões prioritárias para o SUS, visa ampliar o acesso da população à atenção básica de saúde. Este estudo resgata o processo de formulação deste programa, pela perspectiva do Modelo de Múltiplos Fluxos, desenvolvido por John Kingdon, com ênfase nos embates estabelecidos entre os Poderes Executivo e Legislativo. Analisa, ainda, a Exposição de Motivos Interministerial n.º 024/2013-MS/MEC/MP, a Medida Provisória n.º 621/2013 e o Projeto de Lei de Conversão n.º 026/2013-CN que culminaram na edição da Lei n.º 12.871/2013. Ao final, são apresentados resultados pontuais para explicitar a perenidade da agenda governamental de saúde pública nacional frente à atuação dos atores envolvidos neste processo e seus interesses e estratégias aplicados com o objetivo de influenciar os decisores políticos para a formulação do Programa.

  9. Percepções de professores universitários brasileiros sobre as virtudes mais valorizadas no exercício da docência

    Directory of Open Access Journals (Sweden)

    Marcella Bastos Cacciari

    Full Text Available Resumo Disseminam-se atualmente em todo o mundo artigos que colocam em pauta a forma com que os professores sentem e vivenciam a profissão. O presente estudo buscou investigar as virtudes necessárias para ser um bom professor e o quanto os participantes percebem que tais características os descrevem como profissionais. Para tanto, utilizou-se o método de pesquisa misto, de forma a contemplar aspectos quantitativos e qualitativos dos fenômenos investigados. Participaram deste estudo 214 professores universitários brasileiros, que responderam um questionário formado por questões sociodemográficas e duas perguntas abertas sobre as virtudes do bom professor. A análise textual foi realizada a partir do software IRAMUTEQ e representada graficamente pela análise de similitude. De acordo com os resultados obtidos, as virtudes mais valorizadas no exercício docente foramconhecimento, temperança, justiça e humanidade. Estes resultados ajudam a pensar nas habilidades e competências exigidas na vida acadêmica, assim como na avaliação das práticas docentes.

  10. Participação dos municípios de pequeno porte no Projeto Mais Médicos para o Brasil na macrorregião norte do Paraná

    Directory of Open Access Journals (Sweden)

    Fernanda de Freitas Mendonça

    Full Text Available Resumo Resumo Em municípios de pequeno porte, que em geral são situados em áreas geográficas mais isoladas, combinado com situações de maior vulnerabilidade social e econômica, a escassez de médicos é um problema constante. O objetivo deste estudo foi identificar a participação e as características dos municípios de pequeno porte da macrorregião norte do estado do Paraná que aderiram ao Projeto Mais Médico para o Brasil (PMMB. Trata-se de um estudo quantitativo realizado em 82 municípios que utilizou dados primários e secundários. Os resultados revelaram que eram poucos os municípios que possuíam algum critério de adesão (6,1%, mas isso não representou um impedimento para que os demais aderissem ao projeto (75,6%. Os municípios que possuíam menores índices de desenvolvimento humano, que tinham população de mais de cinco mil habitantes, algum critério de adesão e que eram mais afastados, seja da sede da região, seja do município de médio/grande porte mais próximo foram os que mais aderiram ao PMMB. Não se pode negar que o PMMB reduziu de forma significativa a distribuição desigual de médicos no Brasil e na região de estudo. Contudo, a sustentabilidade dessa política precisa estar atrelada ao enfrentamento de outros desafios que ainda persistem no SUS.

  11. Artrodese do quadril: estudo retrospectivo com mais de 20 anos de seguimento Hip arthrodesis: a minimum 20 year follow-up retrospective study

    Directory of Open Access Journals (Sweden)

    José Ricardo Negreiros Vicente

    2011-01-01

    Full Text Available OBJETIVO: Avaliar os resultados a longo prazo de setenta pacientes submetidos à artrodese do quadril pela técnica original descrita por Davis. MÉTODOS: Realizamos um estudo clínico retrospectivo com 70 pacientes, operados entre 1982 e 1995. A presença de sintomas sobre a coluna lombar, joelho ipsilateral e quadril contralateral foi aferida assim como o sucesso da consolidação da artrodese, o posicionamento da mesma e a eventual indicação para conversão à artroplastia total do quadril. RESULTADOS: O tempo médio de seguimento foi 21,6 anos. Uma consolidação satisfatória foi constatada em 48 pacientes (85,7%. A dor lombar foi presente em 11 pacientes (19,6% e osteoartrite dolorosa do joelho em quatro pacientes (7,1%. Discussão: Dois trabalhos com seguimento superior ao nosso estudo ( 35 e 38 anos apresentaram repercussões sobre a coluna lombar mais prevalentes (57% e 62%, assim como dor no joelho homolateral (45% e 57% e indicação para conversão em artroplastia total do quadril (17% e 28%. CONCLUSÃO: Concluímos que a artrodese do quadril pela técnica de Davis apresenta resultados satisfatórios até o vigésimo ano, porém a presença de dor lombar é mais frequente com o passar dos anos e a dor no joelho homolateral sugere associação com a posição inicial em abdução do quadril artrodesado. Nivel de Evidência III, estudo clinico.OBJECTIVE: To evaluate the long-term results of seventy patients who underwent hip arthrodesis using the original technique described by Davis. METHODS: We carried out a retrospective study involving seventy patients submitted to hip arthrodesis between 1982 and 1995. The presence of symptoms involving the lumbar spine, ipsilateral knee, and contralateral hip was noted, as well as the success of the arthrodesis fusion, its positioning, and the need for conversion surgery to total hip replacement. RESULTS: The mean follow-up time was 21.6 years. A satisfactory hip fusion was found in 48 patients

  12. Como tornar os termos de consentimento mais fáceis de ler? How to make consent forms easier to read?

    Directory of Open Access Journals (Sweden)

    Diego Vinicius Pacheco de Araujo

    2010-01-01

    Full Text Available OBJETIVO: Reconhecer o nível de alfabetismo funcional de usuários do ambulatório do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCMFUSP com a finalidade de identificar recomendações para adequar a redação do TCLE ao nível de alfabetismo dos usuários, pois estes podem vir a ser sujeitos de pesquisa. MÉTODOS: Estudo transversal quantitativo com 399 sujeitos. A amostra foi intencional, selecionada entre usuários dos ambulatórios do HCFMUSP. A coleta de dados utilizou instrumento que continha um texto em prosa compatível para a avaliação das habilidades de leitura necessárias para a compreensão de um TCLE. RESULTADOS: Mais de 46,6% dos entrevistados foram classificados como analfabetos funcionais. Desses, 12,7% sequer foram capazes de entender a tarefa proposta no texto lido. Apesar disto, quase 50% dos entrevistados declararam ter ao menos iniciado o ensino médio. CONCLUSÃO: Os resultados e as orientações para a redação de texto centrada no leitor permitiu que elaborássemos recomendações para tornar os termos de consentimento mais fáceis de ler. Recomendamos que o pesquisador elabore o TCLE como um texto em estrutura narrativa, dirigido ao leitor, usando palavras e termos familiares, ou seja, termos comuns à linguagem dos sujeitos e à linguagem médica. Além de contribuir para melhorar a relação entre o sujeito e o pesquisador, acredita-se que estas recomendações possam contribuir para a diminuição do tempo de tramitação de projetos de pesquisa. Já que os problemas na redação do TCLE motivam boa parte das pendências que retardam este andamento.OBJECTIVE: Define the literacy level of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCMFUSP outpatients, for the purpose of identifying recommendations to adapt writing of the informed consent form to the outpatients literacy level, since these can become the subject of research. METHODS

  13. Programa Mais Médicos, aperfeiçoando o SUS e democratizando a saúde: um balanço analítico do programa

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    Oswaldo Gonçalves Junior

    Full Text Available Resumo Este trabalho visa analisar o Programa Mais Médicos (PMM enquanto política pública da saúde, descrevendo algumas de suas características principais e apresentando dados que permitam uma visão sobre seu desempenho, a fim de trazer à luz, além de outros aspectos, a discrepância entre os resultados alcançados e a oposição feita ao programa pelo Conselho Federal de Medicina e pelo Conselho Regional de Medicina do Estado de São Paulo. Tomando como referência o ciclo de políticas públicas, o trabalho trata com especial ênfase as etapas de formulação e implementação. Utilizando como referencial analítico os conceitos de insulamento burocrático e janela de oportunidades, argumenta-se que o PMM possui aspectos instigantes, seja pelas características insuladas que marcam seu processo de formulação - levando a crer que o programa se manteve alheio a pressões externas durante essa fase -, seja pelo caráter oportuno gerado pelas chamadas Jornadas de Junho de 2013, que criaram condições necessárias para o governo federal lançar uma iniciativa claramente polêmica. Essas características, associadas ao significativo impacto social do programa, propiciam reflexões com potenciais aprendizados para processos envolvendo políticas públicas.

  14. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures - paper 1: assessing fluorosis risk, predictors of fluorosis and the potential role of food preparation.

    Science.gov (United States)

    McGrady, Michael G; Ellwood, Roger P; Srisilapanan, Patcharawan; Korwanich, Narumanas; Worthington, Helen V; Pretty, Iain A

    2012-06-21

    To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Subjects were male and female lifetime residents aged 8-13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores). Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Data from 560 subjects were available for analysis (298 M, 262 F). A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+) for subjects consuming drinking and cooking water with a fluoride concentration of cooking water >0.9 ppm F the prevalence of fluorosis (TF 3+) rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p cooking water (≥1.6 ppm). The consumption of drinking water with fluoride content >0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation.

  15. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures – Paper 1: assessing fluorosis risk, predictors of fluorosis and the potential role of food preparation

    Directory of Open Access Journals (Sweden)

    McGrady Michael G

    2012-06-01

    Full Text Available Abstract Background To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Methods Subjects were male and female lifetime residents aged 8–13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores. Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Results Data from 560 subjects were available for analysis (298 M, 262 F. A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+ for subjects consuming drinking and cooking water with a fluoride concentration of 0.9 ppm F the prevalence of fluorosis (TF 3+ rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p  Conclusions The consumption of drinking water with fluoride content >0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation.

  16. Sairé Mais Saudável: política intersetorial como marco de mudança para equidade local

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    Maria do Socorro Machado Freire

    Full Text Available Resumo Estudos na área da saúde pública consideram a intersetorialidade uma estratégia de promoção de equidade no enfrentamento dos determinantes sociais da saúde. O município de Sairé, membro da Rede Pernambucana de Municípios Saudáveis (RPMS, se destaca pela adoção de uma política intersetorial denominada Sairé Mais Saudável. Este estudo visou conhecer como essa política impulsionou a equidade local. Foi realizado um estudo de caso que utilizou linha do tempo com registro de eventos críticos, análise documental, entrevistas e observação participante. Como referência teórica, utilizou-se a Teoria Ator -Rede, o que permitiu que fosse evidenciada a importância da adoção da política municipal para o empoderamento e equidade local. Os resultados, alicerçados na linha do tempo, demonstraram que foi necessário haver inicialmente uma tradução cognitiva, realizada mediante a influência e a responsabilidade direta da RPMS, a qual facilitou uma segunda tradução, desta vez estratégica, com a construção da política ancorada no programa municipal e que agora está sendo traduzida logisticamente em ações concretas direcionadas à equidade. O papel de uma liderança estratégica, valorização da formação e do que já estava construído foram categorias fundamentais nesse processo de mudança local.

  17. Preliminary Study of Ground Movement in Prone Landslide Area by Means of MAI InSAR A Case Study: Ciloto, West Java, Indonesia

    Science.gov (United States)

    Hayati, Noorlaila; Riedel, Björn; Niemeier, Wolfgang

    2016-04-01

    Ciloto is one of the most prone landslide hazard areas in Indonesia. Several landslides in 2012 and 2013 had been recorded in Ciloto and damaged infrastructure around the area. Investigating the history of ground movement along slope area before the landslide happened could support the hazard mitigation in the future. Considering to an efficient surveying method, space-borne SAR processing is the one appropriate way to monitor the phenomenon in past years. The purpose of this study is detecting ground movement using multi-temporal synthetic aperture radar images. We use 13 ALOS PALSAR images from 2007 to 2009 with combination Fine Beam Single (FBS) and Fine Beam Double (FBD) polarization to investigate the slow movement on slope topography. MAI (Multiple Aperture Interferometry) InSAR method is used to analyze the ground movement from both line-of-sight and along-track direction. We split the synthetic aperture into two-looking aperture so that along-track displacement could be created by the difference of forward-backward looking interferograms. With integration of both methods, we could more precisely detect the movement in prone landslide area and achieve two measurements produced by the same interferogram. However, InSAR requires smaller baseline and good temporal baseline between master and slave images to avoid decorellation. There are only several pairs that meet the condition of proper length and temporal baseline indeed the location is also on the agriculture area where is mostly covered by vegetation. The result for two years observation shows that there is insignificant slow movement along slope surface in Ciloto with -2 - -7 cm in range looks or line of sight and 9-40 cm in along track direction. Based on geometry SAR , the most visible detecting of displacement is on the north-west area due to utilization of ascending SAR images.

  18. Evaluation The Result Of Treating 1200 Patients Brain Tumor And Some Intracranial Diseases By Rotating GAMMA Knife (RGK) At The Nuclear Medicine And Oncology Center, Bach Mai Hospital

    International Nuclear Information System (INIS)

    Mai Trong Khoa; Nguyen Quang Hung; Tran Dinh Ha

    2011-01-01

    The paper is evaluating results of treating brain tumor and some intracranial diseases by rotating gamma knife (RGK) at The Nuclear Medicine and Oncology Center, Bach Mai Hospital, from July 2007 to August 2010, for 1200 patients treated with RGK. In 1200 patients - average age: 42.6 years old, Male/Female ratio:1/1.08 - pituitary tumors accounted for 19.8%, meningioma 18.3%, arteriovenous malformations (AVM) (16.7%), acoustic neuroma (8.7%), brain metastases (7.5%), craniopharyngeal tumor (5.0%), pineal tumor (3.5%), cavernoma (6%), astrocytoma (5.2%), meduloblastoma (2.9%), ependymoma (2.6%), others (3.8%). Average target volume: minimum 0.6cm 3 , maximum 27.6cm 3 , median 6.2 ± 4.6 cm 3 . Average radiosurgery dose changed depend on nature of the tumor: pituitary tumor (12.4 Gy), meningioma (18.8 Gy), AVM (18 Gy), acoustic neuroma (14.6 Gy), brain metastases (18.2 Gy), craniopharyngeal tumor (12.8 Gy), pineal tumor (16.3 Gy), cavernoma (17.5 Gy), astrocytoma (14.6 Gy), medulloblastoma (16.1 Gy), ependymoma (16.3 Gy), others (15 Gy). Conclusions: Almost case have improved clinical symptoms significantly: 80.2% after 1 month (complete response 20.2%), 100% at 36th month (complete response: 94%). Size of the tumor were reduced remarkably. Treatment were safe, no death or severe complications were observed within and after radiosurgery. (author)

  19. Epidemiology, clinical characteristics and treatment outcomes of healthcare- associated methicillin-resistant Staphylococcus aureus BLOODSTREAM infections at Chiang Mai University Hospital: a retrospective study.

    Science.gov (United States)

    Chaiwarith, Romanee; Pacharasupal, Phongsathon; Sirisanthana, Thira

    2014-07-01

    The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) varies widely by region and healthcare setting. The prevalence of MRSA among S. aureus bloodstream infections increased from 23% in 2007 to 43% in 2011 at our hospital. We conducted this retrospective study among patients with MRSA to determine mortality rate of MRSA bloodstream infections (BSIs) and the risk factors for death in those patients at Chiang Mai University Hospital from January 1, 2007 to December 31, 2011. One hundred seventy-nine patients with 184 episodes of MRSA BSIs were enrolled. Ninety-eight patients (54.8%) were male and the mean age was 53.4±25.3 years. The median length of time from admission to diagnosis was 27.5 days (IQR 15, 43.5). One-hundred six patients had BSI with other sites of infection: pneumonia (78 episodes, 42.4%), skin and soft tissue infections (15 episodes, 8.2%), urinary tract infections (13 episodes, 7.1%) and infective endocarditis (4 episodes, 2.2%). The mortality rate was 53.1% (95 patients). Risk factors for death on multivariate analysis were: concurrent pulmonary infection (OR 2.65; 95% CI: 1.27-5.51, p=0.009), having a central venous catheter (OR 8.85; 95% CI: 2.31-33.88, p=0.001), having a urinary catheter (OR 8.52; 95% CI: 2.60-27.89, p < 0.001) and having a prothrombin time longer than 1.5 times the upper limit of normal (OR 3.85; 95% CI: 1.68-8.81, p=0.001). MRSA bloodstream infections caused significant mortality particularly among those patients with concurrent pulmonary infections.

  20. Calreticulin mutation analysis in non-mutated Janus kinase 2 essential thrombocythemia patients in Chiang Mai University: analysis of three methods and clinical correlations.

    Science.gov (United States)

    Rattarittamrong, Ekarat; Tantiworawit, Adisak; Kumpunya, Noppamas; Wongtagan, Ornkamon; Tongphung, Ratchanoo; Phusua, Arunee; Chai-Adisaksopha, Chatree; Hantrakool, Sasinee; Rattanathammethee, Thanawat; Norasetthada, Lalita; Charoenkwan, Pimlak; Lekawanvijit, Suree

    2018-03-09

    The primary objective was to determine the prevalence of calreticulin (CALR) mutation in patients with non-JAK2V617F mutated essential thrombocythemia (ET). The secondary objectives were to evaluate the accuracy of CALR mutation analysis by high-resolution melting (HRM) analysis and real-time polymerase chain reaction (PCR) compared with DNA sequencing and to compare clinical characteristics of CALR mutated and JAK2V617F mutated ET. This was a prospective cohort study involving ET patients registered at Chiang Mai University in the period September 2015-September 2017 who were aged more than 2 years, and did not harbor JAK2V617F mutation. The presence of CALR mutation was established by DNA sequencing, HRM, and real-time PCR for type 1 and type 2 mutation. Clinical data were compared with that from ET patients with mutated JAK2V617F. Twenty-eight patients were enrolled onto the study. CALR mutations were found in 10 patients (35.7%). Three patients had type 1 mutation, 5 patients had type 2 mutation, 1 patient had type 18 mutation, and 1 patients had novel mutations (c.1093 C-G, c.1098_1131 del, c.1135 G-A). HRM could differentiate between the types of mutation in complete agreement with DNA sequencing. Patients with a CALR mutation showed a significantly greater male predominance and had a higher platelet count when compared with 42 JAK2V617F patients. The prevalence of CALR mutation in JAK2V617F-negative ET in this study is 35.7%. HRM is an effective method of detecting CALR mutation and is a more advantageous method of screening for CALR mutation.

  1. Distribution and length of osteophytes in the lumbar vertebrae and risk of rupture of abdominal aortic aneurysms: a study of dry bones from Chiang Mai, Thailand.

    Science.gov (United States)

    Chanapa, Patcharin; Yoshiyuki, Tohno; Mahakkanukrauh, Pasuk

    2014-09-01

    Vertebral osteophytes are a characteristic feature of intervertebral disc degeneration. In the lumbar spinal region, the two major structures in close proximity anterior to the spine are the inferior vena cava and the abdominal aorta, both of which have been reported to be affected by osteophytes. The purpose of this study was to determine the distribution, classification and lengths of osteophytes in the lumbar vertebrae. One hundred and eighty lumbar columns of 90 males and 90 females from Chiang Mai, Thailand, in the age range 15 to 96 years (mean age, 63 years) were collected. The measuring length of osteophytes was assessed on vertebral body and articular facet. Statistical analysis was performed by descriptive analysis, chi-square and Pearson Correlation. Lumbar osteophytes were presented in 175 specimens (97.2%), 88 males and 87 females. The highest frequency was at L4, most were on the superior, inferior surface of body and articular facet (39.7%, 38.4%, and 22%), respectively. The greatest mean length was 3.47±2.21 mm at L5, and the longest length of anterior superior surface of body was 28.56 mm. The osteophyte length was significantly correlated directly with age (P<0.01), and males were significantly greater than females (P<0.05). The highest prevalence of osteophytes was on the anterior side of superior surface of body (30.4%), and the classification was traction. It can be proposed that the abdominal aorta could be damaged, especially a risk of rupture of abdominal aortic aneurysm.

  2. Incidence and risk factors of antiretroviral treatment failure in treatment-naïve HIV-infected patients at Chiang Mai University Hospital, Thailand

    Science.gov (United States)

    2011-01-01

    Background The use of combination antiretroviral therapy (cART) has become a standard of care for the treatment of HIV infection. However, cost and resistance to cART are major obstacles for access to treatment especially in resource-limited settings. In this study, we aimed to determine the incidence and risk factors of treatment failure in a cohort of treatment-naïve Thai HIV-infected patients. Methods A retrospective cohort study was conducted among HIV-infected patients initiating their first cART at Chiang Mai University Hospital, Thailand. Results From January 2002 to December 2008, 788 patients were enrolled; 365 were male (46.3%), and the mean age was 37.9 ± 8.6 years. The median baseline CD4 count was 57.7 cells/mm3 (IQR 22, 127). GPO-VIR® (a fixed-dose combination of lamivudine, stavudine, and nevirapine) was the most common prescribed cART (657 patients, 83.4%). Seventy-six patients developed virological failure given the cumulative incidence of 9.6%. The incidence of virological failure was 2.79 (95% CI 2.47, 3.14) cases per 100 person years. Poor adherence was the strongest predictor for virological failure. Of 535 immunologically evaluable patients, 179 (33.5%) patients developed immunological failure. A low CD4 cell count at baseline (< 100 cells/mm3) and the increment of CD4 cell count of < 50 cell/mm3 after 6 months of cART were the predictors for immunological failure (p < 0.001). Conclusions This study demonstrated that even in resource-limited settings, the high rate of success could be expected in the cohort with good and sustainable drug adherence. Poor adherence, older age, and low baseline CD4 cell count are the predictors for unfavorable outcome of cART. PMID:22060823

  3. Determination of regional relationships among Salmonella spp. isolated from retail pork circulating in the Chiang Mai municipality area using a WGS data approach.

    Science.gov (United States)

    Patchanee, Prapas; Eiamsam-Ang, Thanaporn; Vanaseang, Juntakarn; Boonkhot, Phacharaporn; Tadee, Pakpoom

    2017-08-02

    Salmonella is recognized as a significant zoonotic foodborne pathogen, and pork products are involved in one-fifth of infections. Whole genome sequencing data of Salmonella isolated from retail's pork circulating in the Chiang Mai Municipality area between April 2013 and September 2014, were used to focus on genetic diversity and proven in pig-human transmission based on Multilocus Sequence Typing (MLST). Additionally, WGS data were used to investigate virulence genes, to assess the hazard or pathogenic potential transferred into the food production chain. In this study, all 32 Salmonella strains were classified into 11 Sequence Types (STs). ST469 accounted for the majority (41%). The sequence types of two other strains, 6% of the total, could not be identified. All tested strains carried at least 15 virulence genes. The most frequent gene profile was "sfm-fim-sop-inv.-org-sip-spa-sif-fli-flg-hil-spr-ssa-sse-pag-bss" (47%). Salmonella circulating in the study area demonstrated competence in biofilm production, host cell adhesion, host cell invasion, and host cell survival. Based on the phenotypic and genotypic findings, as well as pathogen source, it appears possible that a common supply chain or common infection source might be presented in the retail pork system in the study area. In addition, an epidemiological comparison of the Salmonella genotypes from the current study with those from other areas such as People's Republic of China (PR China) and the Lao People's Democratic Republic (Lao PDR) was generated by Minimum spanning tree (MST). Identical strains originating from humans, animals and food were found. The findings indicate that contamination can be occured at all levels including pre-harvest, the farm-slaughterhouse-retail chain and consumers over different geographical areas. Acquiring information about infection sources and transmission routes will hopefully motivate all sectors to enforce strict sanitation controls at all production stages including

  4. Current prevalence of intestinal parasitic infections and their impact on hematological and nutritional status among Karen hill tribe children in Omkoi District, Chiang Mai Province, Thailand.

    Science.gov (United States)

    Yanola, Jintana; Nachaiwieng, Woottichai; Duangmano, Suwit; Prasannarong, Mujalin; Somboon, Pradya; Pornprasert, Sakorn

    2018-04-01

    Intestinal parasitic infection represents a substantial problem for children living in rural or limited resources areas and significantly relates to anemia and nutritional status. This study aimed to determine the current prevalence of intestinal parasitic infections among school-age children of Karen hill tribe population in Omkoi District, Chiang Mai Province, Thailand and assess the impact of intestinal parasitic infection on hematological and nutritional status in those children. A total of 375 Karen hill tribe children, 6-14 years of age, in Omkoi District were randomly selected to participate in this study. Stool samples were collected and examined for intestinal parasitic infection through formalin-ether concentration method. Blood samples were collected for hematological and iron analysis. The overall prevalence of intestinal parasitic infection was 47.7% (179/375), with single infections (29.3%) and polyparatism (18.4%). The most common pathogenic parasite was Trichuris trichiura (16.0%), followed by Ascaris lumbricoides (13%) and Giardia lamblia (3.5%). In addition, non-pathogenic amoeba, Entamoeba coli was observed with a high prevalence rate (31.2%). Anemia and eosinophilia prevalence were 6.40% (24/375) and 74.7% (280/375), respectively. Eosinophilia was significantly more prevalent in children with intestinal parasitic infection compared to uninfected children. Among 249 children, 13.7% were iron deficiency, 9.6% were thalassemia and hemoglobinophathy and 8% were G-6-PD deficiency. A high prevalence infection rate was significantly associated with eosinophilia, but independently related to anemia and iron deficiency. Intestinal parasitic infections are endemic in school-age children of Karen hill tribe population in Omkoi District. These data highlight the need for an integrated approach to control transmission of intestinal parasites and improve the health and sanitation status of Karen hill tribe children in Thailand. Copyright © 2018 Elsevier B

  5. Salmonella in pork retail outlets and dissemination of its pulsotypes through pig production chain in Chiang Mai and surrounding areas, Thailand.

    Science.gov (United States)

    Patchanee, Prapas; Tansiricharoenkul, Kankanok; Buawiratlert, Tunyamai; Wiratsudakul, Anuwat; Angchokchatchawal, Kittipat; Yamsakul, Panuwat; Yano, Terdsak; Boonkhot, Phacharaporn; Rojanasatien, Suvichai; Tadee, Pakpoom

    2016-08-01

    Salmonella spp. is acknowledged as a significant zoonotic foodborne pathogen throughout the world. Contaminated pork consumption is considered as a main cause of human salmonellosis. In the later stage of the pig production chain, poor hygiene and unsuitable storage conditions in retail outlets are considered to be key factors linked to the risk of Salmonella infection. The purpose of current study, which was conducted throughout April 2014 to September 2014, was to determine the prevalence and characteristics of Salmonella spp. in pork sold at the retail stage in wet markets and supermarkets in the Chiang Mai urban area of Thailand. Additionally, clonal relations between Salmonella strains described in this study and those identified in earlier study from the same geographical area were considered. It is provided as a means of contributing to current knowledge regarding Salmonella epidemiology with an ultimate aim of improved food security and consumer protection in this region. From a total of 82 pork samples analyzed in this study, 41% were positive for Salmonella, with prevalence of 73.2% from wet markets (n=30/41) and 9.8% from supermarkets (n=4/41). Twelve Salmonella serovars were identified, S. Rissen being the most commonly encountered. Antibiotic resistance of the isolates was highest for ampicillin and tetracycline (53%), followed by streptomycin (44%). Pulsed-field gel electrophoresis (PFGE) and subsequent geographical distribution analysis indicated that the clonal Salmonella strains originated from multiple sources had been spread over a wide area. The existence of a common pig supply chain "farm-slaughterhouse-retail" transmission route is inferred. Continuous monitoring of Salmonella along the entire production chain is needed to reduce contamination loads and to ensure the safety of pork products for end consumers. Copyright © 2016 Elsevier B.V. All rights reserved.

  6. Intermediate-term results of image-guided brachytherapy and high-technology external beam radiotherapy in cervical cancer: Chiang Mai University experience.

    Science.gov (United States)

    Tharavichitkul, Ekkasit; Chakrabandhu, Somvilai; Wanwilairat, Somsak; Tippanya, Damrongsak; Nobnop, Wannapha; Pukanhaphan, Nantaka; Galalae, Razvan M; Chitapanarux, Imjai

    2013-07-01

    To evaluate the outcomes of image-guided brachytherapy combined with 3D conformal or intensity modulated external beam radiotherapy (3D CRT/IMRT) in cervical cancer at Chiang Mai University. From 2008 to 2011, forty-seven patients with locally advanced cervical cancer were enrolled in this study. All patients received high-technology (3D CRT/IMRT) whole pelvic radiotherapy with a total dose of 45-46 Gy plus image-guided High-Dose-Rate intracavitary brachytherapy 6.5-7 Gy × 4 fractions to a High-Risk Clinical Target Volume (HR-CTV) according to GEC-ESTRO recommendations. The dose parameters of the HR-CTV for bladder, rectum and sigmoid colon were recorded, as well as toxicity profiles. In addition, the endpoints for local control, disease-free, metastasis-free survival and overall survival were calculated. At the median follow-up time of 26 months, the local control, disease-free survival, and overall survival rates were 97.9%, 85.1%, and 93.6%, respectively. The mean dose of HR-CTV, bladder, rectum and sigmoid were 93.1, 88.2, 69.6, and 72 Gy, respectively. In terms of late toxicity, the incidence of grade 3-4 bladder and rectum morbidity was 2.1% and 2.1%, respectively. A combination of image-guided brachytherapy and IMRT/3D CRT showed very promising results of local control, disease-free survival, metastasis-free survival and overall survival rates. It also caused a low incidence of grade 3-4 toxicity in treated study patients. Copyright © 2013 Elsevier Inc. All rights reserved.

  7. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures – Paper 1: assessing fluorosis risk, predictors of fluorosis and the potential role of food preparation

    Science.gov (United States)

    2012-01-01

    Background To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Methods Subjects were male and female lifetime residents aged 8–13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores). Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Results Data from 560 subjects were available for analysis (298 M, 262 F). A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+) for subjects consuming drinking and cooking water with a fluoride concentration of 0.9 ppm F the prevalence of fluorosis (TF 3+) rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p 0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation. PMID:22720834

  8. Documentos para a história do mais antigo jardim zoológico do Brasil: o parque zoobotânico do Museu Goeldi

    Directory of Open Access Journals (Sweden)

    Nelson Sanjad

    Full Text Available O trabalho contextualiza a criação do Parque Zoobotânico do Museu Paraense Emílio Goeldi, em Belém (PA, no ano de 1895, considerado o mais antigo zoológico brasileiro. Apresenta duas raras fontes históricas sobre o Parque, um artigo de 1897 do zoólogo alemão Hermann Meerwarth (1870-1943, Auxiliar Científico de Zoologia e Inspetor do Jardim Zoológico do Museu Goeldi entre agosto de 1895 e abril de 1899; e um livro de 1901 do zoólogo suíço Gottfried Hagmann (1874-1946, que ocupou os mesmos cargos entre novembro de 1899 e meados de 1904. Ambos os textos são relatórios técnicos originalmente publicados em alemão, foram traduzidos para o português e atualizados do ponto de vista taxonômico. Eles permitem não apenas a realização de estudos sobre o Parque Zoobotânico do Museu Goeldi, como também sobre os jardins zoológicos em geral, além de leituras específicas nas áreas de história da ciência, história ambiental, museologia, arquitetura, educação ambiental e comunicação científica.

  9. Preharvest bagging with wavelength-selective materials enhances development and quality of mango (Mangifera indica L.) cv. Nam Dok Mai #4.

    Science.gov (United States)

    Chonhenchob, Vanee; Kamhangwong, Damrongpol; Kruenate, Jittiporn; Khongrat, Krittaphat; Tangchantra, Nantavat; Wichai, Uthai; Singh, S Paul

    2011-03-15

    Preharvest bagging has been shown to improve development and quality of fruits. Different light transmittance bags showed different effects on fruit quality. This study presents the benefits of using newly developed plastic bagging materials with different wavelength-selective characteristics for mangoes (cv. Nam Dok Mai #4). Mangoes were bagged at 45 days after full bloom (DAFB) and randomly harvested at 65, 75, 85, 95, and 105 DAFB. The bags were removed on the harvest days. The wavelength-selective bags (no pigment, yellow, red, blue/violet, blue) were compared with the Kraft paper bag with black paper liner, which is currently used commercially for several fruits, and with non-bagging as a control. Bagging significantly (p⩽0.05) reduced diseases and blemishes. Mango weight at 95 DAFB was increased approximately 15% by VM and V plastic bagging, as compared to paper bagging and control. Plastic bagging accelerated mango ripening as well as growth. Plastic-bagged mangoes reached maturity stage at 95 DAFB, while non-bagged mangoes reached maturity stage at 105 DAFB. Paper bagging resulted in a pale-yellow peel beginning at 65 DAFB, while plastic bagging improved peel glossiness. Preharvest bagging with different wavelength-selective materials affected mango development and quality. Bagging mangoes with VM and V materials could reduce peel defects and diseases, increase weight, size, and sphericity, improve peel appearance, and shorten the development periods of mangoes. The results suggest a favorable practice using the newly developed VM and V plastic bags in the production of mangoes, and possibly other fruits as well. Copyright © 2010 Society of Chemical Industry.

  10. Viver mais e melhor? Estimativas de expectativa de vida saudável para a população brasileira

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    Mirela Castro Santos Camargos

    2015-07-01

    Full Text Available O objetivo deste estudo foi analisar as diferenças nas estimativas de três variantes da expectativa de vida saudável dos idosos no Brasil de 1998 para 2008: expectativa de vida livre de incapacidade funcional, com percepção de saúde boa e livre de doenças crônicas. Empregou-se o método de Sullivan, combinando as tábuas de vida do Instituto Brasileiro de Geografia e Estatística (IBGE para 1998 e 2008 e estimativas intervalares das prevalências de incapacidade funcional, percepção de saúde e doenças crônicas da Pesquisa Nacional por Amostra de Domicílios (PNAD 1998 e 2008. Além do aumento da expectativa de vida, observaram-se aumentos significativos e similares da expectativa de vida saudável nas dimensões de percepção do estado de saúde e incapacidade funcional em quase todas as idades. As mulheres apresentaram maiores expectativas de vida, se comparadas aos homens, porém esperaram viver por mais tempo com saúde ruim, independentemente do indicador utilizado para mensurar saúde. Mesmo que a forma de mensurar saúde possa variar entre os estudos, dificultando comparações, é notável a desvantagem feminina em relação à expectativa de vida saudável.

  11. Vahistamise aluseks olevate tõendite kättesaadavaks tegemine kahtlustatavale. Riigikohtu kriminaalkolleegiumi 4. mai 2016. a määrus kohtuasjas 3-1-1-110-15 / Uno Lõhmus

    Index Scriptorium Estoniae

    Lõhmus, Uno, 1952-

    2016-01-01

    Riigikohtu kriminaalkolleegiumi määrusest kohtuasjas 3-1-1-110-15, kriminaalmenetluse seadustiku ja selle rakenduspraktika vastavusest Euroopa Parlamendi ja nõukogu 22. mai 2012. a direktiivi 2012/13/EL sättele ja mõttele ning Euroopa Inimõiguste Kohtu tunnustatud põhimõtetele

  12. “Segredos mais que secretos das princesas”: reflexões sobre práticas de letramento literário a partir de uma abordagem intercultural

    Directory of Open Access Journals (Sweden)

    Santiago Bretanha Freitas

    2015-12-01

    Full Text Available Vinculado ao projeto de extensão Experiências de leitura/escrita: formação de leitores/escritores, pertencente ao curso de Letras da Universidade Federal do Pampa (UNIPAMPA, câmpus Jaguarão, o presente trabalho objetiva relatar/refletir sobre práticas de letramento literário a partir de uma abordagem intercultural na rede básica de ensino. Tais práticas constituem o segundo módulo do projeto educacional (Diversificando: diferença na escola, aplicado em uma instituição municipal de ensino de Jaguarão, no contexto do Programa Mais Educação (PME; oportunidade na qual os autores deste artigo concluíram seu estágio supervisionado de docência em Língua Portuguesa e Literatura. Com base nos pressupostos teórico-metodológicos de Cosson (2006, Di Nizo (2008 e Ruiz (2001, no que concerne, respectivamente, aos conceitos/metodologias da Sequência Expandida, das Técnicas de Criatividade e de revisão textual-interativa, organizou-se o projeto didático em torno de dois temas transversais: diversidade/diferença étnico-racial e relações gênero; em específico no módulo dois tratou-se, dentro do eixo “gênero”, as questões das feminilidades e da mulher nos contos de fadas e nas “histórias de princesas”, narrativas que foram analisadas junto aos alunos sob diferentes óticas temporais e contrapostas a outras materialidades e artefatos culturais. Como produto final desta intervenção, houve a publicação dos contos produzidos pelos alunos no A Folha do +, jornal confeccionado pela Oficina de Jornal do PME, que circula na escola. Por meio de uma reflexão crítica acerca do impacto do trabalho docente, evidenciou-se no discurso dos alunos embates entre a emancipação do feminino e o imaginário do “homem da casa”, bem como novos olhares, modestos, sobre o papel sociocultural da mulher na contemporaneidade.

  13. Chiang Mai University Health Worker Study aiming toward a better understanding of noncommunicable disease development in Thailand: methods and description of study population.

    Science.gov (United States)

    Angkurawaranon, Chaisiri; Wisetborisut, Anawat; Jiraporncharoen, Wichuda; Likhitsathian, Surinporn; Uaphanthasath, Ronnaphob; Gomutbutra, Patama; Jiraniramai, Surin; Lerssrimonkol, Chawin; Aramrattanna, Apinun; Doyle, Pat; Nitsch, Dorothea

    2014-01-01

    Urbanization is considered to be one of the key drivers of noncommunicable diseases (NCDs) in Thailand and other developing countries. These influences, in turn, may affect an individual's behavior and risk of developing NCDs. The Chiang Mai University (CMU) Health Worker Study aims to provide evidence for a better understanding of the development of NCDs and ultimately to apply the evidence toward better prevention, risk modification, and improvement of clinical care for patients with NCDs and NCD-related conditions. A cross-sectional survey of health care workers from CMU Hospital was conducted between January 2013 and June 2013. Questionnaires, interviews, and physical and laboratory examinations were used to assess urban exposure, occupational shift work, risk factors for NCDs, self-reported NCDs, and other NCD-related health conditions. From 5,364 eligible workers, 3,204 participated (59.7%). About 11.1% of the participants had high blood pressure (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg) and almost 30% were considered to be obese (body mass index ≥25 kg/m(2)). A total of 2.3% had a high fasting blood glucose level (≥126 mg/dL), and the most common abnormal lipid profile was high low-density lipoprotein (≥160 mg/dL), which was found in 19.2% of participants. The study of health workers offers three potential advantages. The first is that the study of migrants was possible. Socioenvironmental influence on NCD risk factors can be explored, as changes in environmental exposures can be documented. Second, it allows the investigators to control for access to care. Access to care is potentially a key confounder toward understanding the development of NCDs. Lastly, a study of health personnel allows easy access to laboratory investigations and potential for long-term follow-up. This enables ascertainment of a number of clinical outcomes and provides potential for future studies focusing on therapeutic and prognostic issues

  14. Anterior segment and external ocular disorders associated with HIV infections in the era of HAART in Chiang Mai University Hospital, a prospective descriptive cross sectional study.

    Science.gov (United States)

    Singalavanija, Tassapol; Ausayakhun, Somsanguan; Tangmonkongvoragul, Chulaluck

    2018-01-01

    Human immunodeficiency virus (HIV) causes impairment to the human immune system which leads to immunocompromised conditions, including ocular complications. Several important HIV-associated disorders may involve the anterior segment, ocular surface, and adnexae organ such as dry eye, blepharitis which reduce quality of life of patients. In present, potent antiretroviral therapies HAART (highly active antiretroviral therapy) has improved the length and quality of life which may lead to an increased prevalence of anterior segment ocular disorders. Hence, this study has been undertaken to identify the prevalence and associated factors of anterior segment and external ocular disorder in HIV infected patients in the era of HAART. A prospective descriptive cross sectional study was carried out in HIV positive patients conducted at the Department of Ophthalmology, Chiang Mai University Hospital, from February 2014 to October 2015. Detail history and ocular examination was carried out to examine for anterior segment and external ocular disorders. A total number of 363 patients were included for this prospective cross-sectional study. From the total of 363 patients, 123 patients had an anterior segment and external ocular disorder which account as the prevalence of 33.9%. The most common anterior segment manifestations was dry eye seen in 36 patients (9.9%), followed by posterior blepharitis (Meibomian gland dysfunction) seen in 23 patients (6.3%) and anterior blepharitis seen in 12 patients (3.3%). Other ocular complications included microvasculopathy, immune recovery uveitis, conjunctivitis, papilloma, anterior uveitis, corneal ulcer, nevus, trichiasis, molluscum contangiosum, Kaposi sarcoma, interstitial keratitis, conjunctival lymphangiectasia, dacryocystitis, vernal keratoconjunctivitis and eyelid penicilosis. In this study, the prevalance of anterior segment disorders was higher than in the preHAART era. Dry eye, blepharitis and uveitis were the top three most common

  15. Anterior segment and external ocular disorders associated with HIV infections in the era of HAART in Chiang Mai University Hospital, a prospective descriptive cross sectional study.

    Directory of Open Access Journals (Sweden)

    Tassapol Singalavanija

    Full Text Available Human immunodeficiency virus (HIV causes impairment to the human immune system which leads to immunocompromised conditions, including ocular complications. Several important HIV-associated disorders may involve the anterior segment, ocular surface, and adnexae organ such as dry eye, blepharitis which reduce quality of life of patients. In present, potent antiretroviral therapies HAART (highly active antiretroviral therapy has improved the length and quality of life which may lead to an increased prevalence of anterior segment ocular disorders. Hence, this study has been undertaken to identify the prevalence and associated factors of anterior segment and external ocular disorder in HIV infected patients in the era of HAART. A prospective descriptive cross sectional study was carried out in HIV positive patients conducted at the Department of Ophthalmology, Chiang Mai University Hospital, from February 2014 to October 2015. Detail history and ocular examination was carried out to examine for anterior segment and external ocular disorders. A total number of 363 patients were included for this prospective cross-sectional study. From the total of 363 patients, 123 patients had an anterior segment and external ocular disorder which account as the prevalence of 33.9%. The most common anterior segment manifestations was dry eye seen in 36 patients (9.9%, followed by posterior blepharitis (Meibomian gland dysfunction seen in 23 patients (6.3% and anterior blepharitis seen in 12 patients (3.3%. Other ocular complications included microvasculopathy, immune recovery uveitis, conjunctivitis, papilloma, anterior uveitis, corneal ulcer, nevus, trichiasis, molluscum contangiosum, Kaposi sarcoma, interstitial keratitis, conjunctival lymphangiectasia, dacryocystitis, vernal keratoconjunctivitis and eyelid penicilosis. In this study, the prevalance of anterior segment disorders was higher than in the preHAART era. Dry eye, blepharitis and uveitis were the top

  16. Quantification of PAHs and oxy-PAHs on airborne particulate matter in Chiang Mai, Thailand, using gas chromatography high resolution mass spectrometry

    Science.gov (United States)

    Walgraeve, Christophe; Chantara, Somporn; Sopajaree, Khajornsak; De Wispelaere, Patrick; Demeestere, Kristof; Van Langenhove, Herman

    2015-04-01

    An analytical method using gas chromatography high resolution mass spectrometry was developed for the determination of 16 polycyclic aromatic hydrocarbons (PAHs) and 12 oxygenated PAHs (of which 4 diketones, 3 ketones, 4 aldehydes and one anhydride) on atmospheric particulate matter with an aerodynamic diameter less than 10 μm (PM10). The magnetic sector mass spectrometer was run in multiple ion detection mode (MID) with a mass resolution above 10 000 (10% valley definition) and allows for a selective accurate mass detection of the characteristic ions of the target analytes. Instrumental detection limits between 0.04 pg and 1.34 pg were obtained for the PAHs, whereas for the oxy-PAHs they ranged between 0.08 pg and 2.13 pg. Pressurized liquid extraction using dichloromethane was evaluated and excellent recoveries ranging between 87% and 98% for the PAHs and between 74% and 110% for 10 oxy-PAHs were obtained, when the optimum extraction temperature of 150 °C was applied. The developed method was finally used to determine PAHs and oxy-PAHs concentration levels from particulate matter samples collected in the wet season at 4 different locations in Chiang Mai, Thailand (n = 72). This study brings forward the first concentration levels of oxy-PAHs in Thailand. The median of the sum of the PAHs and oxy-PAHs concentrations was 3.4 ng/m3 and 1.1 ng/m3 respectively, which shows the importance of the group of the oxy-PAHs as PM10 constituents. High molecular weight PAHs contributed the most to the ∑PAHs. For example, benzo[ghi]perylene was responsible for 30-44% of the ∑PAHs. The highest contribution to ∑oxy-PAHs came from 1,8-napthalic anhydride (26-78%), followed by anthracene-9,10-dione (4-27%) and 7H-benzo[de]anthracene-7-one (6-26%). Indications of the degradation of PAHs and/or formation of oxy-PAHs were observed.

  17. Predictors of incident and recurrent participation in the sale or delivery of drugs for profit amongst young methamphetamine users in Chiang Mai Province, Thailand, 2005-2006.

    Science.gov (United States)

    Latimore, Amanda D; Rudolph, Abby; German, Danielle; Sherman, Susan G; Srirojn, Bangorn; Aramrattana, Apinun; Celentano, David D

    2011-07-01

    Despite Thailand's war on drugs, methamphetamine ("yaba" in Thai) use and the drug economy both thrive. This analysis identifies predictors of incident and recurrent involvement in the sale or delivery of drugs for profit amongst young Thai yaba users. Between April 2005 and June 2006, 983 yaba users, ages 18-25, were enrolled in a randomized behavioural intervention in Chiang Mai Province (415 index and 568 of their drug network members). Questionnaires administered at baseline, 3-, 6-, 9-, and 12-month follow-up visits assessed socio-demographic factors, current and prior drug use, social network characteristics, sexual risk behaviours and drug use norms. Exposures were lagged by three months (prior visit). Outcomes included incident and recurrent drug economy involvement. Generalized linear mixed models were fit using GLIMMIX (SASv9.1). Incident drug economy involvement was predicted by yaba use frequency (adjusted odds ratio [AOR]: 1.05; 95% confidence interval [CI]: 1.01, 1.10), recent incarceration (AOR: 2.37; 95% CI: 1.07, 5.25) and the proportion of yaba-using networks who quit recently (AOR: .34; 95% CI: .15, .78). Recurrent drug economy involvement was predicted by age (AOR: 0.81; 95% CI: 0.68, 0.96), frequency of yaba use (AOR: 1.06; 95% CI: 1.02, 1.09), drug economy involvement at the previous visit (AOR: 2.61; CI: 1.59, 4.28), incarceration in the prior three months (AOR: 2.29; 95% CI: 1.07, 4.86), and the proportion of yaba-users in his/her network who quit recently (AOR: .38; 95% CI: .20, .71). Individual drug use, drug use in social networks and recent incarceration were predictors of incident and recurrent involvement in the drug economy. These results suggest that interrupting drug use and/or minimizing the influence of drug-using networks may help prevent further involvement in the drug economy. The emergence of recent incarceration as a predictor for both models highlights the need for more appropriate drug rehabilitation programmes and

  18. Classificação dos fármacos mais solicitados em um serviço de atendimento farmacêutico = Classification of the most requested drugs in a pharmaceutical costumer service

    Directory of Open Access Journals (Sweden)

    Lima, Álisson Menezes Araújo

    2008-01-01

    Full Text Available Objetivo: Verificar e classificar o perfil das informações prestadas aos usuários atendidos por um Centro de Informações sobre Medicamentos (CIM SAC Farma Pague Menos, instalado em uma rede de farmácias do Ceará - Brasil, no período de janeiro a dezembro de 2005. Materiais e Métodos: Os dados foram obtidos do banco de dados de informações farmacêuticas através do software Tactium Managment® 2005, desenvolvido pela Softium com capacidade para gerar um banco de dados capaz de catalogar informações de forma eficiente ao desenvolvimento da pesquisa. Resultados: O fármaco mais solicitado durante o período de estudo foi o Diclofenaco (5,08%, seguido do Paracetamol (4,53% e o Levonorgestrel (3,51%. O 1º Nível da Classificação ATC mais solicitado foi o Nível A (16,58%, seguido dos Níveis N (15,55% e G (14,97% respectivamente. O 2º Nível mais solicitado da Classificação ATC foi o G03 com 13,29% das solicitações. Conclusões: O estudo demonstrou que Diclofenaco foi o fármaco mais solicitado para informações e que as classes dos hormônios sexuais, antiinfecciosos de uso sistêmicos e produtos antiinflamatórios e antireumáticos foram os mais registrados pela classificação ATC

  19. Facoemulsificação por córnea clara no meridiano mais curvo Phacoemulsification using clear cornea incision in steepest meridian

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    Fernando Pistarini Gonçalves

    2007-03-01

    Full Text Available OBJETIVOS: Avaliar o efeito da facoemulsificação com incisão em córnea clara no meridiano mais curvo sobre a magnitude do astigmatismo ceratométrico pré-operatório. Mapear a magnitude do astigmatismo cirurgicamente induzido por incisões nas posições nasal (N, temporal (T, temporal superior (TS e temporal inferior (TI. MÉTODOS: Foi realizado estudo ceratométrico prospectivo em 48 olhos de 48 pacientes, submetidos a facoemulsificação com incisão do meridiano mais curvo. As medidas ceratométricas foram realizadas no pré-operatório e um mês após a realização da cirurgia. O astigmatismo cirurgicamente induzido foi determinado pelo método das coordenadas retangulares em 10 passos, modificado. RESULTADOS: Foram operados 21 olhos direitos e 27 olhos esquerdos e, de acordo com a posição das incisões em córnea clara, foram divididos em: 16 olhos N, 4 olhos T, 22 olhos TS, 6 olhos TI. A média da ametropia cilíndrica pré-operatória foi de 1,06D ± 0,65 e a pós-operatória de 0,89D ± 0,80. Houve diminuição estatisticamente significativa no astigmatismo corneal preexistente (p=0,016. A média total de astigmatismo cirurgicamente induzido foi de 0,94D ± 0,56. Em relação aos grupos o astigmatismo cirurgicamente induzido foi de 1,06D ± 0,66 em N, 0,87D ± 0,20 em T, 0,95D ± 0,55 em TS e 0,61D ± 0,25 em TI. Não houve diferença estatística com relação ao astigmatismo cirurgicamente induzido nos grupos N, T, TS e TI (p=0,426. CONCLUSÃO: A técnica se mostrou efetiva na redução do astigmatismo ceratométrico pré-operatório. A média do astigmatismo cirurgicamente induzido foi de 1,06D ± 0,66 em N, 0,95D ± 0,55 em TS, 0,61D ± 0,25 em T e 0,87D ± 0,20 em TI.PURPOSE: To evaluate the effect of phacoemulsification through clear cornea incision in the steepest meridian (ISM, on the magnitude of preoperative keratometric astigmatism. To map the magnitude of surgically induced astigmatism (SIA by clear cornea incision

  20. Bioethanol production from corn stover residues. Process design and Life Cycle Assessment; Bioetanolo da resuidui della lavorazione del mais: process design e analisi del ciclo di vita

    Energy Technology Data Exchange (ETDEWEB)

    De Bari, I; Dinnino, G; Braccio, G [Dipartimento Tecnologie per l' Energia, Fonti Rinnovabili e Risparmio Energetico, ENEA, Centro Ricerche Trisaia, Matera (Italy)

    2008-07-01

    In this report, the mass and energy balance along with a land-to-wheel Life Cycle Assessment (LCA) is described for a corn stover-to-ethanol industrial process assumed to consist of the main technologies being researched at ENEA TRISAIA: pretreatment by steam explosion and enzymatic hydrolysis. The modelled plant has a processing capacity of 60kt/y (dimensioned on realistic supplying basins of residues in Italy); biomass is pre-treated by acid catalyzed-steam explosion; cellulose and hemicelluloses are hydrolyzed and separately fermented; enzymes are on-site produced. The main target was to minimize the consumption of fresh water, enzymes and energy. The results indicate that the production of 1kg bio ethanol (95.4 wt%) requires 3.5 kg biomass dry matter and produces an energy surplus up to 740 Wh. The main purpose of the LCA analysis was to assess the environmental impact of the entire life cycle from the bio ethanol production up to its end-use as E10 blended gasoline. Boustead Model was used as tool to compile the life cycle inventory. The results obtained and discussed in this reports suffer of some limitations deriving from the following main points: some process yields have been extrapolated according to optimistic development scenarios; the energy and steam recovery could be lower than that projected because of lacks in the real systems; water recycle could be limited by the yeast tolerance toward the potential accumulation of toxic compounds. Nevertheless, the detailed process analysis here provided has its usefulness in: showing the challenging targets (even if they are ambitious) to bet on to make the integrated process feasible; driving the choice of the most suitable technologies to bypass some process bottlenecks. [Italian] Questo rapporto illustra il bilancio di massa e di energia insieme alla valutazione del Ciclo di vita (LCA) per un processo industriale di produzione di bioetanolo da residui di mais costituito dalle principali tecnologie studiate

  1. Número mais provável de Salmonella isoladas de carcaças de frango resfriadas Most probable number of Salmonella isolated from refrigerated broiler carcasses

    Directory of Open Access Journals (Sweden)

    Anderlise Borsoi

    2010-11-01

    Full Text Available A Salmonella permanece um importante problema na avicultura e, considerando os patógenos transmitidos por alimentos, aparece como um dos agentes principais em surtos de toxinfecções alimentares. Para auxiliar na avaliação de riscos em adquirir infecção alimentar via carne de frangos que sofreram cocção inadequada, ou através de contaminação cruzada a partir desses animais, torna-se importante determinar a extensão de contaminação por patógenos em carne crua. No presente trabalho, foram analisadas 180 carcaças de frangos resfriadas, adquiridas em varejos, para pesquisa de Salmonella com determinação do número de células da bactéria. Foi utilizado o método do número mais provável (NMP nos ágares para isolamento verde brilhante com novobiocina (BGN e xilose-lisina tergitol 4 (XLT4. Os resultados mostraram 12,2% de ocorrência de Salmonella nas carcaças de frangos resfriadas e a média de NMP de Salmonella por mL, na leitura pelo ágar XLT4 foi de 2,7 células e no ágar BGN foi de 1,3 células. Os sorovares de Salmonella isolados das carcaças de frangos no estudo foram S. Enteritidis, S. Agona, S.Rissen, S. Heidelberg e S. Livingstone. A análise dos resultados demonstrou existir um número variável de células de Salmonella contaminando as carcaças de frango resfriadas que estão à venda ao consumidor.Salmonella in poultry remains an important worldwide problem, and among foodborne pathogens, the Salmonella appears as one of the most important outbreaks agents. To assess the risks of acquiring infection via undercooked poultry or cross contamination from chickens, it is important to determine the extent of the contamination on raw poultry with this pathogen. In this study, 180 refrigerated broiler carcasses, obtained from local stores, were assessed to recover Salmonella by the most probable number (MPN method to quantify bacterias cells onto brilliant green agar with novobiocin (BGN and xylose lysin tergitol 4 agar

  2. PM10-bound polycyclic aromatic hydrocarbons in Chiang Mai (Thailand): Seasonal variations, source identification, health risk assessment and their relationship to air-mass movement

    Science.gov (United States)

    Wiriya, Wan; Prapamontol, Tippawan; Chantara, Somporn

    2013-04-01

    This study aims to analyze the seasonal variations of PM10-bound polycyclic aromatic hydrocarbons (PAHs) for an estimation of the human health risk and identification of their possible sources. Ninety four PM10 samples were collected during the dry and wet seasons of 2010 and the dry season of 2011 in Chiang Mai, Thailand, and analyzed for 16 PAHs by gas chromatography-mass spectrometry. The average PM10 concentrations were 104.91 ± 32.70, 13.28 ± 11.34 and 36.24 ± 19.16 μg/m3 in dry season of 2010, wet season of 2010 and dry season of 2011, respectively, while the average 16-PAHs concentrations were 25.87 ± 10.13, 3.12 ± 2.18 and 4.58 ± 2.18 ng/m3, respectively. Correlations of PM10 and total PAHs concentrations were relatively high during all seasons (r > 0.796). In addition, PM10 concentrations were highly correlated with carcinogenic PAHs (r = 0.927) during the dry season of 2010, indicating that carcinogenic compounds were dominant in the particulate PAHs and could be generated from open burning, usually conducted in the dry season. The average PM10 concentration in the dry season of 2011 was much lower than that in 2010 and lower than the annual average of the past 12 years (48.17 μg/m3) because of the unusually high amount of rain precipitation and low open burning activity in this year. According to the accumulated number of hot spots occurring in northern part of Thailand, approximately 19,000 spots were found in the dry season of 2010, while only 6,600 spots were found in the dry season of 2011. It can be seen that larger scale open burning activities were performed in the dry season of 2010 than in the dry season of 2011. The value of toxicity equivalent concentration from PAHs in the dry season of 2010 was higher than that of the wet season of 2010 and the dry season of 2011. This is obviously related to concentrations of PM10 and PAHs. Diagnostic ratio and principal component analysis were used to find out the sources of PM10-bound PAHs. It was

  3. FÁRMACOS ANTI-INFLAMATÓRIOS NÃO ESTEROIDAIS MAIS DISPENSADOS EM UMA FARMÁCIA COMERCIAL DO MUNICÍPIO DE ITAOCARA, ESTADO DO RIO DE JANEIRO, BRASIL

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    Afonso Ferreira SILVA

    2015-12-01

    Full Text Available Foi realizada uma pesquisa em uma drogaria localizada no município de Itaocara, estado do Rio de Janeiro no período de janeiro a junho de 2011. O objetivo da pesquisa foi verificar quais são os anti-inflamatórios não esteroidais (AINEs mais dispensados bem como as principais associações. Os resultados revelaram a dispensação total de 14.072 AINEs com maior dispensação no mês de junho com um total de 2.885 dispensações (20,50%, sendo o mês de fevereiro o de menor índice de dispensações, no total de 1.766 (12,55%. Um total de 6.359 formulações (45,19% continha apenas um princípio ativo, enquanto que 7.713 formulações (54,81% apresentavam dois ou mais princípios ativos associados. Dentre as formulações isoladas, as três mais dispensadas foram a dipirona com um total de 45,90% das vendas, seguida do ácido mefenâmico (20,96% e do paracetamol (11,23%. Dentre as formulações associadas, 7.713 no total, as três mais dispensadas incluíram a dipirona + escopolamina (26,25%, seguida de dipirona + cafeína + mucato de isometrepteno (21,76% e da dipirona + cafeína + orfenadrina (17,75%. O princípio ativo mais presente nas associações foi a cafeína seguida da dipirona e do paracetamol.  De acordo com a metodologia utilizada é possível concluir que os AINEs constituem-se em fármacos com alta dispensação nas drogarias, sendo maior nos meses de maio e junho; a dipirona é o mais dispensado, principalmente na forma associada; seguida pelo ácido mefenâmico e pelo paracetamol. A automedicação é frequente em relação ao uso de tais medicamentos.

  4. Complex community of nitrite-dependent anaerobic methane oxidation bacteria in coastal sediments of the Mai Po wetland by PCR amplification of both 16S rRNA and pmoA genes.

    Science.gov (United States)

    Chen, Jing; Zhou, Zhichao; Gu, Ji-Dong

    2015-02-01

    In the present work, both 16S rRNA and pmoA gene-based PCR primers were employed successfully to study the diversity and distribution of n-damo bacteria in the surface and lower layer sediments at the coastal Mai Po wetland. The occurrence of n-damo bacteria in both the surface and subsurface sediments with high diversity was confirmed in this study. Unlike the two other known n-damo communities from coastal areas, the pmoA gene-amplified sequences in the present work clustered not only with some freshwater subclusters but also within three newly erected marine subclusters mostly, indicating the unique niche specificity of n-damo bacteria in this wetland. Results suggested vegetation affected the distribution and community structures of n-damo bacteria in the sediments and n-damo could coexist with sulfate-reducing methanotrophs in the coastal ecosystem. Community structures of the Mai Po n-damo bacteria based on 16S rRNA gene were different from those of either the freshwater or the marine. In contrast, structures of the Mai Po n-damo communities based on pmoA gene grouped with the marine ones and were clearly distinguished from the freshwater ones. The abundance of n-damo bacteria at this wetland was quantified using 16S rRNA gene PCR primers to be 2.65-6.71 × 10(5) copies/g dry sediment. Ammonium and nitrite strongly affected the community structures and distribution of n-damo bacteria in the coastal Mai Po wetland sediments.

  5. Os saberes experienciais nas práticas educativas das turmas de jornada ampliada atendidas pelo programa mais educação: um estudo de caso em Duque de Caxias/RJ

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    Janaína Specht da Silva Menezes

    2012-01-01

    Full Text Available Este trabalho teve por objetivo analisar como estão sendo desenvolvidos os saberes experienciais nas práticas educativas da Escola Municipal Visconde de Itaboraí no município de Duque de Caxias, a partir da implantação do Programa Mais Educação/Mais Escola. O Programa Mais Educação é a estratégia nacional para fomento da educação integral no país, sendo regulado pelo Decreto 7.083, de 27 de janeiro de 2010. O Programa Mais Escola é a versão do Programa Mais Educação em Duque de Caxias, município do Estado do Rio de Janeiro. Em 2010, o Programa Mais Escola atendeu 18.000 alunos do Ensino Fundamental no município. Para consecução deste trabalho, utilizou-se a metodologia dialética apresentada por Frigotto, tendo como método de organização e análise o estudo de caso. No trabalho de campo, foram realizadas entrevistas semi estruturadas, observação e pesquisas em registro. A análise dos dados foi realizada de acordo com Bardin, análise de conteúdo. O estudo das práticas educativas e dos saberes experienciais teve como referencial central os pressupostos de Tardif sobre saberes docentes. Em síntese, podemos afirmar que os saberes experienciais nas práticas educativas fomentam a formação integral, proporcionando melhoria do desempenho escolar dos alunos no turno regular, conquanto timidamente, pois a articulação dos turnos é um dos maiores obstáculos para efetividade das práticas educativas.Abstract Este estudio tuvo como objetivo analizar cómo se está desarrollando el conocimiento experimental en las prácticas educativas de la Escuela Municipal Visconde de Itaboraí, en el municipio de Duque de Caxias, desde la aplicación del Programa “Más Educación/Más Escuela”. Para ello, se utilizó el método dialéctico impartido por Frigotto, teniendo como método de análisis el estudio de caso. El trabajo de campo se desarrolló a través de entrevistas, observaciones y la investigación de registros. El an

  6. Proteínas séricas de potros da raça Puro Sangue Árabe recém-desmamados ou com mais de trinta dias de desmame

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    Diego Horcajo Martinez Fudoli Favero

    2011-12-01

    Full Text Available A fase perinatal do desenvolvimento constitui um dos períodos de vida mais desafiadores para o sistema imunológico dos potros. O objetivo do presente estudo foi verificar o perfil protéico sérico de parâmetros relacionados à imunidade de equinos jovens no período perinatal, verificando-se a transferência de imunidade passiva. Oito animais desmamados há um dia, formaram o Grupo 1 (G1, enquanto vinte animais desmamados há mais de trinta dias formaram o Grupo 2 (G2. A concentração sérica de proteína total foi determinada por refratometria. Para o fracionamento das proteínas, utilizou-se eletroforese em gel de acrilamida. Os resultados obtidos foram submetidos à análise de medidas repetidas e ao teste Tukey (p0,05 nas concentrações de IgG. O estabelecimento adequado da imunidade celular ocorre durante a fase neonatal, nos animais que ingerem adequadamente o colostro e o leite. O presente estudo determinou diferenças no perfil protéico sérico de parâmetros relacionados à imunidade de equinos jovens no período imediato ao desmame, comparados com animais desmamados há mais de 30 dias. De acordo com os valores observados, concluiu-se que os animais, mesmo desmamados precocemente, obtiveram transferência adequada de imunidade passiva.

  7. Metodologia de checkland aplicada à implementação da produção mais limpa em serviços Cleaner production implementation in services using checkland's methodology

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    Gisele Cristina Sena da Silva

    2006-12-01

    Full Text Available O programa de Produção Mais Limpa tem sido aplicado com sucesso na indústria manufatureira, entretanto, esta ferramenta está longe de ser adotada por empresas de prestação de serviço. Este artigo tem como principal contribuição caracterizar o desenvolvimento e a aplicação da Produção Mais Limpa na prestação de serviço, a partir da utilização da Metodologia de Checkland para estruturação de problemas. Essa metodologia objetiva a comparação entre sistema real (como a empresa se encontra hoje e conceitual (como a empresa iria funcionar se adotasse a Produção Mais Limpa no sentido de traçar cenários de mudanças e auxiliar os gestores na tomada de decisão sobre adotar ou não adotar este programa.The Cleaner Production program has been applied successfully in the manufacturing industry. However, this instrument is far from service company's adoption. The main contribution of this thesis is to characterize the development and application of the Cleaner Production program in Services using Checkland Methodology for structuring problems. The main objective of this methodology is make a comparison between the real system (the way the company is today and the conceptual system (the way the company would work if it adopted the Cleaner Production as it traces the changing pictures and help managers to decide on adopting this program or not. The aim of the presented Case Studies is to show how the model is applied in service companies.

  8. Analysis of Sheng-Mai-San, a Ginseng-Containing Multiple Components Traditional Chinese Herbal Medicine Using Liquid Chromatography Tandem Mass Spectrometry and Physical Examination by Electron and Light Microscopies

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    Yung-Yi Cheng

    2016-09-01

    Full Text Available Sheng-Mai-San is a multi-component traditional Chinese herbal preparation. Due to the fact granulated additives, such as starch, carboxymethyl cellulose, lactose and raw herbal powder may alter the content of the bioactive markers in the herbal products, a developed ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC-MS/MS method was used to measure the herbal biomarkers of ginsenoside Rb1, Rb2, Rc, Rd, Re, Rg1, Rh1, compound K, ophiopogonin D and schizandrin from the Sheng-Mai-San herbal formulation. Besides, scanning electron microscopy (SEM was used to observe the morphology of the herbal granular powders. Light microscopy with Congo red and iodine-KI reagent staining was used to identify the cellulose fiber and cornstarch added to pharmaceutical herbal products. The swelling power (SP, water solubility index (WSI, and crude fiber analysis were used to determine the contents of cellulose fiber and cornstarch in pharmaceutical herbal products. In this study, we developed a novel skill to assess the quantification of appended cornstarch in pharmaceutical herbal products using Aperio ImageScope software. Compared with the traditional cornstarch analysis, our analysis method is a rapid, simple and conversion process which could be applied to detect the percentage of added cornstarch in unknown powder products. The various range of the herbal content for the five pharmaceutical manufacturers varied by up to several hundreds-fold. The physical examination reveals that the morphology of the herbal pharmaceutical products is rough and irregular with sharp layers. This study provides a reference standard operating procedure guide for the quality control of the Chinese herbal pharmaceutical products of Sheng-Mai-San.

  9. Analysis of Sheng-Mai-San, a Ginseng-Containing Multiple Components Traditional Chinese Herbal Medicine Using Liquid Chromatography Tandem Mass Spectrometry and Physical Examination by Electron and Light Microscopies.

    Science.gov (United States)

    Cheng, Yung-Yi; Tsai, Tung-Hu

    2016-09-01

    Sheng-Mai-San is a multi-component traditional Chinese herbal preparation. Due to the fact granulated additives, such as starch, carboxymethyl cellulose, lactose and raw herbal powder may alter the content of the bioactive markers in the herbal products, a developed ultra-high performance liquid chromatography tandem mass spectrometry (UHPLC-MS/MS) method was used to measure the herbal biomarkers of ginsenoside Rb₁, Rb₂, Rc, Rd, Re, Rg₁, Rh₁, compound K, ophiopogonin D and schizandrin from the Sheng-Mai-San herbal formulation. Besides, scanning electron microscopy (SEM) was used to observe the morphology of the herbal granular powders. Light microscopy with Congo red and iodine-KI reagent staining was used to identify the cellulose fiber and cornstarch added to pharmaceutical herbal products. The swelling power (SP), water solubility index (WSI), and crude fiber analysis were used to determine the contents of cellulose fiber and cornstarch in pharmaceutical herbal products. In this study, we developed a novel skill to assess the quantification of appended cornstarch in pharmaceutical herbal products using Aperio ImageScope software. Compared with the traditional cornstarch analysis, our analysis method is a rapid, simple and conversion process which could be applied to detect the percentage of added cornstarch in unknown powder products. The various range of the herbal content for the five pharmaceutical manufacturers varied by up to several hundreds-fold. The physical examination reveals that the morphology of the herbal pharmaceutical products is rough and irregular with sharp layers. This study provides a reference standard operating procedure guide for the quality control of the Chinese herbal pharmaceutical products of Sheng-Mai-San.

  10. Comparação dos casos mais contrastantes: método pioneiro central na era da globalização A comparison of the most different cases: a pioneer method in the era of globalization

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    Olivier Giraud

    2009-12-01

    Full Text Available Este artigo trata da metodologia comparativa centrada nos casos mais contrastantes e mostra a utilidade crescente deste método no mundo atual, marcado pela escalada da globalização. O método dos casos mais diferentes foi desenvolvido nos anos sessenta, época em que se privilegiavam as abordagens estrutural-funcionalistas, que tendiam a mostrar a unicidade ou, pelo menos, a uniformidade das trajetórias de mudança ou de desenvolvimento das sociedades humanas. Esse método demonstrou, em contrapartida, a utilidade de uma ferramenta metodológica que se debruça sobre a pluralidade das formas sociais, tais como as do religioso, do comércio, da conquista, do trabalho, etc. Esse artigo busca situar as abordagens comparativas em termos de casos mais diferentes no contexto dos debates metodológicos contemporâneos sobre o comparatismo. Em seguida, propõe uma definição da globalização e dos mecanismos que explicam a transformação das condições da comparação em um mundo globalizado. Conclui-se, enfim, por uma avaliação das virtudes e dos limites das abordagens comparativas dos casos mais diferentes em um contexto de globalização.This article deals with comparative methodology, focused on the most different cases, and exposes the increasing usefulness of this method in today's world, which is characterized by the rise of globalization. The "most different cases" method was developed in the sixties, when structural-functionalist approaches were privileged because they tended to show unicity or, at least, the uniformity of the trajectories of change or the development of the human societies. It was this method that demonstrated the usefulness of a methodological tool that emphasizes the plurality of social forms, such as religion, trade, conquest, labor, etc... This paper intends to define the comparative approaches, as regards the most different cases, within the context of the contemporary methodological debates on comparativism

  11. Mineralization and geophysical exploration by IP/RS and ground magnetic survey in MA-I and surrounding area, Maherabad porphyry Cu-Au prospect area, east of Iran

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    Azadeh Malekzadeh Shafaroudi

    2009-10-01

    Full Text Available Maherabad prospect area, which is studied in detail, is the first porphyry Cu-Au mineralization in the east of Iran. Based on relation of mineralization with subvolcanic intrusive bodies mostly monzonitic with porphyry texture, extent and types of alteration including potassic, sericitic- potassic, quartz- sericite- carbonate- pyrite, quartz- carbonate- pyrite, silicification- propylitic, propylitic, stockwork mineralization, assemblages hypogene mineralization including pyrite, chalcopyrite, bornite and magnetite and high anomalies of Cu and Au, Mineralization is porphyry Cu-Au-type. MA-I area, which is covered by regolith from its surrounding is the most important section of mineralization in the region because of intensive of quartz-sericite-carbonate-pyrite alteration and very high dense quartz-sulfide veinlets. IP/RS and ground magnetic surveys were conducted in the MA-I prospect area and its surrounding plain. Drilling on the IP suede section anomaly resulted to the recognition of sulfide mineralization in on extensive area under the regolith. Surface and underground detailed studies of geology, alteration, mineralization and geochemistry confirm the extension of covered mineralization to the south and west of the area. Based on the ground magnetic anomaly, the center of mineralization system, potassic zone, to the southwest of the area was recognized. Quartz0sericite-carbonate-pyrite alteration zone, which is located around the potassic zone, has very low magnetic response. IP/RS and ground magnetic surveys in a broader area than before are strongly recommended.

  12. Visibilidade de Notícias no Twitter e no Facebook: Análise Comparativa das Notícias mais Repercutidas na Europa e nas Américas

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    Gabriela da Silva Zago

    2013-06-01

    Full Text Available O artigo identifica e compara as notícias mais repercutidas no Twitter e no Facebook em jornais do Brasil, Alemanha, Espanha, Estados Unidos e Reino Unido. O recorte inclui 8 dos jornais de maior circulação nos 5 países, perfazendo um conjunto de 40 jornais. O volume de “retuites” e “curtidas” foi utilizado para avaliar a visibilidade da notícia. Links postados no Twitter e mensagens postadas pelos jornais no Facebook foram coletados durante duas semanas em outubro de 2012. Nós analisamos o conteúdo das 25 mensagens mais replicadas em cada jornal e rede social e encontramos características culturais e diferenças editoriais significativas entre países em função dos conteúdos que circularam nas redes sociais durante o período. Os resultados também oferecem uma confirmação empírica da percepção generalizada de que o Facebook é utilizado majoritariamente para conteúdos ligados ao entretenimento e curiosidades, e o Twitter para a cobertura de eventos políticos, econômicos e sociais.

  13. Adeus à “Nova República”: esboço de mais uma via-crúcis da democracia brasileira sob o convite do Estado de exceção

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    Wellington Fontes Menezes

    2017-12-01

    Full Text Available Um novo momento da vida nacional brasileira se inicia com a consolidação de mais um golpe de estado após um intenso processo de articulação política de grupos de interesses para a deposição da presidenta Dilma Rousseff em agosto de 2016. Neste presente trabalho, busca-se um estudo preliminar das condições impostas por uma nova dinâmica onde a democracia foi subjugada e percebe-se a consolidação de domínio de um estado de exceção. O retorno das lições de Carl Schmitt e as considerações mais contemporâneas de Giorgio Agamben contribuem para o entendimento e formulação de um novo paradigma de atuação que não é inscrita na lei, mas está atuante dentro uma zona intermediária entre a democracia e o absolutismo.

  14. "When I first saw a condom, I was frightened": A qualitative study of sexual behavior, love and life of young cross-border migrants in urban Chiang Mai, Thailand.

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    Arunrat Tangmunkongvorakul

    Full Text Available Many young migrant workers move across the border to Chiang Mai, a major city in Northern Thailand, in search of work opportunities. This study describes their sexual behavior, lifestyles, relationships and experiences with youth-friendly sexual and reproductive health (SRH services.This is the qualitative arm of a mixed methods study using focus group discussions (FGDs among young MWs aged 15-24 years in urban Chiang Mai. We conducted 6 FGDs with 84 participants (43 males, 41 females organized in groups of 10-15 people, including 3 groups of males, 2 groups of females, and 1 group of both males and females.We found that the lack of parental control, pressure to assimilate into Thai society, access to social media and modern communication technologies, and limited knowledge and access to sexual and reproductive health (SRH services interplayed to shape lifestyle and sexual behaviors, including low condom use among young migrants.The present study helped discern the vulnerability of young migrants to adverse SRH outcomes. This particular group of youth needs urgent intervention to improve their knowledge on SRH and access to a youth-friendly clinic to help them personalize risk of HIV and other adverse SRH outcomes.

  15. Simultaneous Qualitative and Quantitative Analysis of Multiple Chemical Constituents in YiQiFuMai Injection by Ultra-Fast Liquid Chromatography Coupled with Ion Trap Time-of-Flight Mass Spectrometry

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    Chunhua Liu

    2016-05-01

    Full Text Available YiQiFuMai injection (YQFM is a modern lyophilized powder preparation derived from the traditional Chinese medicine Sheng-mai san (SMS used for treating cardiovascular diseases, such as chronic heart failure. However, its chemical composition has not been fully elucidated, particularly for the preparation derived from Ophiopogon japonicus. This study aimed to establish a systematic and reliable method to quickly and simultaneously analyze the chemical constituents in YQFM by ultra-fast liquid chromatography coupled with ion trap time-of-flight mass spectrometry (UFLC-IT-TOF/MS. Sixty-five compounds in YQFM were tentatively identified by comparison with reference substances or literature data. Furthermore, twenty-one compounds, including three ophiopogonins, fifteen ginsenosides and three lignans were quantified by UFLC-IT-TOF/MS. Notably, this is the first determination of steroidal saponins from O. japonicus in YQFM. The relative standard deviations (RSDs of intra- and inter-day precision, reproducibility and stability were <4.9% and all analytes showed good linearity (R2 ≥ 0.9952 and acceptable recovery of 91.8%–104.2% (RSD ≤ 5.4%, indicating that the methods were reliable. These methods were successfully applied to quantitative analysis of ten batches of YQFM. The developed approach can provide useful and comprehensive information for quality control, further mechanistic studies in vivo and clinical application of YQFM.

  16. "When I first saw a condom, I was frightened": A qualitative study of sexual behavior, love and life of young cross-border migrants in urban Chiang Mai, Thailand.

    Science.gov (United States)

    Tangmunkongvorakul, Arunrat; Musumari, Patou Masika; Srithanaviboonchai, Kriengkrai; Manoyos, Veruree; Techasrivichien, Teeranee; Suguimoto, S Pilar; Ono-Kihara, Masako; Kihara, Masahiro; Chariyalertsak, Suwat

    2017-01-01

    Many young migrant workers move across the border to Chiang Mai, a major city in Northern Thailand, in search of work opportunities. This study describes their sexual behavior, lifestyles, relationships and experiences with youth-friendly sexual and reproductive health (SRH) services. This is the qualitative arm of a mixed methods study using focus group discussions (FGDs) among young MWs aged 15-24 years in urban Chiang Mai. We conducted 6 FGDs with 84 participants (43 males, 41 females) organized in groups of 10-15 people, including 3 groups of males, 2 groups of females, and 1 group of both males and females. We found that the lack of parental control, pressure to assimilate into Thai society, access to social media and modern communication technologies, and limited knowledge and access to sexual and reproductive health (SRH) services interplayed to shape lifestyle and sexual behaviors, including low condom use among young migrants. The present study helped discern the vulnerability of young migrants to adverse SRH outcomes. This particular group of youth needs urgent intervention to improve their knowledge on SRH and access to a youth-friendly clinic to help them personalize risk of HIV and other adverse SRH outcomes.

  17. Identificação laboratorial dos patógenos oculares mais freqüentes e sua suscetibilidade in vitro aos agentes antimicrobianos Laboratory identification of the most frequent ocular pathogens and their in vitro sensitivity to antibiotics

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    Eliane Uesugui

    2002-06-01

    Full Text Available Objetivo: Estabelecer os agentes mais comumente isolados nas ceratites, conjuntivites e endoftalmites no Laboratório de Microbiologia da Santa Casa de Misericórdia de São Paulo, assim como determinar o perfil de sensibilidade destes agentes aos antibióticos. Métodos: Realizamos estudo retrospectivo analisando todos os prontuários oftalmológicos do banco de dados do Laboratório de Microbiologia da Santa Casa de São Paulo. Foram coletados os dados de todos os pacientes submetidos à colheita de material ocular nos últimos 5 anos (1994-1999. Selecionamos para o estudo apenas os pacientes com diagnóstico clínico de conjuntivite, ceratite e endoftalmite. Os respectivos antibiogramas foram realizados e somente dados de antibiótico com aplicação em oftalmologia foram analisados. Resultados: Dos 568 casos pesquisados, foram encontrados 282 casos de ceratite bacteriana (49,6%, 214 de conjuntivites (37,7%, 72 de endoftalmites (12,7%. Obtivemos cultura negativa em 333 casos (58,9%. O agente mais freqüentemente isolado foi S. aureus (73 casos; 31,0%. Nas conjuntivites, o segundo agente mais freqüente foi Candida sp (6,6% e 38,3% das culturas foram negativas. Nas ceratites, Pseudomonas aeruginosa apresentou 3,9% de positividade. Nas endoftalmites, nas quais houve apenas 32% de positividade, o segundo agente mais freqüente foi o S. pneumoniae (4,2%. Conclusão: Culturas negativas foram achado mais freqüente. Quando nos deparamos com uma infecção ocular, as chances de o causador ser S. aureus são muito grandes, portanto antes mesmo de se obter o resultado da cultura, tratamento que inclua S. aureus pode ser indicado.Purpose: To establish the most frequently isolated agents in keratitis, conjunctivitis and endophthalmitis by the Laboratory of Microbiology/ Santa Casa of São Paulo, and to determine their antimicrobial sensitivity. Methods: A retrospective study including all ophthalmologic charts of the Laboratory of Microbiology/ Santa

  18. Suicídio atípico com dois ou mais disparos efetivos de arma de fogo: casuística do Instituto Médico Legal de Belo Horizonte e implicações periciais

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    Leonardo Santos Bordoni

    2017-05-01

    Full Text Available O Brasil ocupou o oitavo lugar em números absolutos de suicídios no mundo em 2012. Apesar do suicídio com arma de fogo (AF não ser a modalidade mais comum, é frequente seu encontro na prática pericial criminal. Na maioria dos suicídios com AF há apenas um disparo efetivo e o encontro de duas ou mais lesões de entrada classifica o suicídio como atípico. Neste estudo foram avaliados os suicídios atípicos com dois ou mais disparos efetivos de AF nas necropsias do Instituto Médico Legal de Belo Horizonte realizadas entre 2006 e 2012. Foram resgatados cinco casos, correspondendo a 2,63% do total de suicídios com AF autopsiados no período estudado. A maioria dos casos era do sexo masculino, solteira, tinha pele morena, apresentava idade média de 42,3 anos e recebeu atendimento médico previamente ao óbito. Em quatro casos foram observadas duas lesões de entrada de projéteis de AF e em apenas um foram observadas três. Todos apresentavam lesões de entrada no tórax, a maioria localizada na região peitoral esquerda. Em dois indivíduos houve lesões de entrada no tórax e na cabeça. A causa da morte da maioria foi traumatismo torácico perfuro-contuso. Apesar da necropsia forense ser crucial no estabelecimento da causa médica da morte e na avaliação da capacidade de desempenhar atos motores voluntários após um primeiro disparo, a investigação criminal de casos de suicídios atípicos é um trabalho multidisciplinar, onde cada uma das peças periciais deve se encaixar adequadamente para o estabelecimento correto da causa jurídica da morte.

  19. Geomorphic and Structural Evidence for Rolling Hinge Style Deformation in the Footwall of an Active Low Angle Normal Fault, Mai'iu Fault, Woodlark Rift, SE Papua New Guinea

    Science.gov (United States)

    Mizera, M.; Little, T.; Norton, K. P.; Webber, S.; Ellis, S. M.; Oesterle, J.

    2016-12-01

    While shown to operate in oceanic crust, rolling hinge style deformation remains a debated process in metamorpic core complexes (MCCs) in the continents. The model predicts that unloading and isostatic uplift during slip causes a progressive back-tilting in the upper crust of a normal fault that is more steeply dipping at depth. The Mai'iu Fault in the Woodlark Rift, SE Papua New Guinea, is one of the best-exposed and fastest slipping (probably >7 mm/yr) active low-angle normal faults (LANFs) on Earth. We analysed structural field data from this fault's exhumed slip surface and footwall, together with geomorphic data interpreted from aerial photographs and GeoSAR-derived digital elevation models (gridded at 5-30 m spacing), to evaluate deformational processes affecting the rapidly exhuming, domal-shaped detachment fault. The exhumed fault surface emerges from the ground at the rangefront near sea level with a northward dip of 21°. Up-dip, it is well-preserved, smooth and corrugated, with some fault remnants extending at least 29 km in the slip direction. The surface flattens over the crest of the dome, beyond where it dips S at up to 15°. Windgaps perched on the crestal main divide of the dome, indicate both up-dip tectonic advection and progressive back-tilting of the exhuming fault surface. We infer that slip on a serial array of m-to-km scale up-to-the-north, steeply S-dipping ( 75°) antithetic-sense normal faults accommodated some of the exhumation-related, inelastic bending of the footwall. These geomorphically well expressed faults strike parallel to the main Mai'iu fault at 110.9±5°, have a mean cross-strike spacing of 1520 m, and slip with a consistent up-to-the-north sense of throw ranging from <5 m to 120 m. Apparently the Mai'iu Fault was able to continue slipping despite having to negotiate this added fault-roughness. We interpret the antithetic faulting to result from bending stresses, and to provide the first clear examples of rolling hinge

  20. Os pretéritos mais-que-perfeito simples e imperfeito sob a ótica da iconicidade e da gramaticalização Pluperfect and imperfect tenses from the perspective of iconicity and grammaticalization

    Directory of Open Access Journals (Sweden)

    Angela Cristina Di Palma Back

    2012-01-01

    Full Text Available Este artigo propõe-se a demonstrar que os pretéritos mais-que-perfeito simples e imperfeito do subjuntivo são formas que codificam várias funções em Língua Portuguesa. Parte-se da premissa de que não há relação categórica de um-para-um entre função e forma. Apresentamos, inicialmente, o princípio da iconicidade e os princípios de gramaticalização, com o propósito de, ao final deste artigo, mostrar que se aplicam aos dados sob análise. Na sequência, ilustramos a multifuncionalidade do pretérito mais-que-perfeito simples (em perspectiva diacrônica e do pretérito imperfeito do subjuntivo (em perspectiva sincrônica, considerando-se como motivações para essa multifuncionalidade as categorias Tempo e Modalidade. Os resultados apontam a Modalidade, pela generalização do traço irrealis, como fator que desencadeia mudanças tanto de tempo como de ponto de referência. Os pretéritos sob análise migram de passado com ponto de referência passado ao futuro: o mais-que-perfeito simples passa a codificar projeção futura e o imperfeito do subjuntivo, a codificar situações menos referenciais e menos factuais.This paper aims at demonstrating that preterit forms such as the pluperfect and the imperfect subjuntive tenses are forms that encode various functions in Portuguese. It is assumed that there is no categorical one-to-one relationship between form and function. Initially, iconicity and grammaticalization principles are presented in order to show how they function in relation to the data under analysis. Next, we illustrate the multifunctionality of the pluperfect (in diachronic perspective and the imperfect subjuntive tense (in synchronic perspective considering Time and Modality as the motivation for such multifunctionality. The results point to the generalization of the irrealis feature modality as a factor that triggers changes in both time and reference point. The tenses under review migrate from past with past

  1. A PUC-Campinas: as mudanças institucionais narradas por seus docentes mais velhos - PUC-University of campinas (Brazil: the institutional changes narrated by its oldest teachers

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    Rogério Canciam, Vera Lúcia de Carvalho Machado

    2011-04-01

    Full Text Available Resumo O estudo realizado insere-se na área da Educação e articula à linha de pesquisa Universidade, Docência e Formação de Professores. A pesquisa realizada teve como objetivo recuperar, com base nos relatos de professores mais velhos em atividades docente na PUC-Campinas, informações que pudessem contribuir para a história dessa instituição educacional em tempos mais remotos. Com esse intuito, foram adotados procedimentos metodológicos derivados da história oral, sendo efetuadas entrevistas com cinco docentes mais antigos. Palavras-chave: educação superior, PUC-Campinas, universidade.   PUC-UNIVERSITY OF CAMPINAS (BRAZIL: THE INSTITUTIONAL CHANGES NARRATED BY ITS OLDEST TEACHERS Abstract The carried through study is inserted in the Education area and is joined the University research line, Education and Teachers Formation The carried through research had as objective to recoup on the basis of the older teachers stories in teaching activities at PUC-Campinas, information that could contribute for the history of this educational institution in more remote times. With this intention methodological procedures derived of Verbal History had been adopted and five older professors have been interviewed. Keywords: further education; PUC-Campinas-Brazil; university.   PUC-CAMPINAS: LOS CAMBIOS INSTITUCIONALES NARRADOS POR SUS DOCENTES MÁS ANTIGUOS Resumen El estudio realizado se inserte en el área de la Educación y articula a la línea de investigación Universidad, Docencia y Formación de Profesores. La investigación realizada tuvo como objetivo recuperar, con base en los relatos de profesores más antiguos en actividades docentes en la PUC-Campinas, informaciones que pudieran contribuir para la historia de esa institución educacional en tiempos más remotos. Con ese intuito, fueron adoptados procedimientos metodológicos derivados de la Historia Oral, siendo realizadas encuestas con cinco docentes más antiguos. Palabras

  2. POR UM CURRÍCULO NA PERSPECTIVA DE UMA EDUCAÇÃO MAIS DIVERSA, DINÂMICA E DEMOCRÁTICA: debates atuais na Educação Básica e no Ensino Superior

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    Maria Zuleide da Costa Pereira

    2014-09-01

    Full Text Available A revista Espaço do Currículo elege no volume sete, segundo número de 2014 a temática: POR UM CURRÍCULO NA PERSPECTIVA DE UMA EDUCAÇÃO MAIS DIVERSA, DINÂMICA E DEMOCRÁTICA: debates atuais na Educação Básica e no Ensino Superior. Com isso, além de dar continuidade à política socializadora de levar ao grande público temáticas emergentes que, inquietam o contexto da Educação Básica e do Ensino Superior no Brasil, possibilita publicações voltadas para a divulgação de artigos científicos de autores de diferentes instituições e posicionamentos...

  3. A cláusula da nação mais favorecida na ordem econômica internacional: uma investigação sobre o discurso jurídico do artigo I: 1 do GATT

    OpenAIRE

    Rafael Lima Sakr

    2010-01-01

    Como produto da prática mercantil, a cláusula da nação mais favorecida (CNMF) é um fenômeno jurídico complexo. Enquanto sua estrutura variante não é passível de padronização, por se adaptar às necessidades da sociedade internacional em cada momento histórico, seu núcleo funcional permanece imutável. Na ordem econômica internacional, a descentralização do poder político provoca desconfianças nos agentes econômicos, resultando em um permanente estado de guarda e competitividade predatória. Para...

  4. Evaluation of strategies for the eradication of Pseudorabies virus (Aujeszky's disease) in commercial swine farms in Chiang-Mai and Lampoon Provinces, Thailand, using a simulation disease spread model.

    Science.gov (United States)

    Ketusing, N; Reeves, A; Portacci, K; Yano, T; Olea-Popelka, F; Keefe, T; Salman, M

    2014-04-01

    Several strategies for eradicating Pseudorabies virus (Aujeszky's disease) in Chiang-Mai and Lampoon Provinces, Thailand, were compared using a computer simulation model, the North American Animal Disease Spread Model (NAADSM). The duration of the outbreak, the number of affected herds and the number of destroyed herds were compared during these simulated outbreaks. Depopulation, zoning for restricted movement and improved detection and vaccination strategies were assessed. The most effective strategies to eradicate Pseudorabies as per the findings from this study are applying depopulation strategies with MOVEMENT RESTRICTIONS in 3-, 8- and 16-km ZONES surrounding infected herds and enhancing the eradication with vaccination campaign on 16-km radius surrounding infected herds. © 2012 Blackwell Verlag GmbH.

  5. Vamos privilegiar os mais fracos: a economia solidária brasileira como possibilidade de (reinserção do território como base do desenvolvimento

    Directory of Open Access Journals (Sweden)

    Silvia Ortigoza

    2014-12-01

    Full Text Available A economia solidária pode ser definida como outra economia mais justa que ressalta o humano e o coletivo e que, baseada na autogestão, apresenta novas relações sociais e produtivas. Este artigo aborda as políticas públicas brasileiras em economia solidária como possibilidade de melhoria das condições gerais de vida da população e de diminuição das desigualdades regionais. Destaca a importância da dimensão territorial como o foco de análise do desenvolvimento da economia solidária, a partir do momento em que as atividades produtivas passam a estar integradas às potencialidades das diversas comunidades, valorizando a diversidade cultural, a identidade local e as experiências cotidianas.

  6. Sistema de Comunicação por voz, baseado em Voip, para a integração de comunicações móveis entre dois ou mais países

    OpenAIRE

    Branco, João António Peixoto

    2018-01-01

    O tema deste projeto é “Sistema de comunicação por voz, baseado em Voip, para a integração de comunicações móveis entre dois ou mais países” e pretende desenvolver uma solução para uma empresa de construção civil com o intuito de reduzir os gastos monetários das suas comunicações Internacionais (de Portugal para o estrangeiro e vice-versa). A solução foi desenvolvida de acordo com os requisitos propostos pela empresa. Para além da tecnologia Voip, como inicialmente prevista a ser utilizada...

  7. BENEFÍCIOS AMBIENTAIS E ECONOMICOS PROVENIENTES DA IMPLEMENTAÇÃO DA PRODUÇÃO MAIS LIMPA EM UMA INDÚSTRIA DE MÓVEIS DE MUNICIPIO DE NATAL-RN

    OpenAIRE

    Pedro Paulo Silva Leite; Handson Cláudio Dias Pimenta

    2011-01-01

    O presente trabalho teve como objetivo geral analisar os benefícios ambientais e econômicos obtidos através da implementação da Produção mais Limpa (P+L) em uma indústria de móveis localizada em Natal-RN. Trata-se de um estudo de caso que contou com uma revisão bibliográfica sobre o setor e a P+L e uma pesquisa de campo que contemplou as seguintes etapas: diagnóstico ambiental e operacional da empresa (estudo de arranjo físico, levantamento de métodos, fluxograma especifico do processo produt...

  8. Projeto de Extensão “Histórias para Contar” e a proposta de uma formação mais humanística aos acadêmicos de Jornalismo

    Directory of Open Access Journals (Sweden)

    Marcelli Alves da Silva

    2016-08-01

    Full Text Available A proposta deste artigo é destacar a importância da extensão universitária como ferramenta complementar da educação universitária. O recorte tem como foco a descrição da experiência com o projeto "Histórias para Contar", uma proposta implantada pelo Curso de Comunicação Social da Faculdade Estácio de Sá de Campo Grande (MS na qual alunos e professores partilhavam momentos de leitura e descontração com idosos do asilo São João Bosco, o mais antigo da cidade. As atividades foram proposta como uma tentativa de ampliar a formação humanística do discente.

  9. Mais feliz que Augusto, melhor que Trajano” (Eutrópio, Breviário, viii. 5. 3): a construção do ideal de Optimus Princeps em Tácito e Plinio, o jovem.

    OpenAIRE

    FREITAS, João Victor Lanna de

    2015-01-01

    Programa de Pós-Graduação em História. Departamento de História, Instituto de Ciências Humanas e Sociais, Universidade Federal de Ouro Preto. Lanna, João Victor. “Mais feliz que Augusto, melhor que Trajano” (Eutrópio, Breviário, VIII.5.3): a construção do ideal de Optimus Princeps em Tácito e Plínio, o Jovem. João Victor Lanna de Freitas. Dissertação (Mestrado) Universidade Federal de Ouro Preto. Instituto de Ciências Humanas e Sociais. Programa de Pós-Graduação em História. Mariana, 2015....

  10. ILUSTRANDO: O LIVRO EM VITRINE E O QUE MAIS!?: O DISCURSO SOBRE O LIVRO E A CONSTRUÇÃO DE IMAGENS EM MATÉRIAS DA FOLHA DE S. PAULO

    Directory of Open Access Journals (Sweden)

    Luiz Augusto ELY

    2014-06-01

    Full Text Available • RESUMO: Este trabalho é resultado de nossa pesquisa em que investigamos os recursos quando se tem o objeto “livro” como fonte de notícia em matérias publicadas pelo jornal Folha de S. Paulo, veiculadas no mês de março de 2008 no caderno de variedades – Ilustrada – e no suplemento literário – Mais!. Assim, nos deparamos com uma diversidade de textos, compostos por gêneros discursivos característicos; entretanto, certos textos nos chamaram a atenção, pois, ainda que publicados como matérias de jornal, mais parecem textos literários, devido ao espaço em que são divulgados e, certamente, por conta do público a quem são destinados. Além disso, podemos conceber que os discursos representam o mundo e, assim, suas enunciações são parte integrante desse mundo representado, daí a associação entre essa concepção e a categoria de cena da enunciação. Desse modo, nos faremos valer dos conceitos de ethos e pathos, afinal, ainda que tenhamos dois cadernos de um mesmo jornal, estes periódicos são pensados tendo como público sujeitos distintos. E, ao considerar essas noções, pretenderemos apontar a construção de imagens de leitores na constituição das imagens dos cadernos analisados, bem como justificar essa abordagem distinta da Folha de S. Paulo ao se tomar o objeto “livro” como notícia. • PALAVRAS-CHAVE: Cena da enunciação. Discurso. Ethos. Livros. Pathos.

  11. Mortality is higher in patients with leptomeningeal metastasis in spinal cord tumors Mortalidade é mais elevada na disseminação metastática leptomeníngea em tumores da medula espinhal

    Directory of Open Access Journals (Sweden)

    Ricardo de Amoreira Gepp

    2012-01-01

    Full Text Available Spinal cord tumors are a rare neoplasm of the central nervous system (CNS. The occurrence of metastases is related to poor prognosis. The authors analyzed one series of metastasis cases and their associated mortality. METHODS: Clinical characteristics were studied in six patients with intramedullary tumors with metastases in a series of 71 surgical cases. RESULTS: Five patients had ependymomas of which two were WHO grade III. The patient with astrocytoma had a grade II histopathological classification. Two patients required shunts for hydrocephalus. The survival curve showed a higher mortality than the general group of patients with no metastases in the CNS (pTumores da medula espinhal são neoplasias raras do sistema nervoso central (SNC. A ocorrência de metástases é relacionada a pior prognóstico. Os autores analisaram uma série de casos de metástases e a mortalidade relacionada. MÉTODO: Foram estudadas as características clínicas em seis pacientes com metástases tumorais numa série de 71 casos operados. RESULTADOS: Cinco pacientes tinham ependimomas e dois dos quais foram grau III pela classificação da OMS. O paciente portador de astrocitoma tinha classificação histopatológica de grau II. Dois pacientes necessitaram de derivação devido à hidrocefalia. A curva de sobrevivência mostrou mortalidade mais elevada no grupo de pacientes com disseminação pelo SNC (p<0,0001. CONCLUSÃO: A mortalidade, além de elevada em pacientes com metástases, é maior do que em pacientes apenas com lesão primária. Os ependimomas, independentemente do seu grau de anaplasia, costumam causar mais metástases do que os astrocitomas medulares.

  12. Fratura distal do rádio em pacientes com mais de 60 anos: placas ortogonais versus placa volar Distal radial fractures in patients over 60 years old: orthogonal plates versus volar plate

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    Edgard Novaes de França Bisneto

    2010-01-01

    Full Text Available OBJETIVO: Comparar os resultados do tratamento cirúrgico entre placa volar com estabilidade angular e placas ortogonais em fraturas instáveis de rádio distal em pacientes com mais de 60 anos. MÉTODOS: Pacientes foram divididos em dois grupos tratados com placa volar ou placas ortogonais. Resultados clínicos e radiográficos foram analisados prospectivamente. RESULTADOS: Os grupos de estudo apresentaram resultados clínicos e radiográficos semelhantes seis meses após a operação. No entanto três meses após a cirurgia, o grupo onde foi utilizada a placa volar obteve resultados superiores. CONCLUSÃO: Ambos os grupos apresentaram bons resultados funcionais. O tratamento cirúrgico facilita a reabilitação precoce. A técnica das placas ortogonais requer uma curva de aprendizado maior e apresentou mais complicações e piores resultados iniciais.OBJECTIVE: To compare the results from surgical treatment between volar plates with angular stability and orthogonal plates of unstable distal radius fractures in patients aged over 60 years. METHODS: Selected patients were randomized in two groups treated with volar plates or orthogonal plates. Clinic al and radiographic results were analyzed prospectively. RESULTS: The study groups presented similar clinical and radiographic results six months after the operation. However three months after surgery the volar plate group obtained superior results considering most of the parameters studied. CONCLUSION: Both the volar plates and the orthogonal plates presented good functional results. Surgical treatment enabled early rehabilitation for these patients. Orthogonal plate technique required a longer learning curve, presented more complications and worst early results.

  13. Oficinas educativas sobre o autocuidado de pacientes com diabetes mellitus em uma unidade de saúde atendida pelo “Programa Mais Médicos” no Brasil: relato de experiência

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    Renato Penha de Oliveira SANTOS

    2015-12-01

    Full Text Available As doenças crônicas, como a Diabetes Mellitus, é um dos agravos à saúde que mais demandam por ações de educação em saúde, como o autocontrole dos níveis de glicose, a prática de atividade física e a dieta alimentar, sendo, estas, instrumentos fundamentais para o seu controle. Neste estudo, objetiva-se relatar a experiência de educação à saúde oferecida por meio de oficinas educativas para pessoas com diagnostico de Diabetes Mellitus e com dificuldades para alcançar a meta glicêmica em seu tratamento. Foi utilizada metodologia participativa e técnicas lúdicas, envolvendo a participação de 50 usuários com diabetes e cadastrados na Unidade Básica de Saúde de Ipuca, a qual é uma das unidades inscritas no Programa Mais Médicos, no município de São Fidelis, no período de dois anos. A metodologia participativa valorizou o conhecimento prévio dos participantes em relação à fisiopatologia, dieta e atividade física e a co-responsabilidades frente ao autocuidado. A oficina mostrou-se como espaço de reflexão e debate sobre a adoção de hábitos saudáveis¬, demonstrando que as vivências e as experiências em se trabalhar de forma conjunta profissionais de saúde e pacientes, auxiliam na redução da mortalidade por diabetes e na melhoria da qualidade de vida e o melhor cuidado do usuário e da comunidade.

  14. A implementação do Programa Mais Médicos e a integralidade nas práticas da Estratégia Saúde da Família

    Directory of Open Access Journals (Sweden)

    Yamila Comes

    Full Text Available Resumo O Programa Mais Médicos (PMM é uma estratégia do governo do Brasil que visa à ampliação do acesso a profissionais médicos e, consequentemente, melhorias na qualidade dos serviços de Atenção Primária à Saúde. Objetivou-se analisar a percepção dos outros membros das equipes de saúde da família acerca da integralidade nas práticas a partir da incorporação do médico do Programa. Estudo em 32 municípios pobres nas cinco regiões do Brasil, nos quais foram entrevistados 78 profissionais de saúde, não médicos, das equipes que receberam médicos do PMM. As entrevistas foram submetidas à análise de conteúdo auxiliada pelo software Atlas.ti. Os principais achados revelaram o aumento do acesso e da acessibilidade ao serviço de saúde da Estratégia Saúde da Família; acolhimento humanizado e vínculo: compreensão, parceria, amizade e respeito; o resgate da clínica: tempo dedicado, escuta atenta, exame físico minucioso; o desejo e a disponibilidade para resolver problemas; a continuidade dos cuidados; a garantia de visitas domiciliares e as equipes multiprofissionais articuladas em redes. Conclui-se que o Programa Mais Médicos contribuiu na presença de traços de integralidade nas práticas de saúde, impactando positivamente na melhoria da Atenção Básica à Saúde.

  15. Mortality is higher in patients with leptomeningeal metastasis in spinal cord tumors Mortalidade é mais elevada na disseminação metastática leptomeníngea em tumores da medula espinhal

    Directory of Open Access Journals (Sweden)

    Ricardo de Amoreira Gepp

    2013-01-01

    Full Text Available Spinal cord tumors are a rare neoplasm of the central nervous system (CNS. The occurrence of metastases is related to poor prognosis. The authors analyzed one series of metastasis cases and their associated mortality. METHODS: Clinical characteristics were studied in six patients with intramedullary tumors with metastases in a series of 71 surgical cases. RESULTS: Five patients had ependymomas of which two were WHO grade III. The patient with astrocytoma had a grade II histopathological classification. Two patients required shunts for hydrocephalus. The survival curve showed a higher mortality than the general group of patients with no metastases in the CNS (pTumores da medula espinhal são neoplasias raras do sistema nervoso central (SNC. A ocorrência de metástases é relacionada a pior prognóstico. Os autores analisaram uma série de casos de metástases e a mortalidade relacionada. MÉTODO: Foram estudadas as características clínicas em seis pacientes com metástases tumorais numa série de 71 casos operados. RESULTADOS: Cinco pacientes tinham ependimomas e dois dos quais foram grau III pela classificação da OMS. O paciente portador de astrocitoma tinha classificação histopatológica de grau II. Dois pacientes necessitaram de derivação devido à hidrocefalia. A curva de sobrevivência mostrou mortalidade mais elevada no grupo de pacientes com disseminação pelo SNC (p<0,0001. CONCLUSÃO: A mortalidade, além de elevada em pacientes com metástases, é maior do que em pacientes apenas com lesão primária. Os ependimomas, independentemente do seu grau de anaplasia, costumam causar mais metástases do que os astrocitomas medulares.

  16. Facilitators and barriers to medication adherence in an HIV prevention study among men who have sex with men in the iPrEx study in Chiang Mai, Thailand.

    Science.gov (United States)

    Tangmunkongvorakul, Arunrat; Chariyalertsak, Suwat; Amico, K Rivet; Saokhieo, Pongpun; Wannalak, Vorawan; Sangangamsakun, Thirayut; Goicochea, Pedro; Grant, Robert

    2013-08-01

    In 2008, the Pre-exposure Prophylaxis Initiative (iPrEx) study expanded to include men who have sex with men (MSM) in Chiang Mai, Thailand. In full, 114 participants from Chiang Mai joined this international double-blinded trial of daily FTC-TDF (Truvada®) or placebo as a pre-exposure prophylaxis (PrEP) HIV prevention strategy. To better understand the characteristics of iPrEx participants specifically from this underserved population in Thailand, and gain insights into their experiences of trying to take a daily tablet as part of this blinded PrEP trial, we conducted a qualitative study. In 2010, 32 MSM iPrEx participants provided in-depth interviews and an additional 14 joined focus group discussions. Results of the qualitative analyzes suggested that participants held generally positive attitudes toward the iPrEx study and study medication and related this to high rates of adherence to the daily regimen. Participants also reflected on the provision of quality health care as part of participation in the trial, as well as support from clinical research staff, family and friends as helpful in supporting high rates of study medication adherence. Discourse concerning challenges to adherence included medication taking behavior, which was contextualized by lifestyle, living arrangement, social life, social stigma in terms of being mistakenly identified as HIV positive or unintentional disclosure of sexual identity to family and friends, and relationship conflicts with partners. The results provide broader perspectives of participant experiences of the study medication and daily adherence in the larger contexts of the MSM community, close relationships, and the study climate, and can be leveraged in constructing PrEP adherence support approaches within these communities.

  17. Uued õppekavad ja rahvusvaheline akrediteerimine / Mai Põldaas

    Index Scriptorium Estoniae

    Põldaas, Mai, 1970-

    2007-01-01

    Tartu Ülikooli Viljandi Kultuuriakadeemias tekib 2008. aasta sügisest võimalus spetsialiseeruda informatsiooni korraldamisele veebikeskkonnas, infotööle laste ja noortega ning raamatukaubandusele. Ettevalmistamisel on magistriõpe. Eesti infoteaduste õppekavasid ootab ees rahvusvaheline akrediteerimine

  18. Zhenshtshina, stavshaja simvolom / Ulla-Mai Kuuse

    Index Scriptorium Estoniae

    Kuuse, Ulla-Mai

    2005-01-01

    Auto "Rolls-Royce" radiaatori maskotist "The Spirit of Ecstasy" ja selle modellist Eleanor Velasco Thorntonist. Maskoti-skulptuuri autor on skulptor Charles Sykes. Maailmas tuntuimat automaskotti teatakse ka nimedega "The Spirit of Speed", "The Flying Lady", "The Silver Lady". Figuurike sai ametlikult maskotiks 6. veebruaril 1911

  19. Mai kinos linastub uus Eesti film "Kõrini!"

    Index Scriptorium Estoniae

    2006-01-01

    Täna linastub Pärnus Eesti-Saksa koostööfilm "Kõrini" : režissöör Peeter Simm : osades Maarja Jakobson, Rasmus Kaljujärv, Heio von Stetten, Thomas Schmauser : Ruut Pictures (Eesti) - Saxonia Film (Saksa) 2005

  20. Valitsus vaid tunnistas probleemi / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2001-01-01

    Ilmunud ka: Lääne Elu, 16. okt. 2001, lk. 4; Meie Maa, 17. okt. 2001, lk. 4; Virumaa Teataja, 18. okt. 2001, lk. 7; Järva Teataja, 20. okt. 2001, lk. 2; Koit, 18. okt. 2001, lk. 4; Võrumaa Teataja, 20. okt. 2001, lk. 2; Valgamaalane, 25. okt. 2001, lk. 2; Hiiu Leht, 26. okt. 2001, lk. 2; Pärnu Postimnees, 27. okt. 2001, lk. 2. Valitsus tunnistas probleemi, mis on seotud eakate pensionilisaga, kuid lahendusest loobus. Autor: ERL. Parlamendisaadik

  1. Kogumispensionide seadusega on probleeme / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2001-01-01

    Ilmunud ka: Virumaa Teataja, 14. sept. 2001, lk. 7; Hiiumaa, 15. sept. 2001, lk. 2; Koit, 15. sept. 2001, lk. 6; Meie Maa, 14. sept. 2001, lk. 2; Lääne Elu, 18. sept. 2001, lk. 4; Nädaline, 20. sept. 2001, lk. 4; Vooremaa, 22. sept. 2001, lk. 4; Valgamaalane, 25. sept. 2001, lk. 4; Järva Teataja, 28. sept. 2001, lk. 2; ERL Teataja, nov., nr. 11, 2001, lk. 5. Riigikogu ümarlaud teemal "Kogumispensionid - kes võidab, kes kaotab" 10. sept. 12. sept. võeti kogumispensionide seadus vastu, kuigi seda ei pooldanud ERL, Koonderakonna, Keskerakonna ja EÜRP fraktsioonid. Autor: ERL. Parlamendisaadik

  2. Alta peab tasuma Kalevile mais / Kersti Saar

    Index Scriptorium Estoniae

    Saar, Kersti

    2008-01-01

    Indrek Rahumaa juhitav Alta Capital peab tasuma Oliver Kruudale Kalevi tütarfirmade eest 660 miljonit krooni hiljemalt 30. maiks. Vt. samas: Investorid teavad tehingu hinda ja lõplikku tähtaega. Diagramm: Kalevi turuväärtus jääb Alta müügihinnale alla

  3. Võistlused : [kalasport, 18. mai - 15. sept. 2013

    Index Scriptorium Estoniae

    2013-01-01

    EMV õngitsemises 2013 (mehed), Gorodenko spinning 2013, Tamula purakas 2013, EMV õngitsemises 2013 (naised ja noored), Võõpsu õngemees 2013, Heade võtete jõgi 2013, Pühajärve spinning 2013, EMV spinningupüügis 2013, Värska karikas 2013, Eesti-Läti sõpruskarikas karbipüügis 2013, Karbiakadeemia võistlus Lätis 2013

  4. Un physicien inventif mais contesté

    CERN Multimedia

    de Malet, Caroline

    2004-01-01

    In 1993 Carlo Rubbia proposed a new kind of hybrid nuclear reactor which would work in association with a particle accelerator. The reaction would be controllable, and would use thorium, an abundant element on earth. Rubbia has convinced other notable scientists but he also has a number of sceptics (0.5 page)

  5. Mais (e melhores Médicos

    Directory of Open Access Journals (Sweden)

    Ana Maria COSTA

    2015-12-01

    Full Text Available Em um primeiro plano, é imprescindível reafirmar que a assistência à saúde depende diretamente dos trabalhadores deste setor e da capacidade dos mesmos para a produção do cuidado. Mesmo considerando que hoje a medicina e a atenção à saúde estão impregnados por noções que supervalorizam as máquinas, os exames e as tecnologias duras, é necessário enfatizar que saúde se faz com e para as pessoas, sendo determinante a atuação dos profissionais de saúde para se estabelecer o sucesso de um modelo de atenção. Também deve ser pontuado que há deficiências, quantitativas e qualitativas, na formação de diversas profissões da saúde no Brasil, e que estas profissões são fundamentais na constituição da equipe para uma atenção integral. A equipe de saúde deve ofertar um cuidado abrangente, ser resolutiva e capaz de atender o maior volume dos problemas de saúde apresentados pela população de um determinado território. É por esta razão que as equipes devem ser suficientes, qualificadas e bem distribuídas, efetivando o acesso universal da população residente em toda a extensão do país, nos moldes definidos para o direito constitucional dos brasileiros. Há evidências suficientes na literatura que mostram o tamanho desse desafio e o drama dos gestores municipais quanto ao provimento dos profissionais, com claro destaque sobre maiores dificuldades em relação aos médicos.

  6. Reisipakkumine - Grand Tour Itaalias / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2009-01-01

    Tiina Abeli koostatud ja Urmas Viigi kujundatud näitus "Grand Tour. Eesti kunstnikud Itaalias" Kumu Kunstimuuseumis 05. aprillini. Loetletud eksponeeritud tööde autoreid. Näitus annab ülevaate, kes siinsetest kunstnikest 19. sajandi algusest kuni 1930ndate aastateni Itaalias käisid ja kuidas see nende loomingut mõjutas

  7. Värvi triumf / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2010-01-01

    Näitus "Neoimpressionismi jälgedes. Mägi ja Finch" Kumu Kunstimuuseumis 12. septembrini 2010. Kuraator Tiina Abel, kuraatori abi Liisa Kaljula, kujundaja Inga Heamägi. Puäntillismi mõjust, Konrad Mäe pöördumisest täppiva laadi poole. Inglise päritolu belgia-soome kunstniku Alfred William Finchi avastamisest. Prantsuse ja eesti kunstnike töödest näitusel

  8. Vaesed kambodzhalased riisuvad muistiseid / Mai Loog

    Index Scriptorium Estoniae

    Loog, Mai, 1960-

    2004-01-01

    Siem Riepis asuvast UNESCO maailmapärandina registreeritud Angkor Vati templikompleksist. Ülemaailmse antiigikaubanduse mustal turul ringleb üha enam dzhunglitemplitest pärit iidse khmeeride tsivilisatsiooni muistiseid, mida kambodzhalased müüvad ebaseaduslikele ülesostjaile. Viimasel ajal on eriti hinnas Kambodzha Angkori-eelsest ajastust pärinevad muistised

  9. Etat nutritionnel des enfants âgés de 6 à 59 mois infectés par le VIH mais non traités aux ARV à Lubumbashi

    Science.gov (United States)

    Mwadianvita, Costa Kazadi; Kanyenze, Faustin Ngoy; Wembonyama, Cecile Watu; Mutomb, Florence Mujing A; Mupoya, Kalombo; Nkoy, Albert Mwembo–Tambwe A; Mwenze, Prosper Kalenga

    2014-01-01

    Introduction L'infection par le VIH provoque et/ou aggrave les déficits nutritionnels de l'enfant. Ce travail avait pour objectif d'analyser l’état nutritionnel des enfants infectés par le VIH à Lubumbashi. Méthodes Une étude transversale portant sur 83 enfants âgés de 6 à 60 mois s'est déroulée de mai 2010 à mai 2011 dans trois(3) centres de prise en charge des Personnes Vivant avec le VIH(PVV), notamment le Centre d'Excellence(CE) de l'hôpital Sendwe, le Centre Amo-Congo de la Kenya et le Centre de Référence de la Kenya. Les statistiques descriptives usuelles ont été utilisées. Résultats La prévalence de la malnutrition globale était de 60,2% (n = 50) dont 8,4% de malnutrition sévère. Le poids moyen était de 11,6±4,1 kg avec un minimum de 5 kg et un maximum de 22 kg. Le taux d'hémoglobine moyen était d'environ 9,8± 2,0 g/dl avec une prévalence globale de l'anémie (hémoglobine VIH. La survenue de l'anémie n’était pas associée au déficit nutritionnel (p = 0,6). Conclusion Ces résultats révèlent que l'infection à VIH modifie l’état nutritionnel des enfants à Lubumbashi avec 60,2% de malnutrition globale et 8,4% de retard de croissance. Les enfants au stade avancé de l'infection à VIH en sont plus affectés. PMID:25574336

  10. Avaliação da qualidade nutricional em espécies de pescado mais produzidas no Estado da Bahia Quality evaluate nutritional the fisches more consumed in State of Bahia - Brazil

    Directory of Open Access Journals (Sweden)

    Graciele de Queiroz Andrade

    2009-12-01

    Full Text Available Diversos fatores podem contribuir para a variabilidade na composição das diferentes espécies de pescado. Este trabalho teve como objetivo, identificar as espécies de pescado mais produzidas no Estado da Bahia, avaliar seu valor nutricional e realizar um levantamento das empresas beneficiadoras de pescado do Estado. Um questionário foi aplicado às beneficiadoras de pescado para a caracterização das empresas. Segundo a Bahia Pesca (2005, as espécies mais produzidas são: o camarão-rosa (Penaeus brasiliensis, representando 21,8% da produção estadual; a sardinha (Opisthonema oglinum, 10,2%; os vermelhos com as espécies guaiúba (Ocyurus chrysurus e o ariacó (Lutjanus synagris, 6,6%; seguidos pela tainha (Mugil spp., 4,1%. De acordo com o valor nutricional das espécies analisadas, a guaiúba foi considerada melhor para o consumo, por possuir menor teor de lipídios totais (0,82% e gordura saturada (28,74%. A produção de 43% das beneficiadoras de pescado do Estado da Bahia está entre 10 e 50 ton/mês e a principal dificuldade apresentada foi a falta de investimento do governo no setor.Several factors can contribute to the variability in the composition of the different species of fish. The objective of this work was to identify the most frequently consumed fish species in the State of Bahia to evaluate their nutritional value and to compile a list of fish processing companies in the State. A questionnaire was applied to the companies to characterize them. According to Bahia Pesca (2005, the most frequently consumed species are the shrimp-rose (Penaeus brasiliensis, accounting for 21.8% of the state production, the sardine (Opisthonema oglinum,10.2%, and the reds, especially guaiúba (Ocyurus chrysurus and ariacó (Lutjanus synagris, 6.6%, followed by the mullet (Mugil spp., 4.1%, respectively. Considering the nutritional value of the analyzed fish, the guaiúba was considered the best for consumption due to its smaller content of

  11. Aplicação do modelo hipercubo com prioridade na fila com mais de um servidor preferencial sem considerar a hipótese de backup parcial: estudo de caso em um SAMU

    Directory of Open Access Journals (Sweden)

    Caio Vitor Beojone

    Full Text Available Resumo O estudo de Sistemas de Atendimento Emergencial – SAE visa encontrar meios de fornecer serviços de saúde efetivos e melhorar a qualidade de vida da população respeitando as limitações de recursos disponíveis. Nesse contexto, o objetivo do presente trabalho foi mostrar o potencial de aplicação do modelo hipercubo com prioridade na fila com mais de um servidor preferencial sem considerar a hipótese de backup parcial em Sistemas de Atendimento Móvel de Urgência – SAMU em que o nível de utilização do sistema é relativamente baixo. Para isso foram realizados alguns experimentos do modelo hipercubo com prioridade na fila sem backup parcial e prospecção de cenários futuros por meio de um estudo de caso no SAMU da cidade de Bauru, SP. Foram avaliados os impactos do aumento na demanda sobre o sistema e o quanto e como (aonde localizar? a aquisição de uma nova ambulância pode melhorar as medidas de desempenho do sistema. Os principais resultados mostram que um aumento de 50% na demanda pode dobrar o tempo de resposta dessas ambulâncias, por outro lado, aumentos mais discretos têm um impacto pequeno sobre o sistema, como pode ser visto nos aumentos de 5,71% e 13,57%, nos quais o acréscimo nos tempos de resposta foram de 5% e 16%, respectivamente. A aquisição de uma nova ambulância foi avaliada em termos das medidas de desempenho e os melhores resultados em todos os cenários se deu quando ela estava presente no átomo Boulevard, obtendo um tempo médio de resposta 3% inferior às demais localidades, em média.

  12. Therapeutic efficacy of traditional Chinese medicine, Shen-Mai San, in cancer patients undergoing chemotherapy or radiotherapy: study protocol for a randomized, double-blind, placebo-controlled trial

    Directory of Open Access Journals (Sweden)

    Lo Lun-Chien

    2012-12-01

    Full Text Available Abstract Background Cancer is one of the major health issues worldwide. An increasing number of cancer patients are offered treatment with surgery, chemotherapy and radiotherapy. Traditional Chinese medicine (TCM is one of the most common complementary therapies offered to cancer patients in Taiwan. We designed a randomized, double-blind, placebo-controlled clinical trial to evaluate the efficacy of TCM in patients with cancer. Methods/design In this study, inclusion criteria are postoperative patients with histologically confirmed cancer within 3 years who are undergoing chemotherapy or radiotherapy, more than 18 years old, have given signed informed consent, have the ability to read Chinese, and the ability for oral intake. Exclusion criteria include being pregnant, breast feeding, having completed chemotherapy or radiotherapy, brain metastasis with Eastern Cooperative Oncology Group (ECOG performance status of two to four, delusion or hallucinations, acute infection, and have received medications under other clinical trials. The patients were separated into an intervention group (Shen-Mai-San, SMS and a placebo group for four weeks using a randomized, double-blind procedure. The European Organization for Research and Treatment of Cancer (EORTC Quality of Life questionnaire (QOL-C30 was used to evaluate the quality of life. General data, hemoglobin (Hb, hematocrit (Hct, glutamic-oxalacetic transaminase (GOT, glutamic-pyruvic transaminase (GPT, blood urea nitrogen (BUN, creatinine, carcinoembryonic antigen (CEA, TCM diagnosis data and heart rate variability (HRV were also recorded. These data were collected at baseline, two weeks and four weeks after receiving medication. The patients were prescribed granules which contained therapeutic medicines or placebo. Paired-T test was used for statistical analysis. Discussion Shen-Mai-San is composed of processed Ginseng radis, Liriope spicata, and Schizandrae fructus. It was found to be effective for

  13. Temporal frequency of knockdown resistance mutations, F1534C and V1016G, in Aedes aegypti in Chiang Mai city, Thailand and the impact of the mutations on the efficiency of thermal fogging spray with pyrethroids.

    Science.gov (United States)

    Plernsub, Suriya; Saingamsook, Jassada; Yanola, Jintana; Lumjuan, Nongkran; Tippawangkosol, Pongsri; Walton, Catherine; Somboon, Pradya

    2016-10-01

    In Thailand, control of dengue outbreaks is currently attained by the use of space sprays, particularly thermal fogging using pyrethroids, with the aim of killing infected Aedes mosquito vectors in epidemic areas. However, the principal dengue vector, Aedes aegypti, is resistant to pyrethroids conferred mainly by mutations in the voltage-gated sodium channel gene, F1534C and V1016G, termed knockdown resistance (kdr). The objectives of this study were to determine the temporal frequencies of F1534C and V1016G in Ae. aegypti populations in relation to pyrethroid resistance in Chiang Mai city, and to evaluate the impact of the mutations on the efficacy of thermal fogging with the pyrethroid deltamethrin. Larvae and pupae were collected from several areas around Chiang Mai city during 2011-2015 and reared to adulthood for bioassays for deltamethrin susceptibility. These revealed no trend of increasing deltamethrin resistance during the study period (mortality 58.0-69.5%, average 62.8%). This corresponded to no overall change in the frequencies of the C1534 allele (0.55-0.66, average 0.62) and G1016 allele (0.34-0.45, average 0.38), determined using allele specific amplification. Only three genotypes of kdr mutations were detected: C1534 homozygous (VV/CC); G1016/C1534 double heterozygous (VG/FC); and G1016 homozygous (GG/FF) indicating that the F1534C and V1016G mutations occurred on separate haplotypic backgrounds and a lack of recombination between them to date. The F1 progeny females were used to evaluate the efficacy of thermal fogging spray with Damthrin-SP(®) (deltamethrin+S-bioallethrin+piperonyl butoxide) using a caged mosquito bioassay. The thermal fogging spray killed 100% and 61.3% of caged mosquito bioassay placed indoors and outdoors, respectively. The outdoor spray had greater killing effect on C1534 homozygous and had partially effect on double heterozygous mosquitoes, but did not kill any G1016 homozygous mutants living outdoors. As this selection

  14. Seleção de genótipos de milho mais promissores para o consumo in natura Selection of corn on the cob genotypes more appropriate to the in natura consumption

    Directory of Open Access Journals (Sweden)

    Luiz Fernando Ganassali Oliveira Jr.

    2006-03-01

    Full Text Available Seis genótipos pertencentes ao programa de melhoramento de milho da UENF: H43IN, P43, C43, 43IN, HDC e Uenf506-8 foram avaliados, objetivando-se identificar aqueles com melhores características agronômicas e preferidos para o consumo de milho verde. O trabalho foi desenvolvido entre setembro de 2003 e janeiro de 2004, seguindo delineamento experimental de blocos inteiramente casualizados e plantio em dois locais distintos. Estudaram-se as seguintes características agronômicas: produtividade com palha (PrCP, produtividade sem palha (PrSP, porcentagem de espigas comerciais (EC comprimento de espigas sem palha (CESP, diâmetro de espigas sem palha (DE e rendimento de espiga (R, além de ter sido avaliada a preferência do consumidor para os produtos em relação ao sabor, doçura e maciez. Considerando apenas os resultados agronômicos, o milho mais indicado para ser consumido na forma de milho verde foi o híbrido comum Uenf506-8. Porém, observando os resultados do teste de preferência realizado com consumidores do produto, verificou-se que o referido milho não alcançou adequada aceitação pelos participantes, em função da maciez e da doçura inadequadas, sendo mais indicado o H43IN e HDC.Six genotypes belonging to the UENF sweet corn improvement program: H43IN, P43, C43, 43IN, HDC and Uenf506-8 were evaluated aiming at identifying those with better agronomic characteristics and preferred for the consumption of corn on the cob. This investigation was conducted from September 2003 to January 2004, following a randomized complete block design, with four replications and two locations. The following agronomic traits were evaluated: yield with straw (PrCP, productivity without straw (PrSP, percentage of commercial ears (EC, length of ears without straw (CESP, diameter of ears without straw (OF and ears yielding (R. Besides, the consumer preference for the products in relation to the flavor, sweetness, and softness was investigated. The

  15. A disputa pelos 'principais e mais distintos moradores': As câmaras municipais e os corpos militares The competition for the "main and most distinguished inhabitants": The town councils and the military corps

    Directory of Open Access Journals (Sweden)

    Christiane Figueiredo Pagano de Mello

    2005-01-01

    Full Text Available Meu objetivo neste artigo é evidenciar as relações historicamente construídas entre o poder central régio e os centros de poder local, entendendo que estes configuram-se em lugares de encontro e colaboração, bem como de conflitos e divergências, entre os interesses das elites locais e os do centro. Nessa perspectiva, consideramos que, a partir da segunda metade do século XVIII, o centro de poder local a ser privilegiado e potencializado pelo poder régio português em sua Colônia americana consubstanciar-se-á nos Corpos militares, mais especificamente nos de Auxiliares e nos de Ordenanças.This article aims at highliting the historically built relationships between the central power and the centers of local power, understanding that these become places of encounter and collaboration, as well as of conflicts and dissonances among the interests of the local elites and those of the center. In this perspective, we consider that, as from the second half of the XVIIIth century, the center of local power to become priviledged and potentialized by the Portuguese royal power in their American colony will turn out to be the military Corps, more especifically the Corps of Auxiliaries and the Corps of Ordinances.

  16. Nascidos em um país que não existe mais: dois testemunhos sobre o cotidiano na República Democrática Alemã. Uma entrevista com Jürgen e Uta Menzel

    Directory of Open Access Journals (Sweden)

    Antero Maximiliano Reis

    2016-08-01

    Full Text Available Jürgen e Uta Menzel nasceram em Berlim, na República Democrática Alemã (RDA, e por lá viveram mais de 30 anos, até a queda do Muro, em 9 de novembro de 1989 . Uta Menzel nasceu em 1957, formou-se em economia do povo e atualmente trabalha como controladora de finanças. Jürgen Menzel nasceu em 1953, formou-se em engenharia elétrica e trabalha atualmente no setor de tecnologia da informação. Ambos ainda residem em Berlim, oficialmente reunificada em 3 de outubro de 1990. O casal esteve no Brasil, visitando a cidade de Florianópolis no mês de julho de 2013, quanto dispôs-se a participar de uma roda de conversa realizada no Centro de Ciências Humanas e da Educação, na Universidade do Estado de Santa Catarina. Na ocasião expuseram suas memórias e experiências acerca de seu cotidiano na extinta RDA. Neste dia, Jürgen e Uta concordaram em nos conceder a entrevista que segue abaixo. Os entrevistados foram devidamente esclarecidos sobre todos os procedimentos relacionados à entrevista e sua publicação, estando estes de pleno acordo.   Entrevista concedida em: 23/07/2013 em Florianópolis

  17. Control of fruit flies by sterile insect technique. I. Population fluctuation studies of oriental fruit fly (Dacus dorsalis Hendel and Dacus zonatus Saunders) and micro climates at Royal Ang Khang Highland Research Station Chiang Mai

    International Nuclear Information System (INIS)

    Chiravathanapong, S.

    1984-12-01

    The studies of population fluctuation of male oriental fruit fly, (Dacus dorsalis Hendel) and [Dacus zontanus (Saunders)] and micro climate at Royal Ang Khang Highland Research Station Chiang Mai in 1983 were conducted. It was found that population of Dacus zonatus was rather high and almost seemed equal to that of Dacus dorsalis. Population of these two species increased at the beginning of February. Population of Dacus zonatus increased rapidly and reached the peak in the middle of May and of June. The number at peaks were 103 males and 87 males/trap/day respectively. However, the population of Dacus dorsalis increased slowly and followed the pattern of Dacus zonatus until the beginning of June, after that, the population increased rapidly and reached the peak in the middle of July. The number at peak was 240 males/trap/day. Later on they dropped rapidly in the middle of August, then the population of the two species fluctuated together. Finally they decreased down to near zero in November, December and January of the following year. In summary, population density of the said two species adult flies were rather high from the end of winter (the beginning of February) to the middle of raining season (July) and this period coincided with the time of fruit development in many introduced varieties (peach, persimmon, apple, pear and plum)

  18. The association of rectal equivalent dose in 2 Gy fractions (EQD2) to late rectal toxicity in locally advanced cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University

    Energy Technology Data Exchange (ETDEWEB)

    Tharavichtikul, Ekkasit; Chitapanarux, Taned; Chakrabandhu, Somvilai; Klunklin, Pitchayaponne; Onchan, Wimrak; Wanwilairat, Somsak; Chitapanarux, Imjai [Faculty of Medicine, Chiang Mai University, Chiang Mai (Thailand); Meungwong, Pooriwat [Lampang Cancer Hospital, Lampang (Thailand); Traisathit, Patrinee [Faculty of Science, Chiang Mai University, Chiang Mai (Thailand); Galalae, Razvan [aculty of Medicine, Christian-Albrechts University at Kiel, Kiei (Germany)

    2014-06-15

    To evaluate association between equivalent dose in 2 Gy (EQD2) to rectal point dose and gastrointestinal toxicity from whole pelvic radiotherapy (WPRT) and intracavitary brachytherapy (ICBT) in cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University. Retrospective study was designed for the patients with locally advanced cervical cancer, treated by radical radiotherapy from 2004 to 2009 and were evaluated by rectosigmoidoscopy. The cumulative doses of WPRT and ICBT to the maximally rectal point were calculated to the EQD2 and evaluated the association of toxicities. Thirty-nine patients were evaluated for late rectal toxicity. The mean cumulative dose in term of EQD2 to rectum was 64.2 Gy. Grade 1 toxicities were the most common findings. According to endoscopic exam, the most common toxicities were congested mucosa (36 patients) and telangiectasia (32 patients). In evaluation between rectal dose in EQD2 and toxicities, no association of cumulative rectal dose to rectal toxicity, except the association of cumulative rectal dose in EQD2 >65 Gy to late effects of normal tissue (LENT-SOMA) scale > or = grade 2 (p = 0.022; odds ratio, 5.312; 95% confidence interval, 1.269-22.244). The cumulative rectal dose in EQD2 >65 Gy have association with > or = grade 2 LENT-SOMA scale.

  19. The association of rectal equivalent dose in 2 Gy fractions (EQD2) to late rectal toxicity in locally advanced cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University.

    Science.gov (United States)

    Tharavichtikul, Ekkasit; Meungwong, Pooriwat; Chitapanarux, Taned; Chakrabandhu, Somvilai; Klunklin, Pitchayaponne; Onchan, Wimrak; Wanwilairat, Somsak; Traisathit, Patrinee; Galalae, Razvan; Chitapanarux, Imjai

    2014-06-01

    To evaluate association between equivalent dose in 2 Gy (EQD2) to rectal point dose and gastrointestinal toxicity from whole pelvic radiotherapy (WPRT) and intracavitary brachytherapy (ICBT) in cervical cancer patients who were evaluated by rectosigmoidoscopy in Faculty of Medicine, Chiang Mai University. Retrospective study was designed for the patients with locally advanced cervical cancer, treated by radical radiotherapy from 2004 to 2009 and were evaluated by rectosigmoidoscopy. The cumulative doses of WPRT and ICBT to the maximally rectal point were calculated to the EQD2 and evaluated the association of toxicities. Thirty-nine patients were evaluated for late rectal toxicity. The mean cumulative dose in term of EQD2 to rectum was 64.2 Gy. Grade 1 toxicities were the most common findings. According to endoscopic exam, the most common toxicities were congested mucosa (36 patients) and telangiectasia (32 patients). In evaluation between rectal dose in EQD2 and toxicities, no association of cumulative rectal dose to rectal toxicity, except the association of cumulative rectal dose in EQD2 >65 Gy to late effects of normal tissue (LENT-SOMA) scale ≥ grade 2 (p = 0.022; odds ratio, 5.312; 95% confidence interval, 1.269-22.244). The cumulative rectal dose in EQD2 >65 Gy have association with ≥ grade 2 LENT-SOMA scale.

  20. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures - Paper 2: The ability of fluorescence imaging to detect differences in fluorosis prevalence and severity for different fluoride intakes from water

    Science.gov (United States)

    2012-01-01

    Background To assess the ability of fluorescence imaging to detect a dose response relationship between fluorosis severity and different levels of fluoride in water supplies compared to remote photographic scoring in selected populations participating in an observational, epidemiological survey in Chiang Mai, Thailand. Methods Subjects were male and female lifetime residents aged 8-13 years. For each child the fluoride content of cooking water samples (CWS) was assessed to create categorical intervals of water fluoride concentration. Fluorescence images were taken of the maxillary central incisors and analyzed for dental fluorosis using two different software techniques. Output metrics for the fluorescence imaging techniques were compared to TF scores from blinded photographic scores obtained from the survey. Results Data from 553 subjects were available. Both software analysis techniques demonstrated significant correlations with the photographic scores. The metrics for area effected by fluorosis and the overall fluorescence loss had the strongest association with the photographic TF score (Spearman’s rho 0.664 and 0.652 respectively). Both software techniques performed well for comparison of repeat fluorescence images with ICC values of 0.95 and 0.85 respectively. Conclusions This study supports the potential use of fluorescence imaging for the objective quantification of dental fluorosis. Fluorescence imaging was able to discriminate between populations with different fluoride exposures on a comparable level to remote photographic scoring with acceptable levels of repeatability. PMID:22908997

  1. Relationship of methionine plus cystine with lysine in diets for laying Japanese quails Relação metionina mais cistina com lisina em dietas para codornas japonesas em postura

    Directory of Open Access Journals (Sweden)

    Renata de Souza Reis

    2011-05-01

    Full Text Available The objective of this work was to evaluate the relationships of methionine plus cystine with lysine for Japanese quails in the laying phase. Thus, it was used 480 birds at initial age of 65 days, distributed in randomized block design with 6 treatments, 10 replicates and 8 birds per experimental unit. The treatments consisted of basal diet deficient in methionine plus cystine (0.65%, with 19.6% of crude protein and 2800 kcal of metabolizable energy/kg of ration, supplemented with six levels of DL-methionine 98% (0.116; 0.167; 0.218; 0.269; 0.320 and 0.371%, corresponding to methionine plus cystine with lysine ratio of 0.65, 0.70, 0.75, 0.80, 0.85 and 0.90, and the digestible lysine set at a suboptimal level of 1.00. The parameters studied were: feed intake, egg production per hen day, egg production per housed hen, commercial egg production, egg weight, egg mass, feed conversion per egg mass, feed conversion per dozen eggs, viability of birds, weight of the egg components (yolk, albumen and shell, percentage of components of eggs, diameter and height of the eggs and specific gravity. It was observed an increasing linear effect for feed intake, egg diameter, shell weight and percentage of yolk. For eggshell percentage, it was observed a decreasing linear effect. For the weight of the eggs, the best adjustment was obtained by using the Linear Response Plateau model. A quadratic effect was observed for egg mass, feed conversion per egg mass, egg production per hen day, egg production per housed hen, yolk weight, albumen weight and height of the eggs. The relationship of methionine plus cystine with lysine of 0.84 which corresponds to the consumption of 221.0 mg/bird/day of methionine + cystine provides better performance and satisfactory quality of Japanese quail eggs.Com o objetivo de avaliar o efeito de relações entre metionina mais cistina com lisina para codornas japonesas na fase de postura, 480 aves com idade inicial de 65 dias foram

  2. A alfabetização e sua relação com o uso do computador: o suporte digital como mais um instrumento de alfabetização na escola

    Directory of Open Access Journals (Sweden)

    Julianna Silva Glória

    2012-07-01

    Full Text Available ste artigo divulga dados de tese de doutorado defendida no Programa de Pós-Graduação da FAE – UFMG (Faculdade de Educação – Universidade Federal de Minas Gerais, utilizando teorias advindas dos estudos sobre letramento e cultura escrita (Antonio Castillo Gomez, Brian Street, Magda Soares, da história da leitura e da escrita (Roger Chartier. Entre outros objetivos, buscamos compreender as interferências do suporte digital no processo de alfabetização de crianças de seis anos. Adotamos princípios da pesquisa qualitativa, acompanhando por um ano as atividades de uma turma de alunos realizadas no laboratório de informática de uma escola pública brasileira, em situações de alfabetização na tela. Na análise dos resultados apresentada neste texto, exploramos o potencial do computador como mais um instrumento de alfabetização utilizado pela escola, evidenciando o que ocorre no gesto gráfico do registro em tela e nos atos de copiar ou escrever o nome, demonstrando que ferramentas digitais trazem nova roupagem a estas tarefas.

  3. Déterminer l'incidence de l'industrie extractive sur les possibilités ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Le Ghana et la Côte d'Ivoire sont des pays voisins possédant des ressources et des environnements socio-culturels similaires, mais dont les stratégies de développement économique sont très différentes. Ce projet permettra de déterminer dans quelle mesure les différences dans les schémas de croissance et la création ...

  4. Research

    African Journals Online (AJOL)

    abp

    6 mai 2013 ... femmes utilisent surtout les moyens chimiques. Par ailleurs, selon les études [4], les suicidés présentent des troubles mentaux dans 90% des cas, et deux diagnostics coexistent dans 70 à 80% des cas. Le suicide est en particulier surreprésenté dans la population des patients souffrant de schizophrénie.

  5. pdf2xml

    International Development Research Centre (IDRC) Digital Library (Canada)

    Leur croissance a obligé certaines d'entre elles ( Rio de Janeiro, Maceió, Recife ...... gneiss, divers types de migmatites et par des intrusions granitiques isolées. ...... de minéraux micacés ( surtout muscovite et biotite, mais également sericite, ...

  6. A agonia da reportagem : das grandes aventuras da imprensa brasileira à crise do mais fascinante dos gêneros jornalísticos : uma análise das matérias vencedoras do Prêmio Esso de Jornalismo

    OpenAIRE

    Magno, Ana Beatriz

    2006-01-01

    O objetivo deste trabalho é responder à pergunta que mais me inquieta como profissional e que me empurrou de volta para a universidade: por que as reportagens brasileiras estão como estão ? Estão distante de suas raízes. Estão indigestas, pasteurizadas, declaratórias, agarradas ao discurso da objetividade, obcecadas pela cobertura do poder e fechadas entre os palácios de três cidades, Brasília, São Paulo e Rio. Significa que a grande imprensa brasileira está esquecendo o mais nobre dos gênero...

  7. Problemas oftalmológicos mais freqüentes e desenvolvimento visual do pré-termo extremo Frequent ophthalmologic problems and visual development of preterm newborn infants

    Directory of Open Access Journals (Sweden)

    Rosa Maria Graziano

    2005-03-01

    Full Text Available OBJETIVO: Revisar conceitos do desenvolvimento visual e principais alterações oculares do recém-nascido prematuro. Salientar a importância do exame oftalmológico preventivo e tratamento precoce das doenças oculares. FONTE DOS DADOS: Dados de literatura. SÍNTESE DE DADOS: A visão é um dos mais importantes sentidos no desenvolvimento físico e cognitivo normal da criança. Em recém-nascido prematuro, as funções visual, motora e cognitiva, quando comparadas às de crianças de termo em idade escolar, são prejudicadas. Isto se deve mais à imaturidade do sistema nervoso central do que a lesões localizadas em estruturas oculares e/ou corticais. A retinopatia da prematuridade, o estrabismo e os erros de refração são as principais alterações oftálmicas secundárias à prematuridade descritas na literatura. A retinopatia da prematuridade é uma das principais causas de cegueira prevenível na infância. Calcula-se que, em média, 562 crianças fiquem cegas por ano no Brasil, um custo socioeconômico alto, principalmente por se tratar de uma doença passível de tratamento. Muito pode ser feito pela criança com deficiência visual; programas de estimulação visual precoce permitem que a criança possa ter uma integração maior com seu meio. CONCLUSÕES: Recomenda-se que todo recém-nascido prematuro com p OBJECTIVES: To review the concepts of visual development and the major ocular abnormalities in preterm newborns. To emphasize the importance of preventive ophthalmologic examination and early treatment of ocular disorders. SOURCES OF DATA: A review of published data. SUMMARY OF FINDINGS: Vision is one of the most important senses in the normal physical and cognitive development of children. Schoolchildren who were born preterm have impaired visual, motor and cognitive functions when compared to those of children born full term. This is more a consequence of central nervous system immaturity than of localized injuries to ocular and

  8. Is the outcome of schizophrenia really better in developing countries? O prognóstico da esquizofrenia é realmente mais favorável nos países em desenvolvimento?

    Directory of Open Access Journals (Sweden)

    Vikram Patel

    2006-06-01

    Full Text Available That schizophrenia has a better prognosis in non-industrialized societies has become an axiom in international psychiatry; the evidence most often cited comes from three World Health Organization (WHO cross-national studies. Although a host of socio-cultural factors have been considered as contributing to variation in the course of schizophrenia in different settings, we have little evidence from low-income countries that clearly demonstrates the beneficial influence of these variables. In this article, we suggest that the finding of better outcomes in developing countries needs re-examination for five reasons: methodological limitations of the World Health Organization studies; the lack of evidence on the specific socio-cultural factors which apparently contribute to the better outcomes; increasing anecdotal evidence describing the abuse of basic human rights of people with schizophrenia in developing countries; new evidence from cohorts in developing countries depicting a much gloomier picture than originally believed; and, rapid social and economic changes are undermining family care systems for people with schizophrenia in developing countries. We argue that the study of the long-term course of this mental disorder in developing countries is a major research question and believe it is time to thoroughly and systematically explore cross-cultural variation in the course and outcome of schizophrenia.O fato de que a esquizofrenia possui um melhor prognóstico em sociedades não industrializadas tornou-se um axioma na psiquiatria internacional; as evidências mais comumente citadas provêm de três estudos trans-nacionais da Organização Mundial da Saúde (OMS. Ainda que um conjunto de fatores socioculturais tenha sido considerado como contribuinte para o curso da esquizofrenia em diferentes ambientes, possuímos poucas evidências de países de baixa renda que demonstrem claramente a influência benéfica dessas variáveis. Neste artigo

  9. A inserção dos trabalhadores mais escolarizados no mercado de trabalho brasileiro: uma análise de gênero The inclusion of workers with higher educations in the Brazilian labor market: a gender analysis

    Directory of Open Access Journals (Sweden)

    Moema de Castro Guedes

    2010-06-01

    Full Text Available O presente artigo analisa, desde a perspectiva de gênero, o tipo de inserção laboral da população de nível universitário nos últimos trinta anos no século XX. Para tanto, em um primeiro momento traça as mudanças mais amplas assistidas no mundo do trabalho neste período a partir de um diálogo com a literatura de referência. Em seguida, a partir da base de dados dos censos demográficos do Instituto Brasileiro de Geografia e Estatística de 1970 e 2000, compara distintos padrões e tendências de algumas variáveis relativas ao mercado de trabalho na população feminina e masculina. Esse enfoque discute em que medida as dinâmicas assistidas neste segmento também reproduzem uma divisão sexual do trabalho. Os principais resultados encontrados mostram que já nos anos 1970 a maioria das mulheres deste grupo trabalhava em tempo integral. Essa tendência se acentua nos trinta anos em questão, e nas demais variáveis observam-se tendências cada vez mais próximas às masculinas. No entanto, a permanência da segmentação ocupacional feminina e dos altos diferenciais salariais aponta para uma desconstrução ainda lenta dos constrangimentos que cercam a presença destas mulheres no mundo do trabalho.This article examines, from a gender perspective, the type of employability the population holding higher education degrees had over the last thirty years of the twentieth century. To achieve its goals, it first outlines the broader changes witnessed in the work market in this period based on a dialogue with the literature of reference. Then, based on the Brazilian Institute of Geography and Statistics' database of census figures of 1970 and 2000, it compares different patterns and trends of some variables regarding the labor market among men and women. This approach discusses the extent to which the dynamics seen in this segment also play out a gender division of labor. The main results show that already in the 1970s most women in this

  10. Como encontrar as palavras-chave mais importantes de um corpus com WordSmith tools How to find the most important keywords in a corpus with WordSmith tools

    Directory of Open Access Journals (Sweden)

    Tony Berber-Sardinha

    2005-12-01

    Full Text Available Um dos procedimentos mais delicados envolvidos numa análise de corpus via palavras-chave com WordSmith Tools KeyWords é a seleção de um sub-conjunto de palavras para serem investigadas em detalhe. A seleção se faz necessária, via de regra, porque o tamanho do léxico chave de um corpus de estudo é em geral muito grande, em geral em torno de 1500 palavras ou até mais. Uma maneira de fazer esse recorte consiste na extração de palavras-chave exclusivas. O léxico chave exclusivo é composto das palavras-chave que ocorrem somente no corpus de estudo em questão em comparação com palavras-chave de outros corpora de estudo. Contudo, comparar a lista de palavras-chave com várias outras é um procedimento custoso e complicado, que não pode ser exigido da maioria dos usuários de WordSmith Tools KeyWords. Uma alternativa para este cenário seria a aplicação de um ponto de corte generalizado baseado em tendências de retorno de palavras-chave observadas através da aplicação do banco de palavras-chave existente. Tal ponto de corte indicaria a região da lista de palavras-chave na qual há maior probabilidade de ocorrência do léxico chave exclusivo. Os resultados obtidos aqui indicam um ponto de corte entre 31% a 53% das palavras da lista, a partir da primeira de uma lista ordenada por chavicidade.One of the most sensitive issues surrounding a keywords analysis with WordSmith Tools is the selection of a subset of words in a corpus that deserve being looked at in greater detail. This selection is normally needed because the size of the key word list can reach several hundred, up to 1,500 or more. One way to extract a selection consists of the pulling out 'exclusive key words'. This key lexis is made up of keywords that only in a single corpus only, in comparison with a bank of keyword lists. Nevertheless, comparing several keyword lists together is a demanding task, which most users of WordSmith Tools are not expected to cope with. An

  11. Impression cytology features of conjunctival nevi reported as more noticeable Características da citologia de impressão de nevos conjuntivais referidos como mais perceptíveis

    Directory of Open Access Journals (Sweden)

    Jeison de Nadai Barros

    2009-04-01

    Full Text Available PURPOSE: To report the impression cytology features of conjunctival nevi reported as more noticeable. METHODS: 35 patients who reported that a conjunctival lesion had become more noticeable after color or size change were enrolled. On slit-lamp examination, a clinical diagnosis of nevus was made and lesions underwent impression cytology using acetate cellulose strips and a combined staining with PAS, H&E and Papanicolaou. At patient's or parents' request, excision of the lesion was performed and the tissue was submitted to histopathological study. RESULTS: Impression cytology examination revealed nests or cluster of nevus cells within the epithelium layer containing or not mucous-secreting goblet cells in 32 cases (91.4%. Ten patients (28.5% had the tumor removed and histopathological diagnosis was compound nevus in 8 eyes (1 from caruncle, 1 from plica semilunaris and 6 from bulbar conjunctiva and subepithelial nevus from bulbar conjunctiva (2 eyes. CONCLUSION: Optical microscopy analysis of the impression cytology specimens confirmed the clinical diagnosis by demonstrating typical histopathological features of the superficial layers from conjunctival nevi in 91.4% of the cases. For amelanotic nevi IC can also allow a differential diagnosis from other nonpigmented lesions. The technique does not replace histopathological examination, but additionally, may assist in evaluating nevus cells in children and adults.OBJETIVO: Relatar as características da citologia de impressão de nevos conjuntivais referidos como mais perceptíveis. MÉTODOS: Trinta e cinco pacientes que notaram uma lesão conjuntival que se tornou mais perceptível, por mudança de cor ou de tamanho, foram avaliados. Ao exame biomicroscópico foi feito o diagnóstico clínico de nevo, sendo obtidas amostras de citologia de impressão das lesões com auxílio do papel filtro de acetato de celulose, coradas com PAS, H&E e Papanicolaou. Para os indivíduos que optaram também pela

  12. 'TurmaMais': uma experiência organizacional direccionada à promoção do sucesso escolar Una experiencia organizacional dirigida a la promoción del suceso escolar An organizational project directed to promote school success

    Directory of Open Access Journals (Sweden)

    José Lopes Cortes Verdasca

    2007-06-01

    Full Text Available Neste artigo relata-se a experiência pedagógica 'TurmaMais' e o essencial do seu figurino organizativo. Em termos de contextualização e enquadramento teórico-conceptual sustenta-se um modelo centrado nos factores organizacionais 'dimensão' e 'estrutura composicional' da turma como referentes significativos do desempenho escolar. Os resultados observados evidenciam quebras significativas nos índices de repetência e abandono escolares e uma melhoria igualmente significativa na qualidade dos níveis escolares de coortes de alunos de 3º ciclo, tendendo assim a comprovar-se a eficácia do projecto. A exploração e desenvolvimento de critérios e procedimentos para a mensuração dos resultados permite, por outro lado, lançar e aprofundar o debate sobre a adequabilidade e validação de instrumentos metodológicos de análise do desempenho escolar.Este artículo se refiere a la experiencia pedagógica «TurmaMais» y a laesencia de su organización. En términos de contextualización y encuadramiento teórico-conceptual sustentase un modelo centrado en los factores organizacionales «dimensión» y «estructura composicional» de la turma como referentes significativos del desempeño escolar. Los resultados evidencian reducciones significativas en los índices de repetición y abandono escolares y una mejoría igualmente significativa en la cualidad de los niveles escolares de cohortes de alumnos de tercer ciclo, comprobándose la eficacia del proyecto. La exploración y desenvolvimiento de criterios y procedimientos para la mensuración de los resultados permiten, por otro lado, lanzar y profundar el debate sobre la adecuación y validación de instrumentos metodológicos de análisis del desempeño escolar.This article refers to the pedagogical experience called "Turmamais" and the essence of its organization. In terms of contextualization and theoretical and conceptual framework, it is based on a model which is centered in organizational

  13. Envelhecimento e letramento: a leitura e a escrita na perspectiva de pessoas com mais de 60 anos de idade Aging and literacy: reading and writing from the perspective of people over 60

    Directory of Open Access Journals (Sweden)

    Rebecca Torquato

    2011-01-01

    Full Text Available Este artigo objetiva verificar os papéis que práticas de letramento assumem para pessoas com mais de 60 anos. A pesquisa foi realizada de um ponto de vista qualitativo/quantitativo, a partir da aplicação de um questionário junto a 40 sujeitos com idade superior a 60 anos. Foram coletadas informações sobre as práticas de leitura e de escrita, as suas dificuldades, bem como a relevância dessas práticas no próprio processo de envelhecimento. Verificou-se que os idosos referem dificuldades relacionadas a questões ortográficas, textuais e biológicas. As atividades de letramento são utilizadas, também, com o objetivo de melhorar a cognição. Além disso, eles reconhecem que essas atividades trazem benefícios para a promoção de um envelhecimento ativo e saudável.This paper aims at examining the roles played by literacy classes for adults older than 60. Forty individuals over 60 years old were interviewed for this quantitative/qualitative study. Information was gathered on their experiences with reading and writing, their difficulties and the perceived relevance of those classes on the ageing process. The participants indicated having difficulties with orthographic, textual and biological questions. The literacy activities were also used to improve their cognitive abilities. Moreover, the participants identified benefits of those activities for a healthy and active ageing.

  14. Detection of Rare G3P[19] Porcine Rotavirus Strains in Chiang Mai, Thailand, Provides Evidence for Origin of the VP4 Genes of Mc323 and Mc345 Human Rotaviruses▿

    Science.gov (United States)

    Maneekarn, Niwat; Khamrin, Pattara; Chan-it, Wisoot; Peerakome, Supatra; Sukchai, Sujin; Pringprao, Kidsadagon; Ushijima, Hiroshi

    2006-01-01

    Among 175 fecal specimens collected from diarrheic piglets during a surveillance of porcine rotavirus (PoRV) strains in Chiang Mai, Thailand, 39 (22.3%) were positive for group A rotaviruses. Of these, 33.3% (13 of 39) belonged to G3P[19], which was a rare P genotype seldom reported. Interestingly, their VP4 nucleotide sequences were most closely related to human P[19] strains (Mc323 and Mc345) isolated in 1989 from the same geographical area where these PoRV strains were isolated. These P[19] PoRV strains were also closely related to another human P[19] strain (RMC321), isolated from India in 1990. The VP4 sequence identities with human P[19] were 95.4% to 97.4%, while those to a porcine P[19] strain (4F) were only 87.6 to 89.1%. Phylogenetic analysis of the VP4 gene revealed that PoRV P[19] strains clustered with human P[19] strains in a monophyletic branch separated from strain 4F. Analysis of the VP7 gene confirmed that these strains belonged to the G3 genotype and shared 97.7% to 98.3% nucleotide identities with other G3 PoRV strains circulating in the regions. This close genetic relationship was also reflected in the phylogenetic analysis of their VP7 genes. Altogether, the findings provided peculiar evidence that supported the porcine origin of VP4 genes of Mc323 and Mc345 human rotaviruses. PMID:16988014

  15. Percepção de adultos mais velhos quanto à participação em programa de exercício físico com exergames: estudo qualitativo

    Directory of Open Access Journals (Sweden)

    Vandrize Meneghini

    2016-04-01

    Full Text Available Resumo Os exergames, videogames ativos, necessitam do movimento corporal e vêm sendo utilizados como alternativa para aumentar o nível de atividade física de pessoas de diferentes faixas etárias. Este estudo qualitativo investigou a percepção de adultos mais velhos quanto à prática deexergames. O grupo focal (GF foi conduzido após 12 semanas da realização de um programa de exercícios físicos comexergames (50 min., 3dias/semana, utilizando jogos eletrônicos que simulam atividades esportivas (Xbox 360 Kinect Sportstm. Participaram do GF 14 pessoas (55 a 77 anos. Um moderador treinado conduziu o GF, sendo as sessões gravadas em audio e transcritas, posteriormente, para análise. A técnica de análise de conteúdo foi realizada utilizando o software ATLAS.ti®. Os participantes relataram benefícios psicológicos (autoestima, concentração, humor, raciocínio, memória e bem estar, físicos (agilidade e condições físicas e de interação social (troca de experiências, amizade e competitividade. Quanto às experiências vivenciadas pelo grupo, a inovação, a ludicidade e o estímulo visual foram citados como características dos jogos. A percepção de benefícios com a prática de exergames facilita a adesão ao exercício e aumenta a motivação dos participantes.

  16. Um estudo sobre a relação entre a Democracia Digital e a Participação Política a partir do debate sobre o Programa Mais Médicos no Facebook

    Directory of Open Access Journals (Sweden)

    Ilana Camurça Landim

    2013-12-01

    Full Text Available O artigo trata da discussão sobre democracia digital, realizando um percursoconceitual sobre o que se propõe a representar a nomenclatura democraciadigital, analisando aspectos facilitadores do processo democrático seguidos do surgimento,como o processo de desburocratização, maior acesso à participação política pormeio de computadores, aplicativos e ferramentas. Dentre as ferramentas dademocracia digital estão as redes sociais, enfatizando o Facebook pela ampla adesão e uso feito pelos cidadãos brasileiros,tomando a página governamental do Ministério da Saúde e o debate sobre o ProgramaMais Médicos como ilustração para embasar a discussão. Em seguida, é posto emdiscussão o conceito de participação política no contexto da rede socialescolhida, levantando aspectos positivos, como sendo esse um espaço de relaçãosocial vindo a tornar-se político, bem como aspectos a serem questionados, comoo alcance comprometido em rede que não abrange o público em sua totalidade seconfigurar como participação política. Por fim, discute-se a esfera pública, odebate e a deliberação no contexto do Facebookcomo conceitos para averiguar a relação entre a democracia digital e a participaçãopolítica.

  17. Patients in treatment for chronic low back pain have higher externalised beliefs: a cross-sectional study Pacientes em tratamento da dor lombar crônica têm crenças mais externalizadas: um estudo transversal

    Directory of Open Access Journals (Sweden)

    Thiago H. Oliveira

    2012-02-01

    Full Text Available BACKGROUND: People with low back pain (LBP with higher levels of external locus of control have a poorer prognosis and require greater improvements from active interventions in order to consider these interventions worthwhile. Whether locus of control levels differ between participants with LBP in a patient-health provider relationship and those waiting for treatment is unclear. OBJECTIVE: The aim was to investigate if differences in locus of control exist between participants with non-specific chronic LBP being treated (treatment group and those waiting treatment (control group. METHODS: 100 participants (50 per group with low back symptoms for at least three months for the current episode of LBP and aged between 18 and 60 years were recruited. Multidimensional health locus of control questionnaire (MHLC was used to collect their beliefs. Multiple linear regression adjusted for disability was used to compare health locus of control between both groups. Differences were described as mean differences and 95% confidence intervals. RESULTS: Treatment group scored higher for external locus of control and lower for internal locus of control than control group. Mean differences (95% confidence intervals were 2.7 points on possible 30-points difference (0.5 to 4.8 for external locus of control and -2.8 points (-5.4 to -0.1 for internal subscale. CONCLUSION: Health locus of control was found to be different between treatment and control groups. Participants being treated had higher external locus of control and lower internal locus of control than control group.CONTEXTUALIZAÇÃO: Pessoas com dor lombar com altos níveis de lócus de controle externo têm piores prognósticos e necessitam de melhores intervenções ativas, uma vez que elas são consideradas mais valiosas. Se os níveis de lócus de controle diferem entre os participantes com dor lombar e aqueles que esperam o tratamento, a relação do atendimento-paciente não está clara. OBJETIVO

  18. Avaliando a capacidade de governo: reflexões sobre a experiência do prêmio "Municípios que Fazem Render Mais" (2010 e 2011 Evaluación de la capacidad de gobierno: reflexiones sobre la experiencia del premio "Municípios que Fazem Render Mais" (2010 e 2011 Assessing the government capacity: reflections on the experience award "Municipalities that Make More Render" (2010 and 2011

    Directory of Open Access Journals (Sweden)

    Francisco Fonseca

    2013-02-01

    Full Text Available Este artigo analisa conceitualmente a experiência do Prêmio "Municípios que Fazem Render Mais", desenvolvido por pesquisadores do Centro de Estudos em Administração Pública e Governo da Fundação Getulio Vargas de São Paulo, em dois momentos: nos estados do Sul em 2010 e no estado de São Paulo em 2011. A partir do conceito de "triângulo de governo", desenvolvido por Carlos Matus em seu construto sobre o Planejamento Estratégico Situacional (PES, analisa-se especialmente a "capacidade de governo" - um dos vértices do triângulo - dos municípios inscritos no Prêmio. O artigo descreve os pressupostos que informam o Prêmio, assim como os critérios e a metodologia adotados, e reflete sobre as escolhas realizadas para premiar os municípios ao analisar os desafios que representa avaliar gestões municipais. Por fim, o artigo analisa especificamente os municípios paulistas, o que implica estabelecer parâmetros para a comparação de contextos e gestões bastante distintos.En este artículo examina conceptualmente la experiencia del Premio "Municípios que Fazem Render Mais", desarrollado por investigadores del Centro de Estudos em Administração Pública e Governo de la Fundação Getulio Vargas de São Paulo, en dos etapas: en los estados del Sur en 2010 y en el estado de São Paulo en 2011. Desde el concepto de "triángulo de gobierno", desarrollado por Carlos Matus en su construcción de Planificación Estratégica Situacional (PES, analiza especialmente la "capacidad de gobernar" - uno de los vértices del triángulo - en los municipios incluidos en el premio. El artículo describe los supuestos que informan al premio, así como los criterios y la metodología adoptados, y reflexiona sobre las decisiones tomadas para recompensar a los municipios para analizar los retos de la evaluación de las administraciones municipales. Por último, el artículo analiza especificamente los municipios de São Paulo, lo que implica el

  19. Ausrüstung von Starkstromanlagen mit elektronischen Betriebsmitteln / Achtung: Abschnitte 5.3.2.2.2 (einschließlich Kurve 2 in Bild 2) und 7.3.1.2 gelten erst ab Mai 1990. Bestehende Anlagen und Betriebsmittel einschließlich Ersatzlieferungen brauchen nicht den Anforderungen dieser neuen Norm angepaßt zu werden.

    CERN Document Server

    Deutsches Institut für Normung. Berlin

    1988-01-01

    Ausrüstung von Starkstromanlagen mit elektronischen Betriebsmitteln / Achtung: Abschnitte 5.3.2.2.2 (einschließlich Kurve 2 in Bild 2) und 7.3.1.2 gelten erst ab Mai 1990. Bestehende Anlagen und Betriebsmittel einschließlich Ersatzlieferungen brauchen nicht den Anforderungen dieser neuen Norm angepaßt zu werden.

  20. 23 mai 2008 - Madame Micheline Calmy-Rey Conseillère fédérale, Cheffe du Département fédéral des affaires étrangères (DFAE), Confédération suisse et Dr Annette Schavan, Federal Minister of Education and Research, Germany visitent le CERN

    CERN Multimedia

    Maximilien Brice

    2008-01-01

    23 mai 2008 - Madame Micheline Calmy-Rey Conseillère fédérale, Cheffe du Département fédéral des affaires étrangères (DFAE), Confédération suisse et Dr Annette Schavan, Federal Minister of Education and Research, Germany visitent le CERN

  1. Associação entre perfil lipídico e adiposidade corporal em mulheres com mais de 60 anos de idade Association between lipid profile and adiposity in women over age 60

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    Maressa Priscila Krause

    2007-09-01

    Full Text Available OBJETIVO: Verificar a associação entre perfil lipídico e medidas de obesidade corporal global e central em mulheres com idade superior a 60 anos. MÉTODOS: A amostra foi composta por 388 mulheres, com mais de 60 anos de idade (média, 69,0; desvio padrão, 5,9 anos. O perfil lipídico foi determinado por meio das dosagens de colesterol total (CT, colesterol de lipoproteína de alta densidade (HDL-colesterol, colesterol de lipoproteína de baixa densidade (LDL-colesterol e triglicerídeos (TG. A obesidade global foi mensurada pelo índice de massa corporal (IMC e pelas dobras cutâneas (DC, e a obesidade central foi mensurada pela circunferência da cintura (CC e pela relação cintura-quadril (RCQ. A análise estatística foi realizada por meio da correlação parcial ajustada para a idade e ANOVA one-way (p OBJECTIVE: To verify the association between lipid profiles and overall or central obesity in women over the age of 60. METHODS: The sample was comprised of 388 women over the age of 60 (mean 69; standard deviation 5.9 years. The lipid profile was determined using total cholesterol (TC, HDL cholesterol (HDL-C, LDL cholesterol (LDL-C and triglyceride (TG levels. Overall obesity was determined using the body mass index (BMI and skin fold (SF measurements. Central obesity was determined using the waist circumference (WC and waist - hip ratio (WHR. Statistical analysis was conducted using age adjusted partial correlation and one way ANOVA (p<0.05. RESULTS: The mean values found for the adiposity variables and lipid profile components indicate an elevated atherogenic risk. In addition, the indicators for overall and central obesity were directly related to TG levels and inversely related to HDL-C levels. CONLCUSION: The partial correlation analysis and the largest variance found for WC and WHR in comparison to the lipidogram components indicate that both methods could be useful in the early diagnosis of atherosclerosis.

  2. O supervisor e as estratégias educacionais dos encontros locorregionais no Programa Mais Médicos do Brasil: reflexões acerca de concepções e práticas.

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    Elyne Montenegro ENGSTROM

    2016-05-01

    Full Text Available Para aprimorar a formação médica, o Programa Mais Médicos do Brasil (PMM, dentre uma de suas finalidades, realizou a provisão de médicos nas regiões prioritárias para o SUS, a fim de reduzir as desigualdades regionais em saúde, integrando ensino-serviço, com a supervisão direta aos médicos participantes. O presente artigo discute uma experiência de supervisão coletiva (encontros locorregionais desenvolvida em um município do estado do Rio de Janeiro em 2014-2015. Ao se considerar a potência de desenvolver a força de trabalho do SUS segundo pressupostos da educação permanente em saúde, procurou-se refletir acerca da identificação de necessidades educacionais, da construção de estratégias e ofertas de formação no ambiente do trabalho dos médicos do PMM. Foram realizados sete encontros, com a participação de 16 médicos participantes do PMM, além de supervisores (2, tutor, gestor municipal e apoiadores/especialistas municipais. Metodologias baseadas na pedagogia da problematização foram vivenciadas e as temáticas foram o diagnóstico situacional e identificação de prioridades (matriz de problemas/propostas, sendo eleitas as áreas: saúde mental, uso de drogas, saúde da mulher/pré-natal e criança. As estratégias educacionais facilitaram a integração da gestão, supervisão e médicos, em diálogo com às necessidades de saúde da população, o modelo de atenção e a organização da rede de saúde local.

  3. Diet and mortality from common cancers in Brazil: an ecological study Dieta e mortalidade para os tipos mais freqüentes de câncer no Brasil: um estudo ecológico

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    Rosely Sichieri

    1996-03-01

    Full Text Available A prospective ecological evaluation of mortality from common malignancies with dietary risk factors and alcohol consumption was carried out among 10 state capitals of Brazil. Regression analysis was used to examine the association of dietary intake with mortality rates of the most common cancers among adults age 30 years and older. Age-adjusted cancer mortality rates varied 2.4 to 3.3 fold across the state capitals. A positive relationship was observed between energy intake and colon, lung, and esophageal cancer (pRealizou-se um estudo ecológico com base em dados de 10 capitais brasileiras e, através de análise de regressão linear, examinou-se a associação entre dieta e as taxas de mortalidade para as principais localizações de câncer, entre adultos com 30 anos ou mais. As taxas de mortalidade ajustadas por idade variavam de 2,4 a 3,3 vezes entre as capitais. Consumo de energia associou-se positivamente com câncer de colon, pulmão e esôfago (p<=0,02 em cada associação. Mortalidade por câncer de colon associou-se positivamente com o consumo de gordura, ovos, álcool, mate, cereais e vegetais (p<=0,01; câncer de pulmão associou-se ao consumo de mate e cereais (p<0,05; câncer de estômago associou-se positivamente com ovos (p=0,04 e, negativamente, com o consumo de fibras, frutas e vitaminas A e C (p<=0,05. Câncer de esôfago foi positivamente associado com consumo de gordura e mate (p<=0,05 e, negativamente, com vitamina A (p=0,02; câncer de próstata associou-se negativamente com vitamina C (p=0,007. Câncer de mama não se associou a nenhum dos fatores estudados. A importante variação nas taxas de mortalidade por câncer no Brasil podem ser parcialmente associadas as variações em componentes da dieta ou a fatores a ela associados.

  4. Mais humano que um humano: a halitose como emblema da patologização odontológica More human than human: halitosis as the hallmark of pathological dental omission

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    Adauto Emmerich

    2012-01-01

    Full Text Available A perspectiva teórica de análise desenvolvida relaciona-se com o fato de que o conhecimento odontológico não deve ser visto como algo universal, independente da realidade, mas participante da sua construção. Explora a idéia simbolizada na colonização do conhecimento da Odontologia contemporânea para além do "mais humano que um humano". Com o exemplo da crescente patologização da halitose, como uma desordem objetiva não só da saúde bucal, mas que afeta aos indivíduos, este trabalho desenvolve uma análise da (reinvenção de patologias, via tecnologias de visualização, na modernidade tardia. Conclui que a veracidade do conhecimento odontológico, entre os seus principais atores, os seus discursos e suas práticas sociais, nunca é neutra, mas sempre articulada aos interesses com os quais está envolvida permanentemente. O olfato desliza do saber à memória e do espaço ao tempo e certamente das coisas aos seres. A halitose é, muitas vezes, improvável, misturada, singular, incerta em tempo e lugar.The theoretical perspective of the analysis conducted is linked to the fact that dental awareness should not be seen as something universal, independent from reality, though participating in its construction. This paper explores the idea symbolized in the colonization of contemporary Dentistry awareness to beyond « the more human than human ». With the example of the increasing pathologization of halitosis, as an objective disorder not only of oral health, but that affects individuals, this work develops an analysis of the (reinvention of pathologies, through visualization technologies in late modernity. It concludes that the veracity of dental awareness, among the main actors, its discourses and its social practices, is never neutral, but always articulated to the interests with which it is permanently involved. The sense of smell moves from knowledge memory and from space to time and certainly from things to beings. Halitosis is

  5. Epilepsy and sudden unexpected death in epilepsy?: Eat more fish! A group hypothesis Epilepsia e morte súbita?: Coma mais peixe! A hipótese de um grupo

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    Roberta M. Cysneiros

    2009-09-01

    Full Text Available Epilepsy is the commonest serious neurological disorder and individuals with epilepsy are at higher risk of death than the general population and sudden unexpected death in epilepsy (SUDEP is the most important direct epilepsy-related cause of death. Potential pathomechanisms for SUDEP are unknown, but it is very probable that cardiac arrhythmias during and between seizures play a potential role. The ultimate goal of SUDEP research is to develop methods to prevent it and nutritional aspects such as omega-3 fatty acid deficiency may have an interesting role in this scenario. Omega-3 fatty acids reduce the risk of cardiovascular mortality and are important for treating or preventing some neurological diseases, including epilepsy. A dietary modification or nutritional supplements increasing the ingestion of omega-3 fatty acids may help to ''save the brain".A epilepsia é uma das doenças neurológicas sérias mais comuns e está associada a um maior risco de morte do que o observado na população geral e a morte súbita em epilepsia é uma importante causa de morte relacionada à epilepsia. Os potenciais patomecanismos da morte súbita em epilepsia são desconhecidos, mas é bastante provável que arritmias cardíacas durante ou entre as crises tenham um papel preponderante. O objetivo final das pesquisas em morte súbita em epilepsia é o desenvolvimento de métodos que levem à sua prevenção e aspectos nutricionais, como a deficiência de ômega-3 pode ter um papel interessante neste contexto. A suplementação com ômega-3 reduz o risco de mortalidade de origem cardiovascular e é importante no tratamento e prevenção de algumas doenças neurológicas, incluindo a epilepsia. A modificação dietética ou a suplementação nutricional aumentando a ingesta de ômega-3 pode ajudar a "salvar o cérebro".

  6. BENEFÍCIOS AMBIENTAIS E ECONOMICOS PROVENIENTES DA IMPLEMENTAÇÃO DA PRODUÇÃO MAIS LIMPA EM UMA INDÚSTRIA DE MÓVEIS DE MUNICIPIO DE NATAL-RN

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    Pedro Paulo Silva Leite

    2011-05-01

    Full Text Available O presente trabalho teve como objetivo geral analisar os benefícios ambientais e econômicos obtidos através da implementação da Produção mais Limpa (P+L em uma indústria de móveis localizada em Natal-RN. Trata-se de um estudo de caso que contou com uma revisão bibliográfica sobre o setor e a P+L e uma pesquisa de campo que contemplou as seguintes etapas: diagnóstico ambiental e operacional da empresa (estudo de arranjo físico, levantamento de métodos, fluxograma especifico do processo produtivo, levantamento de aspectos e impactos; levantamento de desperdícios; estudo de oportunidades de melhorias; implementação e monitoramento. Os resultados do diagnostico mostram desperdícios representativos de insumos (MDF, cola, lixa, etc, além da desorganização do espaço físico da empresa, insalubridade do galpão de produção. Assim, foram implementadas algumas medidas de otimização do uso de MDF, cola, lixa, além da implementação de um sistema de coleta de serragem e sistematização da produção, além do reaproveitamento de aparas de MDF para fabricação de chapas recicladas. Nesse contexto, as oportunidades de melhoria ambiental contemplaram os níveis 1 (redução na fonte e nível 2 (reciclagem interna acarretando na otimização do uso de recursos e a diminuição da poluição gerada, trazendo um alavancar uma receita anual para empresa aproximadamente em R$ 3.600 a partir de um investimento de R$ 4311, tendo um período de retorno não superior à 2 anos em cada estudo. Por fim, verifica-se que com a implementação das atividades vislumbradas é possível alcançar uma economia significativa nos gastos da empresa além dos benefícios operacionais como melhoria do ambiente de trabalho e mudanças benéficas no quesito meio ambiente através da diminuição do consumo de matéria prima e da geração de resíduos.

  7. Pewds Review (clap)(clap)Pewds Review (clap)(clap)Pewds Review

    OpenAIRE

    Giner , Esteban

    2018-01-01

    [Carnet de recherche] Les Chroniques vidéoludiques; Pewdiepie est fascinant. Pewdiepie est terrible. Pewdiepie est raciste. Pewdiepie est magnanime. Pewdiepie est néolibéral. Pewdiepie est marxiste. Mais surtout, Pewdiepie est complexe. Et c’est cette complexité qui attire le regard du chercheur ou de la chercheuse.Je suis Pewdiepie avec assiduité depuis maintenant 4 ans. Du moins, je suis abonné à sa chaîne depuis ce temps-là. C’est depuis 2016 surtout qu’il est devenu pour moi une source in...

  8. Atividade física e qualidade de vida em mulheres com 60 anos ou mais: fatores associados Physical activity and quality of life in women aged 60 or older: associated factors

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    Euller Duarte de Carvalho

    2010-09-01

    Full Text Available OBJETIVO: avaliar o nível de atividade física, a qualidade de vida e os fatores associados em mulheres com 60 anos ou mais. MÉTODOS: estudo de corte transversal que incluiu 271 mulheres frequentadoras de um centro de lazer e de mulheres atendidas no Ambulatório de Menopausa em Campinas (SP. As mulheres foram convidadas a participar da pesquisa, que foi realizada com o uso de entrevistas. Os instrumentos utilizados foram o International Physical Activity Questionnaire (IPAQ, versão 8, modificado para a população idosa para avaliar o nível de atividade física, e o Questionário de Qualidade de Vida da Organização Mundial da Saúde, específico para este grupo (WHOQOL-OLD, para avaliar o escore de qualidade de vida. Os resultados do IPAQ foram avaliados por meio de tercis, e a associação entre resultados do WHOQOL-OLD e IPAQ e características das mulheres pelos testes t de Student/Mann-Whitney e de análises múltiplas. RESULTADOS: a média etária das mulheres foi de 67,4±5,3 anos. Destas, 33% foram classificadas como pouco ativas. A análise de cada domínio da atividade física mostrou que 60,8% do tempo foi gasto em atividade sentada (1.701,6±986,1 minutos/semana. Ser frequentadora de um centro de lazer, ter maior idade, sem companheiro, maior escolaridade e boa autopercepção do estado de saúde, sem antecedentes de doenças e maior renda foram características que se associaram significativamente à prática de exercícios físicos de intensidade moderada/vigorosa. A análise múltipla evidenciou que frequentar um centro de lazer em Campinas (SP e ter 70 anos ou mais aumentaram a chance de praticar exercícios físicos de intensidade moderada ou vigorosa, respectivamente, em 11,4 vezes e 2,8 vezes. O escore médio de qualidade de vida foi de 66,9±11,7. O maior valor foi observado no domínio referente às habilidades sensoriais (72,0±18,8, e o menor no que se refere à autonomia (60,3±16,2. A regressão linear mostrou que

  9. Compte rendu du Congrès National du Pétrole, Vichy, 13-16 mai 1981 Report on the 9th French Petroleum Congress in Vichy, 13-16 May 1981

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    Bertrand A. R. V.

    2006-11-01

    Full Text Available Le 9e Congrès National du Pétrole (Vichy, 13-16 mai 1981 s'est déroulé dans un contexte assez difficile (importantes augmentations des prix pétroliers au cours des dernières années, crise mondiale du secteur raffinage, incertitudes politiques. . . bien reflété par le thème choisi Les techniciens français du pétrole face au défi énergétique. Comportant trois tables rondes générales qui fournissaient à l'ensemble des participants, quelles que soient leur spécialité, l'occasion de travailler en commun et ont ainsi donné à cette manifestation un caractère pluridisciplinaire particulièrement studieux, le congrès a mis l'accent sur un certain nombre de nécessités déjà mises en évidence : - diversifier les sources d'hydrocarbures à tous les niveaux (géographique, nature du produit . . . ; - recourir à d'autres sources d'énergie et en particulier à l'énergie nucléaire ; - utiliser toutes les techniques de pointe disponibles (informatique, robotique, biologie, . . . et accroître le capital matière grise, en particulier pour permettre l'exploitation du pétrole difficile (récupération assistée, gisements marins sous grande profondeur d'eau, huiles lourdes, . . . ; - former les hommes en conséquence et attirer de nombreux jeunes compétents et imaginatifs, vers l'industrie des hydrocarbures (pétrole et gaz naturel, et vers les compagnies énergétiques. The 9th French National Petroleurn Congress (Vichy, 13-16 May 1981 took place in a rather difficult context (substantial rises in oil prices in recent years, world crisis in the refining sector, political uncertainties, etc. which was effectively reflected in the theme chosen - French petroleum technicians faced with the energy challenge. There were three round-table discussions which provided all the participants - whatever their specialization - with an opportunity to meet and work together, and gave the meeting a particularly multidisciplinary and studious

  10. O papel do método no ensino: da maiêutica socrática à terapia wittgensteiniana / The role of the method in teaching: from socratic maieutics to wittgensteinian therapy

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    Cristiane Maria Cornelia Gottschalk

    2010-12-01

    Full Text Available Este texto tem como objetivo apontar para algumas das confusões advindas da crença de professores na existência de significados extralinguísticos a serem descobertos ou construídos pelos alunos através da aplicação de um método. Sob a inspiração das reflexões de Wittgenstein sobre a função constitutiva da linguagem na construção dos sentidos, proponho um outro olhar para o papel do método no processo de aprendizagem: não como um procedimento que conduz o aluno a verdades prévias, a exemplo da maiêutica socrática, presente sob outros matizes nas atuais teorias de ensino e aprendizagem; mas como meio de apresentação de nossas convenções linguísticas. Esta mudança de perspectiva foi possível a partir da crítica de Wittgenstein à exigência de exatidão conceitual (já presente nos diálogos platônicos como condição de construção de um conhecimento legítimo, sugerindo em seu lugar uma nova atitude filosófica, com implicações para o ensino escolar. Sua reflexão sobre dois modos básicos de uso de nossas expressões linguísticas (um normativo e outro descritivo pressupõe formas diferentes de transmissão dos conteúdos: ora como instrução de regras, ora como uma atividade que envolve justificação, questionamentos e experimentação empírica.AbstractThis text has the purpose of pointing out some of the confusions originated in the belief of teachers, regarding the existence of extralinguistic meanings to be discovered or constructed by the students through the application of a method. Inspired by the reflections of Wittgenstein about the constitutive function of language in the construction of meanings, I propose another view of the role of method in the process of learning: not as a procedure that leads the student to previous truths; such as the Socratic maieutics, present in some manner in our theories of teaching and learning, but as a means of presentation of our linguistic conventions. This change of

  11. Os Espaços Mais Cultura e a Funarte: política pública como ferramenta de criação e difusão cultural | The ‘More Culture’ Spaces and the National Foundation of Arts – Funarte

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    Ana Teresa Araujo Vasconcelos

    2010-03-01

    Abstract This article discuss the activity of the ‘More Culture’ Spaces in the context of public policies, which aims to qualify urban space, particularly areas of social vulnerability, through the implementation of cultural facilities. At the same time, the Espaços Mais Cultura may be included in public policy tools that are part of a framework for development of knowledge and construction of new social and cultural dynamics from the production of immaterial culture and the creative economy. The objective is to understand the profile of these projects, based on technical visits and analysis of projects conducted by the National Foundation of Arts in 2008. Keywords Funarte; Espaço Mais Cultura; public policies; immaterial culture; creative economy

  12. Marx como referencial para análise de relações entre ciência, tecnologia e sociedade?: evitando equívocos e ampliando possibilidades na aplicação de conceitos marxianos da teoria do mais-valor no campo CTS

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    Hilano José Rocha de Carvalho

    Full Text Available Resumo: No capitalismo contemporâneo, em que a aplicação produtiva da ciência, da técnica e da tecnologia assume um papel determinante, faz-se necessário buscar modelos de referência capazes de explicar os processos subjacentes à mesma, bem como os efeitos sociais mais amplos. Neste sentido, este artigo objetiva analisar criticamente o artigo intitulado Marx como referencial para análise de relações entre ciência, tecnologia e sociedade, apontando aspectos, face à sua tentativa de se apropriar dos conceitos marxianos da teoria do mais-valor para a compreensão crítica das relações CTS. A partir de uma confusão conceitual, fundada basicamente numa distinção deficiente entre duração, intensidade e produtividade do trabalho, os conceitos de mais-valor absoluto e relativo divergem das definições marxianas originais. Por isto e por centrar a análise na redução do valor da força de trabalho, a complexidade das relações capitalistas e o desenvolvimento social em função das mudanças científico-tecnológicas são deixados de lado.

  13. Doença de Crohn e cálculo renal: muito mais que coincidência? Crohn’s disease and kidney stones: much more than coincidence?

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    Maria Lenise Lopes Viana

    2007-09-01

    Full Text Available RACIONAL: A doença de Crohn é uma doença inflamatória intestinal que pode estar associada a várias complicações e manifestações que são secundárias ao processo inflamatório de base. Em aproximadamente 30% dos pacientes têm sido encontradas manifestações extra-intestinais. A nefrolitíase é uma delas e a formação de cálculos é mais comum nestes pacientes do que na população em geral, principalmente cálculos de oxalato de cálcio. OBJETIVOS: Avaliar os fatores metabólicos urinários potencialmente envolvidos na formação de cálculos renais em pacientes com doença de Crohn. MÉTODOS: Foram avaliados 29 pacientes com doença de Crohn atendidos no Ambulatório de Doenças Inflamatórias do Hospital de Clínicas da Universidade Estadual de Londrina, PR, no período de janeiro a dezembro de 2004. A avaliação metabólica incluiu medidas séricas e urinárias de substâncias relacionadas à litíase renal, ultra-sonografia de rins e vias urinárias e cálculo da supersaturação urinária para o oxalato de cálcio, ácido úrico e fosfato de cálcio. RESULTADOS: Dos 29 pacientes avaliados, 65,5% eram do sexo feminino e 34,5% do masculino. As principais alterações metabólicas urinárias encontradas foram 72,41% de hipocitratúria, 41,4% de hipomagnesiúria, 13,6% de hiperoxalúria e 17,24% de baixo volume urinário. Foram encontrados cálculos renais em 13 pacientes (44,8%. Os pacientes submetidos a cirurgia intestinal, com ressecção ileal, apresentaram alterações na saturação urinária de oxalato e fosfato. Para a comparação das médias, utilizou-se o teste de Mann-Whitney e para determinar a associação entre as variáveis foi utilizado o teste do Qui-quadrado ou o teste exato de Fisher com um nível de significância de 5%. CONCLUSÃO: A freqüência de pacientes com cálculos renais foi maior que a encontrada na população geral e acima do descrito em trabalhos similares. As alterações encontradas como

  14. Estrutura organizacional para a difusão da produção mais limpa: uma contribuição da metodologia seis sigma na constituição de redes intra-organizacionais Organizational structure for cleaner production diffusion: a contribution of the six sigma methodology to the creation of intra-organizational networks

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    Rogério Cerávolo Calia

    2006-12-01

    Full Text Available A "Produção Mais Limpa" é uma metodologia criada para aumentar a sustentabilidade ambiental das manufaturas. Devido a sua importância para o desenvolvimento sustentável, a Produção Mais Limpa foi amplamente promovida pela Organização das Nações Unidas e por diversas redes de organizações visando à difusão desta metodologia. No entanto, após mais de dez anos de atuação, estas redes para a difusão da Produção Mais Limpa têm se confrontado com significativas e recorrentes barreiras organizacionais que limitam seu desempenho. Utilizando-se do referencial teórico de "organizações em rede" no contexto da inovação, este artigo se baseia num aprofundado estudo de caso sobre uma estrutura organizacional em rede dentro de uma empresa multinacional que opera dezenas de manufaturas em diversos países. Esta empresa triplicou o desempenho ambiental em toneladas de poluição prevenidas e multiplicou em oito vezes o número de projetos de Produção Mais Limpa bem sucedidos, após ter implementado uma estrutura organizacional em rede para aumentar sua capacidade de gerenciar projetos para a melhoria de processos. Para explicar os motivos de tal aumento de desempenho ambiental, o artigo utiliza a metodologia de modelagem organizacional Enterprise Knowledge Development (EKD para descrever as interações entre os objetivos, regras e processos do Programa de Produção Mais Limpa desta corporação, assim como as suas estruturas de relacionamento entre os atores que viabilizaram a integração das competências necessárias para a geração de uma maior capacidade de inovação ambientalmente sustentável nas manufaturas.Cleaner Production is a methodology to improve environmental sustainability in manufacturers. Due to its importance for sustainable development, the United Nations and many regional networks have taken on the responsibility to diffuse Cleaner Production methodology. After more than ten years of activity, however, these

  15. Nos voisines, les bêtes : situation des conflits avec la faune sauvage dans une aire protégée de la périphérie de Manaus (Amazonas, Brésil

    Directory of Open Access Journals (Sweden)

    Guillaume Marchand

    2012-05-01

    Full Text Available Au cours des trente dernières années, les différentes expérimentations menées en matière de protection de la faune sauvage au Brésil ont conduit à l’élaboration d’aires protégées habitées, jugées plus acceptables et justes sur le plan social. Or, depuis la création de ces espaces, de nombreuses voix ont remis en cause le bien-fondé de ce genre de réserve, considérant que la cohabitation avec la faune sauvage pouvait potentiellement avoir des effets négatifs dans les domaines environnementaux et sociaux. Cet article s’intéresse à l’état des conflits entre humains et faune sauvage dans une communauté appartenant à la réserve de développement durable de Tupé, à la périphérie de Manaus. Il observe notamment la façon dont les conflits sont perçus et résolus afin de montrer la diversité des représentations quant aux espèces problématiques ainsi que les enjeux sociaux et environnementaux qui reposent sur leur protection.  During the last thirty years, few different experiments on protection of wild fauna in Brazil have led to the development of inhabited protected areas, seen as socially more acceptable and fairer. However, since their creation, the validity of this kind of protected areas has been questioned, considering that the coexistence between men and wild fauna may have negative effects for environment as well as local communities. This paper focuses on human/wildlife conflicts in a rural community in the sustainable development reserve of Tupé, located in the periphery of Manaus city. It mainly observes how conflicts are perceived and resolved and it shows how diverse are the representations regarding problematic species, as well as environmental and social issues related to their protection.

  16. Contribution to {pi}{sup +}p inelastic scattering at incoming pion energies near 1 GeV; Contribution a la diffusion inelastique {pi}{sup +}p pour des energies du {pi} incident voisines de 1 GeV

    Energy Technology Data Exchange (ETDEWEB)

    Deler, B [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1968-06-01

    Results on {pi}{sup +}p scattering at 810 and 1300 MeV incoming kinetic energy are presented. In the three-body final states ({pi}{sup +}p {yields} {pi}{sup +}{pi}{sup 0}p or {pi}{sup +}{pi}{sup +}n) the N{sup *}{sub 33} production is strongly dominant. At 1300 MeV one also observes the {rho}, N{sup *}{sub 1/2} {sub 3/2} and N{sup *}{sub 1/2} {sub 5/2} productions. The difficulty in correctly separating these channels demands trying a more general analysis, taking simultaneously into account several processes (N{sup *}{pi}, {rho}N,...). A generalized isobaric model is discussed. Assuming the interaction of particles by pairs, we can carry out a partial wave analysis of the three body final state reactions. The expansion of the differential cross section in spherical harmonics for data between 600 and 1460 MeV (compilation of data from different laboratories) leads to a simple discussion of the angular effects for different parts of the Dalitz plot. A partial wave analysis has been made below 1 GeV. The reaction p {pi}{sup +}{pi}{sup 0} is correctly explained by considering only the N{sup *}{sub 33} production. The different partial waves are in agreement with the elastic phase shift analysis, except for the wave SD1 (corresponding to the elastic wave S31) which is found to be small. Therefore, the S31 resonance appears weakly coupled to the N{sup *}{sub 33}-{pi} channel. (author) [French] Les resultats de la mesure de la diffusion {pi}{sup +}p pour des energies cinetiques du {pi} incident egales a 810 MeV et 1300 MeV sont presentes. Dans les reactions a trois corps, {pi}{sup +}p {yields} {pi}{sup +}{pi}{sup 0}p ou {pi}{sup +}{pi}{sup +}n, la production de l'isobare 3/2 3/2 est fortement dominante. A 1300 MeV, on observe egalement la production du {rho} et des isobares 1/2 3/2 et 1/2 5/2. L'impossibilite de separer correctement ces differentes productions demande de chercher a effectuer l'analyse des donnees sous une forme plus generale permettant de tenir compte simultanement de plusieurs processus (N{sup *}{pi}, {rho}N,...). Un modele isobarique generalise est ainsi presente. Il permet, sous l'hypothese des interactions des particules deux a deux, d'effectuer une analyse en ondes partielles des processus a trois corps dans l'etat final. Le developpement de la section efficace differentielle en harmoniques spheriques pour les donnees comprises entre 600 MeV et 1460 MeV (donnees compilees, en provenance de differents laboratoires) permet une discussion simple des effets angulaires pour differentes zones du diagramme de Dalitz. Une analyse en ondes partielles effectuee au-dessous du GeV, montre que la reaction p {pi}{sup +}{pi}{sup 0} est bien expliquee par la production seule de l'isobare 3/2 3/2. Les ondes partielles presentes sont en bon accord avec l'analyse de la diffusion elastique, exception faite de l'onde SD1 (correspondant a l'onde elastique S31) trouvee systematiquement plus faible; la resonance S31 apparait donc peu couplee au canal N{sup *}{sub 33}-{pi}. (auteur)

  17. Jeunes générations, inégalités et problèmes sociaux : chômeurs, décrocheurs, Neets, au Luxembourg et chez nos voisins

    OpenAIRE

    Chauvel, Louis

    2016-01-01

    The international debate on NEETS differs from Luxembourguish realities: the problem associated with unemployment or downward mobile youth as it is described in Japan, Australia or France has no perfect equivalent in Luxembourg, where the main problem of youth integration is housing shortage and increasing difficulties to gain autonomy, issues that are exacerbated for the children of immigrants.

  18. O perfil profissional dos preparadores de goleiros dos clubes participantes da série A-2 do campeonato paulista de 2014 (categoria principal) e os métodos de treinamento mais utilizados, em relação às novas tendências de preparação de goleiros

    OpenAIRE

    Simões, Eduardo Maia; Universidade Estácio de Sá

    2015-01-01

    O presente estudo visou colher informações, analisar e traçar o perfil desses profissionais, além de identificar quais são os métodos de treinamento mais utilizados. Foi utilizado um questionário, adaptado do modelo de Rigotti (2006) e Máximo (2012), que consiste de perguntas objetivas sobre aspectos socioeconômicos, familiares e de trabalho. A amostra foi composta por dezessete preparadores de goleiros de equipes de futebol profissional do Estado de São Paulo, participantes do Campeonato Pau...

  19. Qualidade do emprego e condições de vida dos empregados assalariados rurais agrícolas e não agrícolas das mesorregiões mais e menos modernizadas do Estado de Minas Gerais : um estudo entre os anos 2000 a 2010

    OpenAIRE

    Gandolfi, Maria Raquel Caixeta

    2016-01-01

    Este trabalho tem como objetivo contribuir com os estudos em torno da qualidade do emprego e condições de vida da força de trabalho residente no setor rural das Mesorregiões de Minas Gerais, especificamente, o empregado assalariado. O recorte compreende as Mesorregiões de Minas Gerais, separadas por mais e menos modernizadas nas culturas do café, cana-de-açúcar e milho, envolvendo os empregados e as famílias agrícolas. Considerando a queda dos empregos agrícolas ocorridos na dé...

  20. Os laços sociais e a saúde entre adultos com 65 ou mais anos. Um estudo comparativo entre adultos que frequentam e não frequentam a Universidade Sénior de Porto de Mós

    OpenAIRE

    Marques, Janine Rodrigues

    2015-01-01

    O apoio social tem sido associado a uma autoavaliação de saúde positiva e estando também relacionado com as características sociodemográficas, tais como; idade, estado civil, nível de escolaridade, valor dos rendimentos, entre outros. A presente investigação surge no sentido de conhecer os “Laços Sociais e a Saúde entre Adultos com 65 ou mais anos” dos idosos que frequentam a Universidade Sénior e os idosos que não frequentam, do Concelho de Porto de Mós. Participaram neste estudo um total...

  1. RR. PP. A. Jaussen et R. Savignac - Mission archéologique en Arabie (Publication de la Société des fouilles archéologiques, 3 tomes [Tome I : De Jérusalem au Hedjaz Médaine-Saleh (mars-mai 1907, Paris, 1909 ; Tome II : El-'Ela, D'Hégra à Teima, Harrah de Tebouk, Paris, 1914 avec un Atlas (153 planches, cartes et plans et un supplément au volume II : Les coutumes des Fuqarâ ; Tome III : Les châteaux arabes, Quseir 'Amra, Kharâneh et Tûba, Paris, 1922], Paris (P. Geuthner - Le Caire (Institut Français d'Archéologie Orientale, 1997 (2ème édition.

    Directory of Open Access Journals (Sweden)

    Saba Farès-Drappeau

    2004-12-01

    Full Text Available Les cinq volumes en trois tomes des Pères Raphaël Savignac (1874-1951 et Antonin Jaussen (1871-1962 furent publiés entre 1909 et 1922 . Ils sont le résultat de leurs missions entreprises en 1907, 1909 et 1910. Les deux premiers tomes relatent le voyage à Madâ’in Sâlih et à al-‘Ulâ, ils sont consacré surtout au récit de voyage, à l'archéologie et à l'épigraphie. Le supplément au tome II contient des notes ethnologiques recueillies au cours de la deuxième expédition, en 1909. Ces notes conce...

  2. Redes de inclusão e burocracias de exclusão: riscos e seguros de responsabilidade civil entre os mais pobres na África do Sul Inclusive networks and exclusive bureaucracies: risks and commercial insurance for the South African poor

    Directory of Open Access Journals (Sweden)

    Erik Bähre

    2010-10-01

    Full Text Available Nos últimos anos as grandes empresas da África do Sul têm vindo a criar uma variedade de apólices de seguro que visa abranger aqueles até então excluídos, na sua maioria não-brancos pobres e de classe média. Neste artigo analiso as definições de custos e riscos, bem como a tentativa de poupar custos contando com o capital social dos mais pobres. Esta análise trará uma nova dimensão aos já acesos debates em torno do risco, desigualdade e capital social. A pesquisa levada a cabo junto de clientes que habitam em townships da Cidade do Cabo, bem como de correctores de seguros, actuários e outros envolvidos no mundo dos seguros, demonstra de que forma os custos das apólices estão directamente relacionados com a grande variedade de riscos e adversidades a que os mais carenciados estão sujeitos. Demonstra ainda o modo como as seguradoras mobilizam o seu capital social para ganhar acesso a novos mercados - por vezes com consequências desastrosas - e têm, em simultâneo, uma complexidade burocrática que dificulta o recebimento das compensações por parte dos clientes. Este estudo sugere, contra-intuitivamente, que a rápida expansão do mercado dos seguros pode agravar os riscos a que os mais pobres estão expostos e aumentar as desigualdades.Recently, large-scale South African companies are establishing a myriad of policies that aim to incorporate the previously excluded, mostly non-White, poor and middle classes. Here I examine definitions of risks and costs, as well as the attempt to save costs by relying on social capital among the poor. This casts a new light on lively debates on risk, inequality, and social capital. Research among clients living in the townships of Cape Town, as well as among insurance brokers, actuaries, and others involved in the world of insurance, reveal how policy costs are directly related to the many risks and adversities that the poor are exposed to. It reveals how insurers mobilize social capital to

  3. Estudo de uma política de educação básica tendo como enfoque a pesquisa sobre o programa mais educação em uma escola da cidade de Alegrete - Study of a policy of basic education having as a research focus more on education program in a college

    Directory of Open Access Journals (Sweden)

    Gabriella Eldereti Machado

    2015-10-01

    Full Text Available Resumo O presente artigo tem origem em um trabalho proposto na disciplina de Políticas de Gestão e Organização da Educação Nacional durante o 6º semestre do curso de licenciatura em Química do Instituto Federal de Educação, Ciência e Tecnologia Farroupilha - campus Alegrete. O objetivo do trabalho foi proporcionar a descrição do funcionamento e implantação do Programa Mais Educação e verificar a prática do funcionamento do programa em uma escola do município de Alegrete - RS. A educação integral está cada vez mais presente nas discussões sobre a educação no Brasil e essa possibilidade de melhoria da qualidade do ensino no país está inserida, tanto nos projetos políticos de governos, quanto em iniciativas propostas por outras entidades da sociedade. O Programa Mais Educação amplia a jornada escolar e a organização curricular na perspectiva da escola de tempo integral para a rede estadual e municipal de ensino. Palavras-chave: educação integral, formação docente, qualidade do ensino. STUDY OF A POLICY OF BASIC EDUCATION HAVING AS A RESEARCH FOCUS MORE ON EDUCATION PROGRAM IN A COLLEGE TOWN ALEGRETE Abstract This article originates in a proposed work in the discipline of Management Policies and Organization of National Education during the 6th semester of the bachelor's degree in Chemistry, Federal Institute of Education, Science and Technology - Campus Alegrete. The objective was to provide a description of the operation and implementation of More Education Program and verify in practice through field research the reality of completing the program in a school in the municipality of Alegrete - RS. Comprehensive education is increasingly present in discussions about education in Brazil, the possibility of improving the quality of education in the country is included in both the political projects of governments, as initiatives proposed by civil society organizations, for example, Program more education that

  4. Case report

    African Journals Online (AJOL)

    abp

    25 mai 2013 ... (hystérectomie d'hémostase) reste parfois l'ultime geste pour sauver la malade. Les techniques de plicature utérine de B-Lynch et de compression ou capitonnage utérin (Cho) apparaissent comme une alternative intéressante surtout en cas d'atonie utérine, elles permettent de réaliser une hémostase en ...

  5. Emploi et croissance | Page 25 | CRDI - Centre de recherches pour ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Non seulement les pauvres ont-ils de faibles revenus, mais surtout, ces revenus sont très instables. Ainsi, les ménages pauvres sont particulièrement vulnérables face aux imprévus. En cas de perte d'emploi, de maladie ou de mauvaise récolte, la principale source de protection sociale vers laquelle ils peuvent se tourner ...

  6. Les femmes se tournent vers les arbres fourragers pour engraisser ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    12 févr. 2018 ... Photo : CRDI / Bartay Au Mali, les moutons sont associés à des rites de passage traditionnels et à des fêtes religieuses, mais ils sont aussi une source importante de revenus. Toutefois, la disponibilité et le coût des aliments constituent une contrainte majeure en matière de production ovine, surtout en ...

  7. Decentralisation et politiques budgetaires sportives dans les ...

    African Journals Online (AJOL)

    Celles-ci portent non seulement sur la construction et l'entretien des équipements sportifs locaux mais aussi et surtout sur une assistance matérielle et financière aux structures qui s'occupent de l'organisation et de l'animation des activités sportives dans les communes. Pour les communes non industrialisées, dominées ...

  8. Les saint-simoniennes en Egypte. Analyse critique d'un modèle d'émancipation

    Directory of Open Access Journals (Sweden)

    Christiane Veauvy

    2011-01-01

    Full Text Available Le but de cet article est d’analyser l’influence et le développement méconnus des saintsimoniennes et de leur idée sur la transformation féminine en Égypte, à partir de leurs textes, et surtout de la figure centrale de Suzanne Voilquin et de son ouvrage autobiographique, mais aussi celles de Clorinde Rogé, Cécile Fournel et Agarithe Caussidère.

  9. Case series

    African Journals Online (AJOL)

    ebutamanya

    22 juin 2015 ... grossesse et l'accouchement chez la femme cardiaque constituent un haut risque materno-foetal dépendant du type, mais surtout du stade de la cardiopathie, nécessitant ... Concernant l'accouchement, quarante patientes (71,42%) étaient .... femmes ont des enfants à un âge plus tardif et qu'elles sont plus.

  10. « Le Virgile de l’Amérique »

    Directory of Open Access Journals (Sweden)

    Bernard Vincent

    2006-03-01

    Full Text Available Paul Goodman (1911-1972 est une importante figure du paysage intellectuel des années 40 à 60. On lui doit des ouvrages sur de nombreux sujets, dont la Gestalt Therapy (1951, mais il est aujourd’hui surtout connu pour son analyse de la jeunesse des années 50 dans Growing Up Absurd (1960 et pour son roman-fresque The Empire City (1959.

  11. A bilionária indústria da educação médica continuada nos EUA: mais uma forma de interferência das empresas na relação médico-paciente

    Directory of Open Access Journals (Sweden)

    Mônica Teixeira

    2009-12-01

    Full Text Available O artigo trata de mais uma das formas pelas quais a indústria impacta a clínica médica. A indústria farmacêutica e de dispositivos médicos financia atividades de Educação Médica Continuada com o objetivo de promover a utilização de tratamentos que a ela interessam. A Educação Médica Continuada é obrigatória em muitos estados dos EUA para a renovação da licença para o exercício de profissões médicas e para-médicas. O congresso dos EUA discute como regular a questão, no contexto da reforma do sistema de saúde posta em discussão pelo atual presidente do país.

  12. A formação profissional dos assistentes sociais em tempos de contrarreformas do ensino superior: o impacto das mais recentes propostas do governo Lula The social workers' professional background in times of counter-reformation in upper education: the impact of the latest proposals by president Lula's government

    Directory of Open Access Journals (Sweden)

    Juliana Fiuza Cislaghi

    2011-06-01

    Full Text Available Desde 1990, as universidades brasileiras vêm passando por uma contrarreforma que visa adequá-las às necessidades do capitalismo atual. Essa realidade mais recentemente tem afetado as universidades públicas por meio de mudanças curriculares, superexploração do trabalho docente e financiamento por contratos de gestão, o que impacta negativamente a formação dos assistentes sociais, da forma como é preconizada pelo projeto ético-político profissional.The Brazilian universities have been counter-reformed since 1990 in order to adjust to the needs of contemporary capitalism. Recently, this reality has affected the public universities through curricular changes, professors' overexploitation and funding by management contracts, which impacts into the social workers' background negatively, regarding the recommendations of the ethical-political project.

  13. Óleos lubrificantes usados – evolução das responsabilidades pela coleta/destinação e alternativas para aplicações: uma contribuição para a tecnologia de produção mais limpa

    Directory of Open Access Journals (Sweden)

    Sérgio Pereira Távora

    2003-03-01

    Full Text Available Como contribuição à tecnologia de produção mais limpa este artigo apresenta uma discussão sobre a legislação ambiental brasileira, referente à coleta e destinação de óleos usados/contaminados, comentando sobre as responsabilidades que foram atribuídas aos setores envolvidos no ciclo de vida dos óleos lubrificantes acabados, durante todo o período analisado. Além dos aspectos legais, o artigo discorre, resumidamente, sobre o ciclo de vida dos óleos lubrificantes, o que culmina na geração dos óleos usados, abordando desta forma a questão técnica do tema. Palavras-chaves: óleo usado, rerrefino, coleta, destinação, legislação ambiental

  14. Étude des motivations et des attentes des touristes chinois en séjour à Chiang Mai, Thaïlande: Proposition d’amélioration des produits et services pour l’hôtel «Swiss-Lanna Lodge»

    OpenAIRE

    Kucina, André; Broccard, Manu

    2016-01-01

    L’objectif de ce travail est d’apporter des pistes d’amélioration au Swiss-Lanna Lodge, établissement hôtelier deux étoiles sis à Chiang Mai, Thaïlande. Ceci dans le but de mieux répondre aux attentes des hôtes chinois afin de les fidéliser et augmenter cette part de marché. Des statistiques liées au Swiss-Lanna Lodge ont été réalisées, permettant ainsi de définir les enjeux liés à l’établissement. Une étude du marché émetteur chinois à été conduite ainsi que le profil interculturel de la...

  15. Sedação e analgesia em crianças: uma abordagem prática para as situações mais freqüentes Analgesia and sedation in children: practical approach for the most frequent situations

    OpenAIRE

    Santiago Mencía Bartolomé; Jesús López-Herce Cid; Norberto Freddi

    2007-01-01

    OBJETIVOS: Revisar as indicações, doses e formas de administração dos sedativos, analgésicos e relaxantes musculares mais utilizados na criança, bem como os métodos de monitorização da sedação. FONTES DOS DADOS: Levantamento bibliográfico utilizando a base de dados MEDLINE e revisão da experiência em nossas unidades de cuidados intensivos pediátricos. SÍNTESE DOS DADOS: A administração contínua de drogas analgésicas e sedativas impede o aparecimento das fases de subsedação e requer menor assi...

  16. Quantitative analysis of Terminal Restriction Fragment Length Polymorphism (T-RFLP microbial community profiles: peak height data showed to be more reproducible than peak area Análise quantitativa de perfis de T-RFLP de comunidades microbianas: dados de altura de picos mostraram-se mais reprodutíveis do que os de área

    Directory of Open Access Journals (Sweden)

    Roberto A. Caffaro-Filho

    2007-12-01

    Full Text Available Terminal Restriction Fragment Length Polymorphism (T-RFLP is a culture-independent fingerprinting method for microbial community analysis. Profiles generated by an automated electrophoresis system can be analysed quantitatively using either peak height or peak area data. Statistical testing demontrated that peak height data showed to be more reproducible than peak area data.Terminal Restriction Fragment Length Polymorphism (T-RFLP é um método molecular, independente de cultivo, para análise de comunidades microbianas. Perfis gerados por um sistema automatizado de eletroforese podem ser analisados quantitativamente usando dados de altura ou área dos picos. Os dados de altura mostraram-se mais reprodutíveis do que os de área.

  17. Avaliação da importância da coloração de Perls na rotina de mielogramas de pacientes com anemia associada a uma ou mais citopenias em sangue periférico Evaluation of the importance of Perls stain in the routine testing of myelograms of patients with anemia associated with one or more peripheral blood cytopenias

    Directory of Open Access Journals (Sweden)

    Nydia S. Bacal

    2005-06-01

    Full Text Available As síndromes mielodisplásicas (SMD são um grupo heterogêneo de doenças malignas das células-tronco hematopoéticas, classificadas segundo a Organização Mundial da Saúde (OMS em: anemia refratária, anemia refratária com sideroblastos em anel, citopenia refratária com displasia de multilinhagens, anemia refratária com excesso de blastos, síndrome mielodisplásica inclassificável e sindrome mielodisplásica associada com anormalidade isolada do cromossomo 5q(del. Na anemia refratária com sideroblastos em anel observam-se hiperplasia e displasia eritróide com presença de 15% ou mais de sideroblastos em anel. Utilizamos neste estudo a coloração de Perls em esfregaços de medula óssea de pacientes com idade superior a 40 anos e que apresentavam uma ou mais citopenias no sangue periférico associada a anemia. Por tratar-se de técnica de manejo fácil e ágil sugerimos seu emprego em esfregaços de aspirado de medula óssea de pacientes que apresentem os achados laboratoriais acima, pois, dentre os casos analisados 18,7% apresentavam mais que 10 grânulos sideróticos circundando a terça parte ou mais do núcleo do precursor eritróide (sideroblasto em anel, sugerindo ao hematologista um possível diagnóstico de Síndrome Mielodisplásica com Sideroblastos em Anel (SMD-ARSA. Importante relatar que a grande maioria destes casos com aumento de sideroblastos em anel não foi encaminhada ao nosso serviço, com suspeita de SMD, e em somente um caso foi solicitada a realização da coloração de Perls.Myelodisplastic syndromes are a heterogeneous group of malignant haematopoietic stem cells. They are classified by the World Health Organization as refractory anemia, refractory anemia with ringed sideroblasts, refractory cytopenia with multilineage displasia, refractory anemia with excess of blast cells, unclassified myelodisplastic syndrome and myelodisplastic syndrome associated with a 5q chromosomal delection. Refractory anemia with

  18. Comportement du béton à l'eau de mer. Synthèse bibliographique Concrete Behavior in Marine Environment. a Review Paper

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    Lesage J.

    2006-11-01

    Full Text Available Depuis quelques années, dans l'élaboration de structures destinées à l'exploration et à l'exploitation des hydrocarbures en mer, le choix se porte parfois sur les structures en béton plutôt que sur les structures en acier, en particulier dans les zones difficiles de la mer du Nord. C'est pourquoi il nous a semblé intéressant de faire le point des connaissances actuelles sur le comportement du béton à l'eau de mer. Les problèmes les plus importants se situent au niveau de la zone de marnage, c'est-à-dire la zone où le béton est alternativement immergé. Ils sont de tous ordres : contraintes mécaniques avec érosion et cavitation, action capillaire de l'eau avec alternance d'humidification et de séchage, action du gel et du dégel. Les moyens de lutte ne manquent pas : constructions massives, voire surdimensionnées, résistant au choc, choix des formes, mise en aeuvre soignée d'un béton de qualité riche en ciment, correctement dosé en agrégats, dur, dense, compact, imperméable; introduction dans le béton d'un entraineur d'air pour diminuer les effets du gel. L'utilisation d'un ciment prise mer et le choix d'un rapport eau/ciment voisin de 0,45 sont hautement recommandés. Quant à la corrosion, elle concerne les structures en béton à tous les niveaux, aussi bien dans la zone immergée en continu que dans la zone alternativement immergée. L'attaque du béton par les sulfates contenus dans l'eau de mer conduit à la formation de sels de Candlot qui provoquent une dégradation du béton. Le remède consiste à limiter la teneur en aluminate tricalcique du ciment. L'attaque des aciers de renfort par les chlorures a fait l'objet de nombreuses études: la solution consiste surtout à protéger les aciers par galvanisation ou protection cathodique. D'une manière générale, le béton placé dans ce milieu agressif que constitue l'eau de mer subit des contraintes mécaniques et physicochimiques importantes, mais on sait en g

  19. Religião, religiosidade e iniciação sexual na adolescência e juventude: lições de uma revisão bibliográfica sistemática de mais de meio século de pesquisas

    Directory of Open Access Journals (Sweden)

    Raquel Zanatta Coutinho

    2014-12-01

    Full Text Available Apesar de ainda pouco estudada no Brasil, a influência da religião na sexualidade tem sido investigada pela literatura internacional por mais de meio século. Na literatura brasileira, a religião enquanto variável de interesse demográfico, com impacto no comportamento sexual, vem ganhando importância à medida que se fazem presentes, na sociedade, as mudanças no panorama religioso e nas normas e valores associados à sexualidade. Diante do crescente interesse, por parte dos demógrafos, na variável religião, tornam-se necessários mais subsídios teóricos com a finalidade de dar suporte às futuras pesquisas e estudos brasileiros. O presente trabalho busca, então, mapear as literaturas nacional e internacional acerca da associação entre religião, religiosidade e iniciação sexual de adolescentes e jovens e revelar as muitas formas utilizadas ao longo dos anos para classificar religião e religiosidade. Esta análise também procura ressaltar os cuidados metodológicos que devem ser tomados em estudos de sexualidade adolescente e de religião em geral. Para cumprir com esses dois objetivos, foi realizada uma revisão bibliográfica sistemática nas bases de dados SciELO, Atla, JSTOR e Banco de Teses e Dissertações do Cedeplar e da UFMG, buscando artigos publicados entre 1950 e abril de 2014, em português e inglês.

  20. Franco: una mente mai ferma (Franco: a mind never stops

    Directory of Open Access Journals (Sweden)

    Paul A. Samuelson

    2012-04-01

    Full Text Available  In questo articolo l’autore racconta alcune affettuose memorie di Franco Modigliani. Per profondità, ampiezza, originalità e umana saggezza Modigliani ha guadagnato nella classifica degli studiosi il posto più elevato del XX secolo. Grande italiano, grande economista americano, Franco è stato anche uno dei maggiori economisti mondiali. I suoi studenti e collaboratori superano numericamente quelli di Alfred Marshall e Vilfredo Pareto.   In this article the author recounts some fond memories of Franco Modigliani. For depth, breadth, originality and human wisdom, Modigliani gained in the ranking of scholars, the highest place of the twentieth century. Great Italian, great American economist, Franco was also one of the leading economists in the world. His students and employees outnumber those of Alfred Marshall and Vilfredo Pareto.  JEL Codes: A11, B31, C1, C53, D0, E2, E3, E6Keywords: Franco Modigliani, Alfred Marshall, Vilfredo Pareto, verifiche empiriche, ciclo vitale, Keynes, disoccupazione

  1. Saksa kunstiklassika Worpswede külakesest / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2000-01-01

    Tallinna Kunstihoone galeriis saksa maalikunsti näitus "Paula Modersohn-Becker ja teised Worpswede kunstnikud 1895-1906". Pikemalt modernistliku primitivismi esindaja Paula Modersohn-Beckeri loomingust

  2. Vene draamateatri maja avatakse mais endisaegses hiilguses / Andres Laasik

    Index Scriptorium Estoniae

    Laasik, Andres, 1960-2016

    2006-01-01

    Vene draamateatri, endise esinduskino "Gloria Palace'i" rekonstrueerimisest ja juurdeehitusest. Saali rekonstrueerimistöid teeb OÜ Vana Tallinn koostöös KAR-Grupiga, juurdeehituse projekteeris arhitekt Ra Luhse büroost Luhse ja Tuhal. Läti arhitekti Fridrihs Skujinsi projekteeritud "Gloria Palace" valmis 1926. a. Kommentaar "Pealinna esinduskino mall võeti Riiast"

  3. Philipp van den Bossche – Sac. Caes. Mai. Phrygiarius

    Czech Academy of Sciences Publication Activity Database

    Bukovinská, Beket

    -, č. 0130 (2015), s. 1-18 ISSN 2190-3328 Institutional support: RVO:68378033 Keywords : Philipp van den Bossche * Prague court * Rudolph II * Kunstkammer Subject RIV: AL - Art, Architecture, Cultural Heritage http://www.riha-journal.org/articles/2015/2015-oct-dec/bukovinska-philipp-van-den-bossche

  4. Al peggio non c'è mai fine

    Directory of Open Access Journals (Sweden)

    Attilio Selvini

    2015-02-01

    Full Text Available Alcune considerazioni sulle problematiche della formazione geomatica in Italia che si trova essenzialmente nelle scuole per geometri, ora prossime all’estinzione, e negli insegnamenti delle facoltà di ingegneria, due realtà agli antipodi oggi anche per arretratezza da una parte e forzatura dall’altra, che ci propongono una riflessione che il nostro MIUR dovrebbe prendere seriamente in esame.In this article, Professor Attilio Selvini expresses its views on various issues related to the qualifying examination of Surveyors. 

  5. Mai alguses linastub dokfilm "Sinimäed" / Andris Feldmanis

    Index Scriptorium Estoniae

    Feldmanis, Andris, 1982-

    2006-01-01

    Valminud on 6-osalise ajaloodokumentaalide sarja "Kuum külm sõda" teine film "Sinimäed" : stsenaristid Kiur Aarma, Mart Laar, Eerik-Niiles Kross, Raimo Jõerand : režissöör Raimo Jõerand : Ruut Pictures

  6. Täna pulmad, homme vara kahte lehte / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2007-01-01

    Perekonnaseaduse eelnõu kriitika. Ilmunud ka Meie Maa 11. oktoober 2007, lk. 2 ; Vooremaa 9. oktoober 2007, lk. 2, pealkiri kujul: vara kohe kahte lehte ; Põhjarannik 10. oktoober 2007, lk. 2 ; Hiiu Leht 12. oktoober 2007, lk. 2 ; Koit 11. oktoober 2007, lk. 6, pealkiri kujul: täna peame pulmi, homme hindame ja jagame vara kahte lehte ; Valgamaalane 11. oktoober 2007, lk. 2 ; Võrumaa Teataja 16. okt. 2007, lk. 2 ; Pärnu Postimees 25. oktoober 2007, lk. 15

  7. Hääbuv baltisaksa kunst / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2010-01-01

    Baltisaksa kultuuri- ja kunstielu. Organisatsioonid ja institutsioonid. Tarbekunsti ateljee. Ars. C. A. von Winkler ja P. G. von Rosen ja teisi kunstnikke sajandi algkümnendeil. Baltisaksa kunstikogud, kultuuriorganisatsioonid ja näitusetegevus. Ants Laikmaa õpilased

  8. Kes võidab ja kes kaotab kogumispensioniga? / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2001-01-01

    Pensionireformi teise samba ehk kogumispensioni eelnõust. Autor: ERL. Parlamendisaadik. Ilmunud ka: Virumaa Teataja, 22. juuni 2001, lk. 11; Nädaline, 22. juuni 2001, lk. 4; Koit, 21. juuni 2001, lk. 6; Meie Maa, 21. juni 2001, lk. 2; Põhjarannik, 22. juuni 2001, lk. 2; Severnoje Poberezhje, 22. juuni 2001, lk. 2; Hiiu Leht, 26. juuni 2001, lk. 2; Valgamaalane, 26. juuni 2001, lk. 2; Pärnu Postimees, 27. juuni 2001, lk. 2; Vooremaa, 28. juuni 2001, lk. 3; Järva Teataja, 6. juuli 2001, lk. 2; Sakala, 25. juuli 2001, lk. 2; ERL Teataja, juuli/aug., nr. 7-8, 2001, lk. 9

  9. Aprilli lõpus ja mai alguses osales...

    Index Scriptorium Estoniae

    2005-01-01

    Rühmitus Avangard osales Chicagos toimunud eksperimentaalsel kunstifestivalil "Version", alapealkirjaga "Invincible Desire". Avangard näitas oma videosid ja fotoseeriat "The Bomb - back with vengeance"

  10. Esmatähtis on rahva heaolu / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2003-01-01

    Ilmunud ka: Meie Maa 7. jaan. lk. 2, Molodjozh Estonii 4. jaanuar lk. 4, Valgamaalane 9. jaanuar lk. 2 "Inimene väärib paremat", Põhjarannik, Severnoje Poberezhje 10. jaanuar lk. 2 "Riik peab senisest rohkem toetama abivajajaid", Vooremaa 18. jaanuar lk. 5. Sotsiaalabi kaudu peab riik tagama piisavalt vahendeid neile, kes ise hakkama ei saa. Sotsiaalhoolekande seadusest

  11. Carbon trends. May 2006; Tendances carbone. Mai 2006

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-05-15

    This newsletter makes a monthly synthesis of the European CO{sub 2} market: traded volumes, spot prices, conformability of facilities, supply and demand, climate indexes (temperature, precipitations from May 2005 to April 2006), economic activity indicators (industrial production from February 2005 to February 2006), confidence index of business leaders (from April 2005 to April 2006), changes in energy prices (from May 2005 to April 2006), CO{sub 2} quotas allocated to European Union countries and detailed indicators of CO{sub 2} market, climate, economic activity and energy prices. (J.S.)

  12. Gerdau S.A.: a empresa brasileira mais internacionalizada

    Directory of Open Access Journals (Sweden)

    Eva Stal

    2008-01-01

    Full Text Available Many companies from developing countries do not consider themselves capable of exploring other markets due to the technological gap between them and global firms. This paper shows that there is an opportunity for innovation creation in these countries, and it is one of the main factors responsible for their success in the global market. It describes the process of international expansion of Gerdau, which started with exports and evolved to steel plants acquisitions in Latin and North America and Europe. Today the firm owns 32 mills in 10 countries, being 21 abroad, and 32.000 employees. Its international path is analyzed in the light of the internationalization theories – behavioral, economic and strategic – and each one explains part of the trajectory. An important feature of Gerdau’s culture is the transfer of its business model, structure, values and technology to the acquired firms, always considering the necessary adaptation to local culture.

  13. Alfred Rõude sünnipäeval / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2011-01-01

    Alfred Rõudest (15.04.1896-8.09.1968) ja tema kunstikogust, mis pärast Alfred Rõude surma jäi tema abikaasa Alide Rõude (26.05.1895-14.09.1979) valdusse, siis läks Eesti Kunstimuuseumi. Nimetatud kogu töid, mis on olnud EKM-i või on Kumu püsiekspositsioonis. Autori arvates oleks Alfred Rõude suurtööle parim monument kataloogiga varustatud suur näitus

  14. Võistlused : [kalasport, 2. märts - 18. mai 2013

    Index Scriptorium Estoniae

    2013-01-01

    EMV kirbutamises 2013, Maardu Ahven 2013, Vagula Kala 2013, Uljaste Triibu 2013, metsameeste talipüügivõistlus 2013, Loosalu Ahven 2013, Saadjärve Tinakala 2013, Kadrina Triibu 2013, Töörahva Kala 2013, Kevadkalake 2013, Saadjärve Haug 2013, Järva KK lahtised meistrivõistlused spinningupüügis 2013

  15. Estonskije kubistõ Penzeskoi shkolõ / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    1998-01-01

    Eesti kubistidest - Eesti Kunstnikkude Rühmituse (1923) liikmetest ja Pensa kunstikoolis õppinutest (1914-16) seoses Tallinna Vene saatkonna galeriis avatud näitusega "Eesti kubistid. Penza koolkond".

  16. Saage tuttavaks : Elisabeth ja Karl von Hoerschelmann / Mai Levin

    Index Scriptorium Estoniae

    Levin, Mai, 1942-

    2004-01-01

    Kuraator M. Levin kuni 10. X 2004 Adamson-Ericu muuseumis avatud näitusest "Tuntud ja tundmatud Elisabeth von Rosendorff-Hoerschelmann ja Karl von Hoerschelmann". Enamik töid on kunstnike laste Konstantin Hoerschelmanni ja Anna Röder-Hoerschelmanni omand. Elisabeth Rosendorff (1898-1984) sündis Virumaal Maidlas eesti perekonnas, Karl von Hoerschelmann (1899-1951) Sevastoopolis saksa perekonnas

  17. Ka Whanau mai te Reo: Honouring Whanau, Upholding Reo Maori

    Science.gov (United States)

    Bright, Nicola; Barnes, Alex; Hutchings, Jessica

    2013-01-01

    This is the first report from a 3-year (2012-2015) kaupapa Maori research project that investigates how best to support the continuity of reo Maori development of whanau as they transition between kohanga reo, kura kaupapa primary, wharekura, secondary and beyond. It aims to provide useful information about the reo Maori education options that are…

  18. Mõõdukad opositsioonis oma seadustega / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2002-01-01

    Ilmunud ka: Tartu : Postimees 1. apr. lk. 2, Meie Maa 27. märts lk. 2, Hiiumaa, Vooremaa, Koit 2. apr. lk. 2;2;6, Sakala 4. apr. lk. 2,Virumaa Nädalaleht nr. 6 lk. 5, Pärnu Postimees 12. apr. lk. 2. Kriitika Mõõdukate ja Eiki Nestori aadressil riikliku pensionikindlustuse seaduse arutelul Riigikogus. Autor: ERL. Parlamendisaadik

  19. Performance'i-kunsti taak / Mai Sööt

    Index Scriptorium Estoniae

    Sööt, Mai

    2010-01-01

    EAST Galeriis 1. oktoobril toimunud üritusest "Servataguse Muusika seikleb performance'i-kunstiga". Pikemalt Roi Vaara ja Ville-Karel Viirelaiu performance'itest. Iganenud radikaalsuse ja vastuhaku motiividel töötavast performance'ist. Performance'i-kunsti kuulumisest kord kujutava kunsti kord näitekunsti alla. Võimalusest õppida tegevuskunsti Eesti Kunstiakadeemias

  20. Energy situation - May 2008; Conjoncture energetique - mai 2008

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    This report makes a status of the French energy expenses, prices, production, consumption, demand, import and export since January 2006 and up to April-May 2008. Details are given separately for primary energy, solid mineral fuels, petroleum products, natural gas and electricity. (J.S.)

  1. Old and New in Vama Veche and 2 Mai

    Directory of Open Access Journals (Sweden)

    Miroslav Taşcu-Stavre

    2014-09-01

    Full Text Available The article uses as a pretext the doctoral research work belonging to one of the authors (Tascu-Stavre, 2011, a study preoccupied with the institutional transformation of two settlements at the Black Sea. The first section presents the study background and methodology built around the Bloomington School analysis model developed by Elinor Ostrom. Under this model, the research aims to decipher the development trends and specific differences between the two geographically neighboring coastal villages. The second section summarizes the findings of the doctoral thesis and documents the applied nature of the research, as the author was directly involved in the process of re-institutionalization of the development policy in Vama Veche, and therefore had the opportunity to test the applicability of discussed theory in-situ. Starting from the presented material but also from the dilemma of managing the commons, the last section adds some comments attached to the relation between development and urban development, emphasizing the importance of the latter both as common (space as well as a resource which requires technical and ethical management.

  2. MaiMwana women's groups: a community mobilisation intervention ...

    African Journals Online (AJOL)

    intervention involving women's groups in Mchinji District, Malawi. The intervention was ... live below the poverty line of less than $1.25 per day and. 90.4% live below the .... (India), Salima, Kasungu, Lilongwe and Ntcheu districts. (Malawi) and ...

  3. O Gnaisse Facoidal: a mais Carioca das Rochas.

    Directory of Open Access Journals (Sweden)

    Kátia Leite Mansur

    2008-09-01

    Full Text Available The city of Rio de Janeiro is known by its natural beauties. The mountains and the sea make the city the postcard ofBrazil. The sculpture of the carioca landscape is closely related to the augen gneiss, very resistant rock to the weatheringand, for this reason, it stands out in the relief. It gives form for Sugar Loaf and Corcovado, for example. Augen gneisswas used in the construction of most of the historical buildings of the city, including museums and churches, manyof them were built in the 19th century. It was used in the sculpture of ornaments, facades and frames of doors andwindows. The exploitation of the augen gneiss was presented by Jean Baptiste Debret in his book "Voyage Pittoresque etHistorique au Brésil". A picture of quarry is presented at Morro da Glória and describes the extraction method by slavelabor. He informes that the augen gneiss is softer, less expensive and more easily exploited. It was destined, mainly, tothe parts of the buildings that should be sculpted. This rock is still present in an important event of the history of thebrazilian arts. Pedra do Sal, a stairway sculpted in the augen gneiss Downtown, was the place that African people metin the past to tell their histories, to do religious cults and to sing. In these meetings in Pedra do Sal samba was born.

  4. O Gnaisse Facoidal: a mais Carioca das Rochas.

    OpenAIRE

    Kátia Leite Mansur; Ismar Souza Carvalho; Carlos Fernando Moura Delphim; Emilio Velloso Barroso

    2008-01-01

    The city of Rio de Janeiro is known by its natural beauties. The mountains and the sea make the city the postcard ofBrazil. The sculpture of the carioca landscape is closely related to the augen gneiss, very resistant rock to the weatheringand, for this reason, it stands out in the relief. It gives form for Sugar Loaf and Corcovado, for example. Augen gneisswas used in the construction of most of the historical buildings of the city, including museums and churches, manyof them were built in t...

  5. 80 aastat tagasi : Mai 1928 / Mati Märtin

    Index Scriptorium Estoniae

    Märtin, Mati

    2008-01-01

    Muusikasündmustest 80 aastat tagasi: Tallinna konservatooriumi IV lennu kontsert-aktusest Estonia kontserdisaalis (esinesid prof. Artur Kapi õpilased), lüürilisest tenorist Rudolf Jõksist, Tallinna Jaani koguduse laulukoori tegemistest, IX üldlaulpeo ettevalmistamisest, August Topman tegi 10. mail luterliku kiriku liturgilise komisjoni koosolekul ettepaneku asutada nelja-aastase kursusega kirikumuusikakool

  6. Töölepinguseaduse uus tulemine / Mai Treial

    Index Scriptorium Estoniae

    Treial, Mai, 1952-

    2008-01-01

    Uue töölepingu seaduse eelnõust. Ilmunud ka Vooremaa 23. okt. 2008, lk. 2 ; Meie Maa 24. okt. 2008, lk. 2 ; Pärnu Postimees 23. okt. 2008, lk. 11 ; Elva Postipoiss 25. okt. 2008, lk. 4 ; Põhjarannik 24. okt. 2008, lk. 2, pealkiri kujul: uuest töölepinguseadusest arusaamine on jõukohane vaid juristidele ; Hiiu Leht 28. okt. 2008, lk. 2 ; Koit 208. okt. 2008, lk. 6

  7. Alimentos mais consumidos no Brasil: Inquérito Nacional de Alimentação 2008-2009 Alimentos más consumidos en Brasil: Pesquisa Nacional de Alimentación 2008-2009 Most consumed foods in Brazil: National Dietary Survey 2008-2009

    Directory of Open Access Journals (Sweden)

    Renata B. Levy

    2013-02-01

    Full Text Available OBJETIVO: Caracterizar o consumo alimentar mais frequente da população brasileira. MÉTODOS: Foram analisados dados referentes ao primeiro dia de registro alimentar de 34.003 indivíduos com dez anos ou mais de idade que responderam ao Inquérito Nacional de Alimentação, composto por amostra probabilística da Pesquisa de Orçamentos Familiares 2008-2009. O padrão de consumo foi analisado segundo sexo, grupo etário, região e faixa de renda familiar per capita. RESULTADOS: Os alimentos mais frequentemente referidos pela população brasileira foram arroz (84,0%, café (79,0%, feijão (72,8%, pão de sal (63,0% e carne bovina (48,7%, destacando-se também o consumo de sucos e refrescos (39,8%, refrigerantes (23,0% e menor presença de frutas (16,0% e hortaliças (16,0%. Essa configuração apresenta pouca variação quando se consideram os estratos de sexo e faixa etária; contudo, observa-se que os adolescentes foram o único grupo etário que deixou de citar qualquer hortaliça e que incluiu doces, bebida láctea e biscoitos doces entre os itens mais consumidos. Alimentos marcadamente de consumo regional incluem a farinha de mandioca no Norte e Nordeste e o chá na região Sul. Houve discrepâncias no consumo alimentar entre os estratos de menor e maior renda: indivíduos no quarto de renda mais elevada referiram sanduíches, tomate e alface e aqueles no primeiro quarto de renda citaram os peixes e preparações à base de peixe e farinha de mandioca entre os alimentos mais referidos. CONCLUSÕES: Existe um padrão básico do consumo alimentar no Brasil que inclui entre os alimentos mais consumidos arroz, café, feijão, pão de sal e carne bovina, associado ao consumo regional de alguns poucos itens. Particularmente entre os adolescentes, alimentos ricos em gordura e açúcar são também de consumo frequente.OBJETIVO: Caracterizar el consumo alimentario más frecuente de la población brasileña. MÉTODOS: Se analizaron datos

  8. 30. L’empire de la raison

    OpenAIRE

    2018-01-01

    La pensée politique de Stanislas Leszczynski (1677–1766), roi de Pologne puis duc de Lorraine, est faite d’un mélange de pragmatisme et d’idéalisme : pour vivre en paix avec ses voisins, un État doit savoir s’en faire craindre ; mais il n’exercera durablement son empire que par la sagesse de ses lois et la vertu de son souverain. Dans l’Entretien d’un Européen avec un insulaire du Royaume de Dumocala, il fait dialoguer un voyageur, dont le vaisseau a fait naufrage sur une terre australe incon...

  9. Diagnósticos de enfermagem e problemas colaborativos mais comuns na gestação de risco Diagnósticos de enfermería y problemas colaborativos más comunes en el embarazo de alto riesgo Nursing dignoses and most common collaboration problems in high-risk pregnancy

    Directory of Open Access Journals (Sweden)

    Helga Geremias Gouveia

    2004-04-01

    Full Text Available Este estudo identificou o perfil demográfico, os diagnósticos clínicos e obstétricos, os diagnósticos de enfermagem e problemas colaborativos mais comuns a gestantes de risco em um hospital da cidade de São Paulo, em São Paulo, Brasil. Os dados foram coletados utilizando-se um formulário baseado nos Padrões Funcionais de Saúde de Gordon. Os diagnósticos de enfermagem foram determinados de acordo com a taxonomia da North American Nursing Diagnosis Association (NANDA. Os diagnósticos de enfermagem encontrados em 50% ou mais das gestantes foram: risco para infecção (90,1%; manutenção da saúde alterada (84,5%; conforto alterado (80,3%; risco para amamentação ineficaz (59,2%; padrões de sexualidade alterados (52,1%; medo (52,1% e dor (50,7%. Os problemas colaborativos encontrados em 50% ou mais dos casos foram: CP: trabalho de parto prematuro (62%; CP: taquicardia materna (54,9% e CP: hipotensão (54,9%. Assim, com base nesses resultados será possível direcionar a assistência de enfermagem prestada a essas gestantes.Este estudio tiene como propuesta identificar el perfil demográfico, diagnósticos clínico y obstétrico, diagnósticos de enfermería y problemas colaborativos más comunes en el embarazo de alto riesgo del hospital de la ciudad de São Paulo, Brazil. Los datos fueron recolectados utilizándose un formulario basado en los padrones funcionales de salud de Gordon. Los diagnósticos de enfermería fueron determinados de acuerdo con la taxonomía da North American Nursing Diagnosis Association (NANDA. Los diagnósticos de enfermería encontrados en 50% o más de las gestantes fueron: Riesgo para infección (90,1%; Manutención de la salud alterada (84,5%; Confort alterado (80,3%; Riesgo para la lactancia ineficaz (59,2%; Patrones de sexualidad alterados (52,1%; Miedo (52,1% y Dolor (50,7%. Los problemas colaborativos encontrados en 50% o más de los casos fueron: Trabajo de parto prematuro (62,0%; Taquicardia materna

  10. Satisfaction with the neighborhood environment and health in older elderly: cross-sectional evidence from the Bambuí cohort study of aging Satisfação com a vizinhança e saúde entre idosos mais velhos: análise seccional do estudo de coorte de idosos de Bambuí

    Directory of Open Access Journals (Sweden)

    Tatiana Chama Borges Luz

    2011-01-01

    Full Text Available In order to investigate the association between satisfaction with the neighborhood environment and self-rated health among older elderly, data from 814 participants of the eleventh wave of the Bambuí Cohort Study of Aging were analyzed using robust Poisson regression analyses. Those elderly with higher satisfaction with their neighborhoods (PR = 0.75; 95%CI: 0.63-0.87 were less likely to report worse self-rated health. The number of chronic diseases (two, PR = 1.69; 95%CI: 1.05-2.70, three or more, PR = 1.99, 95%CI: 1.27-3.13, difficulty in performing daily activities (PR = 1.51; 95%CI: 1.28-1.78, presence of depressive symptoms (PR = 1.68; 95%CI: 1.44-1.95 and frequency of leisure-time exercise in previous 90 days (less than once a week, PR =1.24; 95%CI: 1.03-1.50 were all positively and significantly associated with poor self-rated health. This study provided empirical evidence that satisfaction with the neighborhood environment was associated with the health of the older elderly. The findings further suggest the potential importance of including this indicator in analyses of place and health among the elderly.Para investigar a associação entre a satisfação com a vizinhança e a percepção de saúde entre idosos mais velhos, foram analisados os dados de 814 participantes do 11º seguimento do Estudo de Coorte de Idosos de Bambuí, por meio da regressão de Poisson robusta. Idosos mais satisfeitos com sua vizinhança apresentaram melhor percepção de saúde (RP = 0,75; IC95%: 0,63-0,87. A percepção de saúde foi significativamente pior para idosos com múltiplas condições crônicas (duas, RP = 1,69; IC95%: 1,05-2,70 e três ou mais, RP = 1,99; IC95%: 1,27-3,13, para aqueles com dificuldade de realizar atividades da vida diária (RP = 1,51; IC95%: 1,28-1,78, com sintomas depressivos (RP = 1,68; IC95%: 1,44-1,95 e com menor frequência de exercícios físicos durante os períodos de lazer nos últimos 90 dias (menos que uma vez por

  11. Avaliação do diagnóstico e tratamento em parada cardiorrespiratória entre os médicos com mais de cinco anos de graduação Assessment of the diagnostic and treatment in cardiac arrest between doctors with five years after graduation

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    Fabiano Timbó Barbosa

    2006-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: As novas diretrizes contêm importantes modificações para melhorar à prática de reanimação e a sobrevida de pacientes com parada cardíaca (PC. O objetivo desse estudo foi avaliar o conhecimento teórico a cerca da PC e reanimação cardiopulmonar (RCP entre os médicos com mais de cinco anos graduação. MÉTODO: Trata-se de uma pesquisa descritiva com abordagem quantitativa em Hospital de Emergência no Estado de Alagoas. A população foi composta por médicos com mais de cinco anos de graduação. Para a coleta de dados utilizou-se questionário com perguntas sobre o tema. Os resultados foram analisados de conformidade com a literatura sobre parada cardíaca e reanimação cardiopulmonar. RESULTADOS: Responderam ao questionário 39 profissionais. O diagnóstico da PC foi corretamente respondido por 76,9%; e, em um caso clínico houve aumento para 87,2%. As indicações do bicarbonato de sódio foram corretamente respondidas por 30,8% e a indicação adequada do uso de vasopressina era conhecida por 15,4% dos participantes. CONCLUSÕES: Esse estudo revelou alguma deficiência no conhecimento dos médicos quando questionados sobre a terapêutica usada na PCR. Mostrou pouco conhecimento acerca da vasopressina como alternativa à adrenalina e o uso freqüente do bicarbonato de sódio é utilizado de maneira inadequada. O estudo apresentou dados que justificam o treinamento contínuo para médicos com mais de cinco anos de formado.BACKGROUND AND OBJECTIVES: New resuscitation guidelines contain significant changes intended to improve resuscitation practice and survival from cardiac arrest. The objective of this study was to evaluate the theoretical knowledge about cardiac arrest (CA and cardiac and pulmonary resuscitation (CPR among doctors after five years of the graduation. METHODS: The questionnaire survey was conducted in an Emergency Hospital in the State of Alagoas. The population was composed of doctors with

  12. Direito à saúde: medicamentos mais solicitados por demandas administrativas e judiciais por uma secretaria estadual de saúde no biênio de 2013 a 2014 Right to health: The most requested drugs for administrative and legal claims by a state health department in the biennium 2013 2014

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    Pauline de Ataíde Botelho

    2017-06-01

    Full Text Available Introdução: O uso da via judicial para o fornecimento de medicamentos presentes nas listas oficiais públicas é uma forma legítima de garantir o pleno exercício do direito à assistência individual terapêutica, que integra o direito à saúde na lei brasileira. Objetivo: Descrever o perfil dos processos administrativos e judiciais de solicitação de medicamentos à Secretaria de Saúde do Estado do Ceará, analisando a origem dessa demanda, os 10 princípios ativos mais solicitados em cada ano e suas principais indicações terapêuticas. Métodos: Estudo documental descritivo e retrospectivo de abordagem quantitativa. Foram analisadas as solicitações via processo administrativo e judicial ingressadas na Secretaria de Saúde do Estado do Ceará de janeiro de 2013 a dezembro de 2014. Nesse estudo as variáveis utilizadas foram adaptadas do Manual de Indicadores de Avaliação e Monitoramento das Ações Judiciais de Medicamentos. Para a análise dos dados, utilizou-se o SPSS® versão 15.0. A análise foi descritiva utilizando freqüência simples, média e porcentagem. Resultados: A Secretaria de Saúde do Estado do Ceará, através do CEIMED (Centro de Estudos e Informações Sobre Medicamentos recebeu em 2013 um total de 1156 processos no total com um aumento de 33,91% no ano de 2014, totalizando 1548 processos. Os princípios ativos mais relevantes de 2013 foram: rituximabe (câncer e teriparatida (osteoporose; em 2014 rituximabe (câncer e insulinas (diabetes. Conclusão: O crescente processo de judicialização da saúde tem implicado grandes desafios às esferas municipal, estadual e federal por impactar diretamente nos orçamentos. Nota-se que a assistência ao paciente com medicamentos já padronizados ainda necessita de eficácia prática, seja em não faltar nos locais de dispensação, seja em não gerar demanda processual desnecessária. O tratamento para diversos tipos de câncer, osteoporose e diabetes insulino

  13. Présentation

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    Anne Herschberg Pierrot

    2009-01-01

    Full Text Available Ce premier dossier de la revue Flaubert. Revue Critique et Génétique réunit des recherches récentes de la génétique flaubertienne et de la critique sur Flaubert. À partir de la première Tentation de saint Antoine, mais surtout de Salammbô à Bouvard et Pécuchet, Flaubert inaugure un travail d’écrivain-chercheur, puisant dans les sources antiques et contemporaines non de simples renseignements, mais un ensemble de discours, sur l’antiquité et sur le monde moderne, qui servent de tremplin à l’im...

  14. Présentation

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    Anne Herschberg Pierrot

    2009-01-01

    Ce premier dossier de la revue Flaubert. Revue Critique et Génétique réunit des recherches récentes de la génétique flaubertienne et de la critique sur Flaubert. À partir de la première Tentation de saint Antoine, mais surtout de Salammbô à Bouvard et Pécuchet, Flaubert inaugure un travail d’écrivain-chercheur, puisant dans les sources antiques et contemporaines non de simples renseignements, mais un ensemble de discours, sur l’antiquité et sur le monde moderne, qui servent de tremplin à l’im...

  15. Maniement des médicaments en néonatologie

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    BOUSKHOURI, Wissem; KHEDIM, Naziha

    2013-01-01

    Les essais cliniques permettent de tester l'efficacité et la toxicité des médicaments et de mettre ainsi au point des médicaments adaptés aux nouveau-nés en termes de posologie et de forme galénique. Mais pour cette population particulière, continuellement en maturation, leur réalisation est compliquée d'un point de vue éthique mais surtout peu rentable pour les firmes pharmaceutiques. Les soignants doivent ainsi utiliser les médicaments disponibles pour l'adulte, qui bien souv...

  16. Sedação e analgesia em crianças: uma abordagem prática para as situações mais freqüentes Analgesia and sedation in children: practical approach for the most frequent situations

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    Santiago Mencía Bartolomé

    2007-05-01

    Full Text Available OBJETIVOS: Revisar as indicações, doses e formas de administração dos sedativos, analgésicos e relaxantes musculares mais utilizados na criança, bem como os métodos de monitorização da sedação. FONTES DOS DADOS: Levantamento bibliográfico utilizando a base de dados MEDLINE e revisão da experiência em nossas unidades de cuidados intensivos pediátricos. SÍNTESE DOS DADOS: A administração contínua de drogas analgésicas e sedativas impede o aparecimento das fases de subsedação e requer menor assistência do que na administração intermitente. O midazolan é a droga mais utilizada para sedação contínua da criança gravemente enferma. Os derivados opiáceos e os antiinflamatórios não-hormonais são os analgésicos mais utilizados na criança gravemente enferma. Os opióides associados aos benzodiazepínicos em infusão contínua são os fármacos de eleição em crianças em ventilação mecânica, especialmente a morfina e o fentanil. O uso de protocolos e a monitorização com a utilização de escores clínicos e métodos objetivos como o BIS permitem ajustar mais corretamente a medicação, evitando a supersedação, a subsedação e a síndrome de abstinência. As intervenções não-farmacológicas, como a musicoterapia, o controle de ruídos, a adequada utilização da luz, a massagem e a comunicação com o paciente, são medidas complementares que auxiliam na adaptação da criança ao ambiente hospitalar adverso. CONCLUSÕES: A sedação deve ser adaptada a cada criança em cada momento. O emprego de protocolos que facilitem uma correta seleção de fármacos, uma administração adequada e uma monitorização cuidadosa melhoram a qualidade da sedoanalgesia e reduzem seus efeitos adversos.OBJECTIVES: To review the most frequent recommendations, doses and routes of administration of sedatives, analgesics, and muscle relaxants in children, as well as the methods for monitoring the level of sedation. SOURCES: Review

  17. O formoterol e uma dose média/ elevada de corticosteróides inalados são mais eficazes do que uma dose elevada de corticosteróides na asma moderada e grave

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    G. Mitchell

    2003-05-01

    Full Text Available RESUMO: As normas internacionais para o tratamento da asma brônquica recomendam que os doentes com sintomatologia mal controlada com doses baixas/ /intermédias de corticosteróides (CT inalados sejam submetidos a doses mais elevadas de CT e, se necessário, deverá ser adicionado um β2 agonista de longa duração. No entanto, estudos mais recentes demonstraram que a adição deste fármaco a doses baixas/moderadas de CT inalados permite um melhor controlo da sintomatologia do que a duplicação da dose de CT. O formoterol constitui o β2 agonista de eleição devido ao seu início de acção rápida.O objectivo do presente trabalho foi comparar a eficácia da associação do β2 agonista formoterol a doses médias/elevadas de CT inalados com a duplicação da dose do CT em indivíduos com asma moderada/grave mal controlada.Foram avaliados doentes com idade superior a 18 anos com asma moderada e grave que apresentavam um FEV1≥50% do previsto e um aumento≥15% do referido parâmetro após inalação de um broncodilatador de curta duração, tendo sido submetido a terapêutica com CT inalados diariamente (dipropionato de beclometasona 1000 μ - budesonida 800 μg no mês que precedeu o início do estudo em análise. A existência de, pelo menos, dois dos parâmetros seguintes, nos últimos 7 dias do período de run-in, foi imprescindível: sintomatologia interferindo com as actividades de vida diária; interrupção do sono por sintomas nocturnos, necessidade de terapêutica de alívio numa dose≥4 puffs salbutamol/dia; variabilidade diária do PEF (Peak Expiratory Flow≥15%.Foram critérios de exclusão: doentes cuja dose do CT inalado diária foi alterada no último mês; indivíduos submetidos a CT oral ou β2 agonista de longa duração no mês precedente; doentes com dificuldade de utilizar o

  18. O formoterol e uma dose média/ elevada de corticosteróides inalados são mais eficazes do que uma dose elevada de corticosteróides na asma moderada e grave

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    G. Mitchell

    2004-09-01

    Full Text Available RESUMO: As normas internacionais para o tratamento da asma brônquica recomendam que os doentes com sintomatologia mal controlada com doses baixas/ /intermédias de corticosteróides (CT inalados sejam submetidos a doses mais elevadas de CT e, se necessário, deverá ser adicionado um β2 agonista de longa duração. No entanto, estudos mais recentes demonstraram que a adição deste fármaco a doses baixas/moderadas de CT inalados permite um melhor controlo da sintomatologia do que a duplicação da dose de CT. O formoterol constitui o β2 agonista de eleição devido ao seu início de acção rápida.O objectivo do presente trabalho foi comparar a eficácia da associação do β2 agonista formoterol a doses médias/elevadas de CT inalados com a duplicação da dose do CT em indivíduos com asma moderada/grave mal controlada.Foram avaliados doentes com idade superior a 18 anos com asma moderada e grave que apresentavam um FEV1≥50% do previsto e um aumento≥15% do referido parâmetro após inalação de um broncodilatador de curta duração, tendo sido submetido a terapêutica com CT inalados diariamente (dipropionato de beclometasona 1000 μ - budesonida 800 μg no mês que precedeu o início do estudo em análise. A existência de, pelo menos, dois dos parâmetros seguintes, nos últimos 7 dias do período de run-in, foi imprescindível: sintomatologia interferindo com as actividades de vida diária; interrupção do sono por sintomas nocturnos, necessidade de terapêutica de alívio numa dose≥4 puffs salbutamol/dia; variabilidade diária do PEF (Peak Expiratory Flow≥15%.Foram critérios de exclusão: doentes cuja dose do CT inalado diária foi alterada no último mês; indivíduos submetidos a CT oral ou β2 agonista de longa duração no mês precedente; doentes com dificuldade de utilizar o

  19. Fatores considerados pela população como mais importantes para manutenção da saúde Factores considerados por la población como más importantes para el mantenimiento de la salud Factors considered important for health maintenance by the population

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    Fernando Vinholes Siqueira

    2009-12-01

    Full Text Available OBJETIVO: Analisar os fatores que adultos e idosos consideram como mais importantes para manutenção da saúde. MÉTODOS: Estudo transversal realizado com 4.060 adultos e 4.003 idosos residentes em áreas de abrangência de 240 unidades básicas de saúde das regiões Sul e Nordeste, em 2005. Um cartão com figuras e frases referentes a sete fatores relacionados com o risco de doenças e agravos não transmissíveis era mostrado aos indivíduos para que indicassem o fator mais relevante para a saúde. Os fatores eram: manter uma alimentação saudável, fazer exercício físico regularmente, não tomar bebidas alcoólicas em excesso, realizar consultas médicas regularmente, não fumar, manter o peso ideal e controlar ou evitar o estresse. As análises foram ajustadas por regressão de Poisson com cálculo de razões de prevalência ajustadas, intervalos com 95% de confiança, e valores de significância usando os Testes de Wald para heterogeneidade e tendência linear. RESULTADOS: Os fatores mais freqüentemente indicados pelos adultos foram: alimentação saudável (33,8%, realizar exercício físico (21,4% e não fumar (13,9%. Entre os idosos, os fatores mais relatados foram: alimentação saudável (36,7%, não fumar (17,7% e consultar o médico regularmente (14,2%. Foram observadas diferenças entre os fatores citados conforme a região geográfica, variáveis demográficas, socioeconômicas e de saúde. CONCLUSÕES: A maioria de adultos e idosos, de ambas regiões, reconhece e indica a necessidade de manter uma alimentação saudável e de não fumar como medidas mais importantes para manutenção da saúde. Estratégias de educação em saúde devem considerar essas características dos indivíduos para estimular medidas específicas a serem adotadas para cada segmento populacional.OBJETIVO: Analizar los factores que adultos y ancianos consideran como más importantes para mantenimiento de la salud. MÉTODOS: Estudio transversal

  20. Prevalência da síndrome metabólica em indígenas com mais de 40 anos no Rio Grande do Sul, Brasil Prevalence of metabolic syndrome in indigenous people over 40 years of age in Rio Grande do Sul, Brazil

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    Ana Karina Silva da Rocha

    2011-01-01

    Full Text Available OBJETIVO: Estudar a prevalência da síndrome metabólica (SM em indígenas com idade maior do que 40 anos em duas cidades no Rio Grande do Sul, Brasil. MÉTODOS: Este estudo transversal, descritivo e analítico foi realizado nos municípios de Porto Alegre e Nonoai entre julho e agosto de 2009. Participaram 150 indígenas com idade entre 40 e mais de 70 anos (idade mínima 40 e máxima 104 anos. A prevalência da SM foi determinada pelos critérios do National Cholesterol Education Program-Adult Treatment Panel III. Foram coletadas amostras de sangue e medidas antropométricas. Além disso, os participantes responderam a um questionário sobre hábitos alimentares, analisado posteriormente conforme os 40 passos para uma alimentação saudável propostos pela Organização Mundial de Saúde e endossados pelo Ministério da Saúde. RESULTADOS: A prevalência da SM foi de 65,3%, mais prevalente no sexo feminino (P OBJECTIVE: To investigate the prevalence of the metabolic syndrome (MS among indigenous people older than 40 years of age from two cities in the State of Rio Grande do Sul, southern Brazil. METHODS: A descriptive, analytic, cross-sectional study was conducted in two municipalities, Porto Alegre and Nonoai, between July and August 2009. A total of 150 indigenous people older than 40 years of age (range: 40-104 years, participated in the study. MS prevalence was determined based on National Cholesterol Education Program - Adult Treatment Panel III criteria. Blood samples and anthropometric data were collected. The participants also answered a questionnaire on eating habits, which was then contrasted to the 10 steps to healthy eating proposed by the World Health Organization and recommended by the Brazilian Ministry of Health. RESULTS: MS prevalence was 65.3%, affecting women more than men (P < 0.001. Changes in waist circumference, fasting glucose, and HDL-cholesterol and presence of hypertension, hypertriglyceridemia, and obesity were

  1. Vivências maternas associadas ao aleitamento materno exclusivo mais duradouro: um estudo etnográfico Vivencias de madres asociadas a la lactancia materna exclusiva más duradera: un estudio etnográfico Maternal experiences associated with longer term exclusive breastfeeding: an ethnographic study

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    Carolina Guizardi Polido

    2011-01-01

    Full Text Available OBJETIVO: Descrever as experiências da amamentação de mães usuárias do Sistema Único de Saúde buscando, tanto aprender conhecimentos, expectativas, concepções e sentimentos envolvidos como identificar aspectos relevantes para o aleitamento materno exclusivo mais prolongado. MÉTODOS: Estudo qualitativo de cunho etnográfico realizado com oito primíparas e familiares de referência, mediante observação e entrevistas domiciliares durante o 1º semestre de vida dos bebês. Os dados foram sistematizados em três categorias: Iniciando a amamentação; Vivenciando o processo de desmame precoce; Mantendo o aleitamento materno exclusivo. RESULTADOS: A amamentação apresentou-se como evento particular nos diferentes contextos de sua ocorrência, porém foi possível identificar que o aleitamento exclusivo esteve ligado à determinação materna, a despeito das dificuldades vividas. O aleitamento materno exclusivo mais duradouro relacionou-se às mães que se mostraram motivadas com a prática, cientes de seus benefícios e apoiadas pela família, mesmo diante de interferência contrária de seu meio cultural. CONCLUSÃO: A ausência de determinação materna em amamentar exclusivamente deve ser investigada e, quando presente, receber abordagem especial pelos profissionais de saúde.OBJETIVO: Describir las experiencias del amamantamiento de madres usuarias del Sistema Único de Salud buscando, tanto aprender conocimientos, expectativas, concepciones y sentimientos involucrados como identificar aspectos relevantes para la lactancia materno exclusiva más prolongada. MÉTODOS: Estudio cualitativo de cuño etnográfico realizado con ocho primíparas y familiares de referencia, mediante observación y entrevistas domiciliarias durante el 1º semestre de vida de los bebés. Los datos fueron sistematizados en tres categorías: Iniciando el amamantamiento; Vivenciando el proceso de destete precoz; Manteniendo La lactancia materna exclusiva

  2. Os Homens são mais Racionais do que as Mulheres na Compra de Carros? Uma Comparação de Influências Culturais no Julgamento de Produto entre Brasil e Estados Unidos da América

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    Breno Giovanni Adaid Castro

    2015-01-01

    Full Text Available Este estudo tem por finalidade identificar e comparar o tipo de julgamento utilizado no Brasil e nos Estados Unidos da América em relação à compra de automóveis, bem como a relevância dos Valores Humanos na avaliação. Brasileiros (n=542 e Norte - americanos (N= 449 responderam a dois instrumentos, a escala LOV ( List of Values (KAHLE; KENNEDY, 1988 e a escala de Julgamento e Significado (ALLEN, 1997, 2000. Os resultados sugerem que no Brasil o julgamento para a compra de automóveis é predominantemente afetiva, enquanto nos Estados Unidos é predominantemente passo a passo. Em ambos os países, as mulheres obtiveram escores mais altos no julgamento passo a passo para a compra do carro. Os valores de “Excitação” e “Ser Bem Respeitado’ estão relacionados com o julgamento afetivo em ambos os países, enquanto “Realização Pessoal” es tá relacionado com o julgamento passo a passo no Brasil e nos Estados Unidos. Esta pesquisa contribui para o avanço dos estudos de comportamento do consumidor, analisando o papel dos valores humanos no tipo de julgamento e significado que homens e mulheres usam para comprar carros no Brasil e nos EUA. Além disso, como implicações práticas, os resultados podem ajudar os gestores da indústria automobilística em seus processos de tomada de decisão, a fim de entender melhor o cliente, e para atender suas necess idades específicas, com vistas a desenvolver um relacionamento de longo prazo e rentável.

  3. O estágio na formação dos gestores de cooperativas: a experiência no âmbito do Programa ATER Mais Gestão na Universidade Federal do Recôncavo da Bahia

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    Luana Maria Silva

    2018-06-01

    Full Text Available Em paralelo ao crescimento de organizações coletivas brasileiras, emerge a necessidade de gestão administrativa desses empreendimentos, para tanto é fundamental a formação de gestores de cooperativas que possam desenvolver atividades de assessoramento por intermédio de instituições de apoio. Nesse contexto, o presente artigo relata experiências do estágio nessas entidades de assessoria, por dois discentes do curso Tecnologia em Gestão de Cooperativas da Universidade Federal do Recôncavo da Bahia, amparados pelo projeto Rede de Universidades na Avaliação do Programa ATER Mais Gestão. O caminhar metodológico apoiou-se em um estudo de caso e por uma pesquisa de caráter qualitativo, no qual os estagiários atuaram em cooperativas atendidas pelo Movimento de Organização Comunitária (MOC e pela União das Cooperativas da Agricultura Familiar e Economia Solidária (Unicafes. Como resultado, a pesquisa apontou que o estágio trouxe significativas contribuições para a formação dos gestores de cooperativas na medida em que vivenciaram na prática da assessoria os desafios enfrentados pelos empreendimentos e pelas entidades. Essa experiência apresenta como contribuição profissional um breve ensaio a esses estudantes para atuação na área como gestores de cooperativas. No âmbito social, o estágio pode proporcionar aos discentes o desenvolvimento das capacidades crítica e reflexiva, que darão suporte na criação de estratégias para a sustentabilidade dos empreendimentos da agricultura familiar.

  4. Study of Combined Treatment for Damp-Harvested Maize: Gamma Irradiation and Drying by Controlled Ventilation; Etude d'un Traitement Combine pour le Conditionnement du Mais Recolte Humide: Irradiation Gamma et Sechage par Ventilation Controlee; Izuchenie kombinirovannoj obrabotki kukuruzy molochno-voskovoj spelosti; Estudio de un Tratamiento Combinado para el Acondicionamiento del Maiz Recolectado Humedo: Irradiacion Gamma y Secado por Ventilacion Controlada

    Energy Technology Data Exchange (ETDEWEB)

    Saint-Lebe, L.; Pelegrin, P. [Centre d' Etudes Nucleaires de Cadarache (France); Guilbot, A. [Institut National de la Recherche Agronomique, Massy (France)

    1966-11-15

    . From the qualitative point of view, the mycoflora which regenerates first is specifically sensitive to the dry air flow which will reach it. Industrial applications are envisaged, but before going on to the pilot stage, which is indispensable for establishing costs, the biochemical investigations must be taken further. The public health aspect must also be studied in case the process finds a use in the field of animal or human feeding. (author) [French] L'association des effets d'une irradiation gamma au cobalt-60 et d'un sechage lent par ventilation froide (10 a 25 Degree-Sign C) dans les cellules de stockage a pour but de substituer a la solution classique de sechage rapide.avec de l'air porte a haute temperature un traitement qui respecte davantage l'integrite du grain et se traduit en meme temps par un assainissement sur le plan microbiologique. Ce probleme concerne en France un million de tonnes de maies humide (1964); il doit revetir une importance croissante tant en Europe que dans les pays de la zone tropicale. Les auteurs etudient d'abord l'incidence directe du rayonnement gamma sur le rendement et les caracteristiques techniques de l'amidon. Celui-ci est extrait du mais par une methode de laboratoire qui reproduit de maniere fidele et precise les conditions industrielles. On trouve qu'un dose d'irradiation inferieure a 500 krad est sans influence sur le rendement d'extraction, alors qu'un sechage a la temperature de 74 Degree-Sign C diminue deja ce rendement d'environ 4%, en raison de la coagulation partielle de la trame proteique et de l'eclatement de granules d'amidon. Les faibles modifications de structure de l'amidon irradie sont dans la plupart des cas favprables du point de vue du traitement ulterieur du produit. Elles peuvent conduire a la mise au point d'un test permettant de savoir si l'amidon ou le maies ont ete irradies. Des techniques d'analyses microbiologiques ont ete mises au point dans le but de definir, en fonction du milieu, les conditions

  5. Le tableau vivant chez Raoul Ruiz : l’extension de la perception

    OpenAIRE

    Robert, Valentine

    2016-01-01

    Le tableau vivant (qui avait cours au XIXe siècle et qui consiste à faire incarner des compositions célèbres par des figurants immobiles, tenant la pose) est travaillé en motif par le cinéma de Raoul Ruiz. Chacune de ses ressources esthétiques y est explorée: sa valeur de "simulacre", de "paragone", de "réincarnation", mais aussi et surtout de dispositif de regard. Cette dernière dimension est au centre de cet article, qui étudie – surtout à partir de L'Hypothèse du tableau volé (1979), de Gé...

  6. Rapport sur le déroulement de l'expérience sur le double échange de charge des mésons $\\pi^{+} \\pi^{-}$ de 70 MeV/c effectuée les 14-15 mai 1965 au CS du CERN par le Départment de Physique Corpusculaire CRN Strasbourg Utilisation d'un bobinage supra-conducteur niobium-zicornium (dans HE liquide) donnant 42 KG pour aider la détermination du signe des pions au sein des émulsions chargées en lithium isotopique

    CERN Document Server

    CERN. Geneva. Emulsion Experiments Committee

    1965-01-01

    Rapport sur le déroulement de l'expérience sur le double échange de charge des mésons $\\pi^{+} \\pi^{-}$ de 70 MeV/c effectuée les 14-15 mai 1965 au CS du CERN par le Départment de Physique Corpusculaire CRN Strasbourg

  7. Coverage of the Brazilian population 18 years and older by private health plans: an analysis of data from the World Health Survey Cobertura da população brasileira com 18 anos ou mais por plano de saúde privado: uma análise dos dados da Pesquisa Mundial de Saúde

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    Francisco Viacava

    2005-01-01

    Full Text Available This study analyzes data from the World Health Survey (WHS conducted in 2003, with a sample of 5,000 individuals 18 years and older. Some 24.0% of the interviewees had private health insurance, and the main variables associated with private coverage were number of household assets, age, level of education, formal employment, living in municipalities with more than 50,000 inhabitants, and good self-rated health. The socioeconomic profiles of needs for and use of health services in the population covered by private health plans are different, confirming the findings of other studies reporting that this population segment as a whole presents better health conditions and greater use of services as compared to the population without private coverage, even after adjusting for socio-demographic variables and self-rated health. The WHS data also suggest that individuals with private health plans do not always use their insurance to pay for services, except in the case of mammograms.Esse estudo analisa os dados da Pesquisa Mundial de Saúde (PMS, realizada em 2003, em uma amostra de 5 mil indivíduos com 18 anos ou mais. Cerca de 24,0% dos indivíduos entrevistados têm seguro privado de saúde, sendo que os fatores associados à posse do plano são o número de bens, idade, escolaridade, ter emprego formal, residir em municípios com menos de 50 mil habitantes e referir boa auto-avaliação do estado de saúde. Os perfis sócio-demográficos de necessidades e uso de serviços de saúde da população coberta por plano de saúde são distintos, confirmando os achados de outros trabalhos que referem que esse segmento populacional como um todo apresenta melhores condições de saúde e um maior uso de serviços em relação à população não coberta por seguro de saúde, mesmo após o controle por variáveis sócio-demográficas e a auto-avaliação do estado de saúde. Os dados da PMS também sugerem que pessoas cobertas por plano de saúde nem sempre

  8. Evolução temporal da mortalidade por suicídio em pessoas com 60 anos ou mais nos estados brasileiros, 1980 a 2009 Suicide mortality temporal trends in people aged 60 years or more in the Brazilian states: 1980 to 2009

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    Liana Wernersbach Pinto

    2012-08-01

    Full Text Available Este artigo objetiva verificar a evolução temporal da mortalidade por suicídio em pessoas com 60 anos ou mais segundo a unidade da federação no período de 1980 a 2009. Na construção das séries históricas empregaram-se dados da mortalidade por suicídio (CID-9 códigos E950 a E959 e CID-10 códigos X60 a X84 e Y87.0 obtidos do Sistema de Informação sobre Mortalidade (SIM/MS. Dados referentes à contagem populacional foram obtidos do Instituto Brasileiro de Geografia e Estatística. Na avaliação da tendência temporal empregou-se o modelo de regressão de Poisson, no qual a variável resposta foi o número de óbitos e a variável explanatória o ano calendário centralizado. Foram consideradas tendências estatisticamente significativas aquelas cujo p-valor The scope of this paper is to determine the temporal evolution of mortality by suicide in people aged 60 or more per State in Brazil between 1980 and 2009. Historical mortality by suicide data (ICD-9 codes E950 to E959 and ICD-10 codes X60 to X84 and Y87.0 were obtained from the Mortality Information System (SIM / MS. Data regarding population counts were obtained from the Brazilian Institute of Geography and Statistics. In the assessment of temporal trends the Poisson regression model was used, in which the dependent variable was the number of deaths and the centralized calendar year was the explanatory variable. Statistically significant trends were considered those whose p-value was d" 0.05. The results revealed the presence of a statistically significant increasing trend in four states and a decrease in two (general population; 60 years or more. In the male population there was an increase in five states and a reduction in two. The female rate showed an increase in one state and a decrease in three. There was an increasing trend in Piauí, Ceará and Rio Grande do Norte and a reduction in Amazonas, Roraima, and São Paulo for people aged between 60 and 69. Increasing rates

  9. Estimadores de componentes de variância em delineamento de blocos aumentados com tratamentos novos de uma ou mais populações Estimators of variance components in the augmented block design with new treatments from one or more populations

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    João Batista Duarte

    2001-09-01

    Full Text Available O objetivo do trabalho foi comparar, por meio de simulação, as estimativas de componentes de variância produzidas pelos métodos ANOVA (análise da variância, ML (máxima verossimilhança, REML (máxima verossimilhança restrita e MIVQUE(0 (estimador quadrático não viesado de variância mínima, no delineamento de blocos aumentados com tratamentos adicionais (progênies de uma ou mais procedências (cruzamentos. Os resultados indicaram superioridade relativa do método MIVQUE(0. O método ANOVA, embora não tendencioso, apresentou as estimativas de menor precisão. Os métodos de máxima verossimilhança, sobretudo ML, tenderam a subestimar a variância do erro experimental ( e a superestimar as variâncias genotípicas (, em especial nos experimentos de menor tamanho (n/>0,5. Contudo, o método produziu as piores estimativas de variâncias genotípicas quando as progênies vieram de diferentes cruzamentos e os experimentos foram pequenos.This work compares by simulation estimates of variance components produced by the ANOVA (analysis of variance, ML (maximum likelihood, REML (restricted maximum likelihood, and MIVQUE(0 (minimum variance quadratic unbiased estimator methods for augmented block design with additional treatments (progenies stemming from one or more origins (crosses. Results showed the superiority of the MIVQUE(0 estimation. The ANOVA method, although unbiased, showed estimates with lower precision. The ML and REML methods produced downwards biased estimates for error variance (, and upwards biased estimates for genotypic variances (, particularly the ML method. Biases for the REML estimation became negligible when progenies were derived from a single cross, and experiments were of larger size with ratios />0.5. This method, however, provided the worst estimates for genotypic variances when progenies were derived from several crosses and the experiments were of small size (n<120 observations.

  10. Resposta in vitro de fungos agentes de micoses cutâneas frente aos antifúngicos sistêmicos mais utilizados na dermatologia In vitro response of cutaneous mycosis fungal agents to the most widely used systemic antifungals in dermatology

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    Lívia Maria Martins de Almeida

    2009-07-01

    Full Text Available FUNDAMENTOS - A alta frequência das micoses cutâneas justifica a necessidade de avaliar a possível contribuição da determinação do perfil de susceptibilidade aos antifúngicos in vitro. OBJETIVO - Avaliar se existe variabilidade nos isolados fúngicos quanto à susceptibilidade in vitro de fungos filamentosos, previamente isolados de micoses cutâneas, frente aos antifúngicos fluconazol, cetoconazol, itraconazol e terbinafina. MÉTODOS - Os fungos foram isolados e identificados por meio da metodologia clássica e o teste de susceptibilidade aos antifúngicos foi realizado segundo o método de microdiluição em caldo, de acordo com protocolo preconizado pelo Clinical Laboratory Standards Institute (CLSI, documento M38-A. RESULTADOS - Das 80 amostras de fungos filamentosos identificadas, o gênero Trichophyton representou 81%. As quatro drogas analisadas apresentaram grande variação nos gêneros Trichophyton e Microsporum. O gênero Fusarium foi resistente a todas as drogas testadas. A terbinafina foi o antimicótico mais eficaz contra a maioria dos isolados fúngicos. CONCLUSÃO - Houve uma grande variabilidade nos perfis de resposta aos antifúngicos testados. O estabelecimento de um método-teste de referência permitirá ao clínico maior objetividade na escolha de uma terapia adequada.BACKGROUND - The high frequency of cutaneous mycosis justify the need to evaluate the possible contribution of in vitro profile of susceptibility to antifungal agents. OBJECTIVE - To evaluate whether there is variability in in vitro susceptibility by filamentous fungi, previously isolated from cutaneous mycosis, to fluconazole, ketoconazole, itraconazole and terbinafine. METHODS - Fungi were isolated and identified by classical methods and the antifungal susceptibility test was performed using the method of broth microdilution, according to a protocol recommended by the Clinical Laboratory Standards Institute (CLSI, through M38-A document. RESULTS

  11. Método de ensino para projetos de urbanismo mais sustentáveis: resultados da integração horizontal das disciplinas de projeto de urbanismo, paisagismo, infraestrutura e conforto térmico da FAU-UnB

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    Liza M. S. Andrade

    2014-08-01

    Full Text Available O ensino de arquitetura e urbanismo caracteriza-se pela sua interface com várias disciplinas a partir da compreensão dos fenômenos do espaço e da cidade. A ciência urbana requer estudos que minimizem os impactos ao meio ambiente e ao mesmo tempo deve atender às expectativas sociais. Neste contexto, um bom projeto urbanístico deve incorporar os elementos ambientais no seu processo de projetação como, por exemplo, a interface solo-vegetação-atmosfera, fundamental para o balanço de energia e no fluxo de volumes de água na bacia hidrográfica bem como para aplicação de estratégias próprias do microclima local. O artigo defende que as disciplinas de projeto de urbanismo nas universidades adotem metodologias de processo de projeto que possibilitem a integração de conhecimentos com disciplinas horizontais que possam ser aplicados nos projetos desenvolvidos nos ateliês. Este trabalho tem como objetivo demonstrar alguns resultados da metodologia aplicada aos projetos urbanísticos desenvolvidos por estudantes do 4o semestre da FAU/UNB com a integração transversal das disciplinas de Projeto de Urbanismo 1, Conforto térmico, Infraestrutura e Projeto de Paisagismo 1 para a Expansão da cidade do Paranoá no DF, uma comunidade de renda mais baixa. Utilizou-se como método de aplicação ao processo de projeto aquele das Dimensões Morfológicas do Processo de Urbanização (DIMPU que contemplam os aspectos bioclimáticos, econômicos, funcionais, sociológicos, topoceptivos e expressivo-simbólicos paralelamente aos Princípios de Sustentabilidade Ambiental (Andrade, 2008 e aos princípios da gestão ecológica do ciclo da água no meio urbano. Os três projetos que alcançaram melhores desempenhos tentaram equilibrar as questões de densidade com desenhos e técnicas de infraestrutura verde e bioclimáticas. Palavras-Chave: ensino de arquitetura e urbanismo, projeto de urbanismo sustentável, conforto térmico, infraestrutura, projeto

  12. Condições mais frequentes em um ambulatório de perícia neurológica The most common disorders in neurological clinic for medico-legal assessment of labour capacity at the Brazilian Social Security System (INSS in Florianópolis - SC, Brazil

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    Paulo Cesar Trevisol-Bittencourt

    2001-06-01

    Full Text Available OBJETIVO: Apresentar as condições nosológicas vistas em perícia neurológica em um ambulatório de referência estadual do Instituto Nacional de Seguridade Social (INSS, Florianópolis, Santa Catarina, Brasil, durante o período de outubro de 97 a maio de 98. MÉTODO: Revisão dos relatórios especializados das perícias solicitadas ao especialista em neurologia, com identificação dos diagnósticos finais dos 108 pacientes encaminhados para avaliação. RESULTADOS: Os diagnósticos mais comuns em ordem decrescente de frequência foram: epilepsia, doenças reumatológicas, distúrbios psiquiátricos, alterações neurológicas associadas a alcoolismo crônico, síndrome pós TCE e doença vascular cerebral. CONCLUSÕES: Doenças neurológicas podem determinar importante grau de incapacidade no trabalhador catarinense. Contudo, existe um subestimado potencial de recuperação funcional. Além disso, diversas condições não genuinamente neurológicas são encaminhadas para avaliação especializada.OBJECTIVE: To present the most frequent diagnosis among patients refered for neurological evaluation to estimate their labour capacities at the unit of National Institute of Social Security (INSS, Florianópolis-SC, southern Brazil. METHOD: Review of all medical records of 108 patients evaluated between October 97 and May 98. The sample was submited to judicious medico-legal assessment to define their final diagnosis. RESULTS: Neurological evaluation disclosed as the commonest disorders, in decreasing order of frequency: epilepsy, rheumatic diseases, psychiatric illnesses, neurological disorders related to chronic alcoholism, head trauma syndrome and cerebrovascular diseases. CONCLUSION: Neurological disorders may be responsible for important disability among workers in our society. However, the potential for social rehabilitation, often underestimated, must be considered. Moreover, diverse non-neurological conditions used to be sent for

  13. Um modelo de otimização para alíquotas do IPTU socialmente mais justas Un modelo de optimización de las tasas de impuestos a la propiedad socialmente más justo An optimization model for rates of socially fairer property tax

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    José Delfino Sá

    2013-02-01

    Full Text Available Este artigo apresenta um modelo de otimização matemática não linear que determina novas alíquotas para o Imposto sobre a Propriedade Predial e Territorial Urbana (IPTU incidente sobre os apartamentos residenciais no município do Salvador (BA. São considerados a progressividade das alíquotas, os valores venais dos imóveis, as rendas médias dos contribuintes e as usuais metodologias de cálculo do valor do imposto. Os resultados obtidos na aplicação desse modelo demonstram ser possível tratar de forma objetiva e socialmente mais justa a definição das alíquotas de IPTU para todos os tipos de imóveis de um município.En este trabajo se presenta un modelo de optimización matemática no lineal que determinan las nuevas tarifas del Impuesto Inmobiliario Urbano - Impuesto sobre la propiedad aplicado en apartamentos residenciales en la ciudad de Salvador (BA. Ellos se consideran la progresividad de los tipos impositivos, el mercado de valores de las propiedades, los ingresos medios de los contribuyentes y de los métodos habituales de cálculo de la cuantía del impuesto. Los resultados demuestran que la aplicación de este modelo se puede tratar de manera objetiva y socialmente más justo fijar los tipos de impuestos a la propiedad para todos los tipos de propiedades en un municipio.This article presents a nonlinear mathematical optimization model that determines new rates for the Urban Property Tax (IPTU on the residential apartments in the city of Salvador (BA. It considers the progressive increase in rates, the market values of properties, the taxpayers' average incomes, and the usual methodologies of the tax system. The results obtained in applying this model demonstrate that is possible to set tax rates in an objective and equitable manner in all kinds of urban property.

  14. Du Lac de Geneve au Lac Baikal: deux metropoles en construction

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    Guy Mettan

    2006-08-01

    Full Text Available En apparence, Geneve et Irkutsk n'ont rien en commun. A part une amitie reciproque et la proximite d'un lac, il est difficile de trouver des points communs entre la Suisse francophone, dont Geneve est la ville le plus importante, et la Siberie centrale, dont Irkutsk, est la capitale. Et pourtant les deux regions, malgre les differences de taille, de densite de la population, de climat, d'economie et de traditions culturelles, sont confrontees au meme probleme: elles sont trop petites et trop limitees pour assurer, avec leurs seuls moyens, leur avenir et elles doivent imperativement s'unir a des villes voisines pour renforcer leur statut de metropole regionale et s'imposer face aux regions et aux pays concurrents.C'est ainsi qu'Irkutsk projette de s'unir aux villes voisines d'Angarsk et de Chelekhov pour constituer une megapole au c?ur de la Siberie, tandis qu'a Geneve le debat fait rage pour trouver des solutions a l'exiguite geographique et a l'insuffisance des moyens face aux grandes regions metropolitaines de France, d'Italie et d'Allemagne.Ce debat est propre a toute la Suisse. Malgre sa petitesse, la Suisse est divisee en 26 cantons. Ces unites administratives sont jugees trop couteuses, trop petites, trop lourdes et trop compliquees pour assurer l'avenir economique et meme politique du pays. De nombreux groupes de reflexion proposent donc de reduire ce nombre a 3, 5 ou 10 grandes provinces selon les cas. En Suisse, romande, il y a dix ans, des mouvements politiques ont meme lance l'idee de fusionner les cantons de Vaud (dont Lausanne est la capitale et de Geneve. Mais l'echec a ete fracassant : le peuple des deux cantons a refuse cette option a 80% des voix. On cherche donc d'autres solutions.Les discussions s'orientent desormais autour de la constitution d'une grande metropole lemanique qui regrouperait les deux grandes villes de Geneve et Lausanne et les villes plus petites de Montreux, Vevey, Nyon ainsi que la ville francaise d

  15. Géopolitique actuelle des Kurdes en Turquie, en Irak et en Iran 

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    Saywan Barzani

    2008-03-01

    Full Text Available Le Kurdistan historique ou la zone de peuplement kurde s’étend sur environ 520 000 Km² mais reste dispersé entre principalement quatre pays voisins : la Turquie au Nord, la Syrie à l’Ouest, l’Irak au Sud et l’Iran à l’Est. La population kurde y est estimée à plus de 35 millions d’habitants. Une partie de cette population a quitté la région suite à une instabilité et à un sous-développement chroniques, et suite aux longues guerres qui durent depuis des décennies. Mais ces zones périphériques e...

  16. Transtornos neurológicos mais frequentes: contribuição para a definição de temas do conteúdo programático do curso de neurologia, para a graduação médica The most frequent neurologic disturbances: a contribution to the definition of topics for the programmatic content to the program of neurology in medical graduation

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    JOÃO ELIEZER FERRI-DE-BARROS

    2000-03-01

    Full Text Available INTRODUÇÃO: O acúmulo de conhecimentos tem sobrecarregado o conteúdo curricular do curso de graduação médica. As escolas médicas devem estar preocupadas em definir um conteúdo temático mínimo, relacionado com os transtornos mais frequentes; buscamos sugerir o conteúdo temático mínimo, para o curso de Neurologia na graduação médica. MÉTODO: 1. Identificamos os locais de trabalho dos médicos jovens, fora do Hospital Escola(HE pela análise de resposta às cartas enviadas a 6415 médicos residentes (MR do Estado de São Paulo e de 201 entrevistas pessoais com MR; 2. Verificamos quais os transtornos neuro-psiquiátricos (TNP mais frequentes na população, através da análise dos registros diagnósticos de pacientes que procuraram o Pronto Socorro (PS de três instituições: Municipal de Taubaté-SP, Municipal de São José dos Campos-SP e Faculdade de Medicina da Santa Casa de Misericórdia de São Paulo-SP. RESULTADOS: 1. Os MR são jovens e, fora do HE, trabalham em PS. 2.Os diagnósticos mais frequentes nas três instituições foram: alcoolismo, cefaléia, coma, demência, desmaio, doença encéfalo-vascular, epilepsia, hemiplegias ou paraplegias, meningite, neuropatia periférica, paralisia facial, tontura, transtornos psíquicos e traumatismo craniencefálico. CONCLUSÃO: Estes diagnósticos mais frequentes são os temas relevantes para o conteúdo programático do curso de Neurologia na graduação médica.INTRODUCTION: Knowledge accumulation is overfilling the thematic content of medical graduation. Medical Schools must be alert to define a minimal content related with the most frequent disturbs. We intent to suggest topics for the minimal content, to the program of Neurology in medical graduation. METHOD: 1. To identify the places where young doctors are working outside the School Hospital (SH: we analysed the answers of the letters sent to 6415 resident - doctors (RD in São Paulo's State and we made personal

  17. Prevalência do diagnóstico de enfermagem: nutrição desequilibrada mais do que as necessidades corporais em gestantes Prevalencia del diagnóstico de enfermería: nutrición desequilibrada más que las necesidades corporales en gestantes Prevalence of the nursing diagnosis, imbalanced nutrition: more than body requirements, in pregnant women

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    Escolástica Rejane Ferreira Moura

    2012-01-01

    Full Text Available OBJETIVO: Identificar a prevalência do Diagnóstico de Enfermagem (DE nutrição desequilibrada: mais do que as necessidades corporais em gestantes e verificar a associação entre o DE e as variáveis sociodemográficas e obstétricas. MÉTODOS: Estudo transversal, descritivo,exploratório, realizado com 146 gestantes atendidas em unidades básicas de saúde de Município da região metropolitana de Fortaleza(Ceará. Os dados foram coletados por meio de formulário durante consulta de enfermagem ao pré-natal. Foram realizados o cálculo do Índice de Massa Corporal e da mensuração da dobra da pele do tríceps. RESULTADOS: O DE em estudo foi determinado em 100 (68,4% gestantes. Verificou-se diferença estatística significativa da idade entre gestantes com e sem o DE (p= 0,001; paridade (p= 0,026 e idade gestacional (p= 0,002. CONCLUSÃO: O DE pesquisado apresentou prevalência marcante nas gestantes pesquisadas, estando associado a fatores evitáveis por ações educativas voltadas ao planejamento familiar, como idade materna e paridade.OBJETIVO: Identificar la prevalencia del Diagnóstico de Enfermería (DE nutrición desequilibrada: más que las necesidades corporales en gestantes y verificar la asociación entre el DE y las variables sociodemográficas y obstétricas. MÉTODOS: Estudio transversal, descriptivo, exploratorio, realizado con 146 gestantes atendidas en unidades básicas de salud del Municipio de la región metropolitana de Fortaleza(Ceará. Los dados fueron recolectados por medio de un formulario durante la consulta de enfermería al prenatal. Fueron realizados el cálculo del Índice de Masa Corporal y de la mensuración del doblez cutáneo del triceps. RESULTADOS: El DE en estudio fue determinado en 100 (68,4% gestantes. Se verificó una diferencia estadística significativa de la edad entre gestantes con y sin el DE (p= 0,001; paridad (p= 0,026 y edad gestacional (p= 0,002. CONCLUSIÓN: El DE investigado presentó marcada

  18. Afecções mais freqüentes do aparelho locomotor dos eqüídeos de tração no município de Belo Horizonte Most frequent pathologies of the locomotor system in equids used for wagon traction in Belo Horizonte

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    R.P.A. Maranhão

    2006-02-01

    Full Text Available Determinaram-se as enfermidades mais comuns do sistema músculo-esquelético dos animais de tração na cidade de Belo Horizonte. Foram utilizados 58 animais (42 eqüinos e 16 muares, sendo 31 machos e 27 fêmeas. O diagnóstico baseou-se no histórico e nos exames físico e radiológico. A freqüência observada para tenossinovite nos membros torácicos e pélvicos foi 55,2%, para tendinite nos membros torácicos, 81,0%, para tendinite nos membros pélvicos, 58,6%, e para desmite do ligamento suspensório nos membros torácicos, 77,6%. Para as lesões osteoarticulares, os resultados foram 13,8%, 12,1%, 27,6% e 12,1% de lesões osteoartríticas para a articulação interfalangeana distal dos membros torácicos e pélvicos e articulação interfalangeana proximal dos membros torácicos e pélvicos, respectivamente. Na articulação metacarpo-falangeana, a incidência foi 41,4% e, nos membros pélvicos, 39,7%. A incidência na articulação cárpica foi 62,1% e, na articulação társica, 96,6%. Os achados dos tecidos moles indicaram sobrecarga nos aparatos flexor e suspensório nesse tipo de atividade. Em ambos os casos, a atividade desenvolvida pelos animais parece ser a principal causa envolvida.The most common conditions of the musculoskeletal system of draft equidae in the city of Belo Horizonte were determined. Fifty-eight animals (42 horses and 16 mules were randomly examined, being 31 males and 27 females. Diagnosis was based on history, clinical and radiological examinations. The frequency observed for tenosynovitis in the fore and hindlimbs was 55.2%, 81.0%, for tendinitis in the forelimbs, 58.6% for tendinitis in the himblimbs, and 77.6% for suspensory ligament desmitis in the forelimbs. The results showed 13.8%, 12.1%, 27.6% and 12.1% of osteoarthritic lesions for distal interphalangeal joint of fore and hindlimbs and proximal interphalangeal joint of fore and hindlimbs, respectively. In the fetlock joints of the forelimbs, the

  19. « Simplifier l’orthographe, oui, mais... ». Attentes, réserves et ambivalences dans les discours d’enseignant.e.s sur ce que serait une « bonne » réforme de l’orthographe française

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    2012-07-01

    des fins de rationalisation (réduction des exceptions, introduction de plus de cohérence dans les sous-systèmes – morphographiques notamment, de facilitation d’usage et d’apprentissage. •L’autre, fortement teintée d’idéologie, est une attitude d’attachement à des aspects symboliques de l’orthographe (étymologiques, esthétiques, moraux, etc.. Cet attachement peut être implicite par un rejet pur et simple de toute réforme ou prendre des formes plus subtiles, notamment des concessions ou des oppositions. Mais il convient de noter que ces deux attitudes ne sont pas mutuellement exclusives l’une de l’autre et qu’elles peuvent au contraire cohabiter sous la forme d’un discours énonçant un désir de simplification et en limitant la portée.

  20. Morbidades e fatores associados em mulheres climatéricas: estudo de base populacional em mulheres com 11 anos ou mais de escolaridade Morbidity and associated factors in climacteric women: a population based study in women with 11 or more years of formal education

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    Vanessa de Souza Santos Machado

    2012-05-01

    Full Text Available OBJETIVO: Avaliar os fatores associados a algumas morbidades em mulheres brasileiras de 40 a 65 anos e com 11 anos ou mais de escolaridade. MÉTODOS: Análise secundária de estudo transversal de base populacional, empregando-se um questionário anônimo e autorrespondido por 377 mulheres. Foram avaliadas, com o uso deste instrumento, algumas morbidades (hipertensão, diabetes, insônia e depressão e fatores sociodemográficos, comportamentais, clínicos e reprodutivos. A associação entre as morbidades e as variáveis independentes foi avaliada por meio do teste do Χ2. Realizou-se a regressão logística múltipla com critério de seleção stepwise para selecionar os principais fatores associados a cada uma das morbidades. RESULTADOS: Na análise múltipla, a insônia esteve associada à autopercepção da saúde péssima/ruim (OR=2,3 e ao nervosismo (OR=5,1. O relato de depressão esteve associado à autopercepção da saúde péssima/ruim (OR=3,7 e ter lazer péssimo/ruim (OR=2,8. A hipertensão apresentou-se relacionada à obesidade (OR=3,1 e a estar na pós-menopausa (OR=2,6. Já diabetes, à idade acima de 50 anos (OR=3,9 e obesidade à (OR=12,5. CONCLUSÕES: A prevalência de morbidades foi alta e pior autopercepção da saúde e obesidade foram os principais fatores associados à presença de morbidades.PURPOSE: To evaluate factors associated with morbidities among Brazilian women aged 40-65 years and with 11 or more years of schooling. METHODS: A secondary analysis of a cross-sectional population-based study was conducted, using an anonymous self-report questionnaire completed by 377 women. Were evaluated, with this instrument, some morbidities (hypertension, diabetes, insomnia and depression and sociodemographic, behavioral, clinical and reproductive factors. The association between morbidities and independent variables was evaluated by the Χ2 test. Multiple logistic regression analysis with stepwise selection criteria was used to

  1. Qual é o tipo de fototerapia mais comumente indicada no tratamento da psoríase?: UVB banda estreita e PUVA: comportamento da prescrição What is the most common phototherapy prescription for psoriasis: NB-UVB or PUVA? Prescription behavior

    Directory of Open Access Journals (Sweden)

    Ida Duarte

    2009-07-01

    Full Text Available FUNDAMENTOS: Formas moderada e grave de psoríase requerem fototerapia e/ou medicações sistêmicas. Tanto UVB banda estreita quanto fototerapia UVA com psoralênicos (PUVA podem ser utilizadas no tratamento dessas formas de psoríase, sendo comprovada a efetividade de ambas as terapias. OBJETIVOS: Avaliar as indicações de dois tipos de fototerapia no tratamento da psoríase refratária à terapia tópica: UVB banda estreita e PUVA. MÉTODOS: Entre janeiro de 2006 e dezembro de 2007, os pacientes encaminhados a dois serviços de fototerapia foram incluídos neste estudo. Dados sobre os casos e tipos de prescrição foram coletados de maneira retrospectiva. RESULTADOS: Dentre os 67 pacientes estudados, 51 (76% foram tratados com UVB banda estreita. As razões para sua indicação foram presença de psoríase em gotas (22%, presença de finas placas (15%, uso de drogas fotossensibilizantes (15%, idade abaixo de 20 anos (9%, fototipo I (9% e doença hepática (6%. Os 16 (24% restantes foram tratados com PUVA. A principal indicação dessa terapia foi gravidade da doença (15%, seguida de fototipo IV (9%. CONCLUSÕES: As prescrições de UVB banda estreita excederam as de PUVA devido ao menor número de contraindicações, menor possibilidade de efeitos colaterais, e ainda por ser uma opção mais prática.BACKGROUND: Moderate and severe forms of psoriasis require phototherapy and / or systemic medications. Both UVA and UVB can be used to treat cases of moderate and severe psoriasis, and the effectiveness of both has been proven. OBJECTIVE: to access the prescription behavior relating to two types of phototherapy for treating psoriasis refractory to topical treatment: narrowband UVB (NB-UVB or psoralen plus UVA phototherapy (PUVA. METHODS: Between January 2006 and December 2007, patients referred to two phototherapy services were included in this study. Data on the cases and on the type of prescription were collected retrospectively. RESULTS

  2. Potencial para implantação da produção mais limpa em sistemas locais de produção: o polo joalheiro de São José do Rio Preto Potential for implantation of cleaner production in local production systems: the jewelry cluster of São José do Rio Preto

    Directory of Open Access Journals (Sweden)

    Rosely Mana Domingues

    2009-12-01

    Full Text Available Os sistemas locais de produção (SLP têm sido foco de políticas e ações nas esferas internacional e nacional voltadas ao desenvolvimento da competitividade da indústria local com base na dinamização de vantagens de aglomeração. Tais ações e políticas apontam os SLP como vetor de dinamismo econômico que favorece o desenvolvimento local, ressaltando o papel de micro e pequenas empresas (MPE organizadas em aglomerações industriais. Porém, verifica-se que, nas análises e nas ações de estruturação e promoção dessas aglomerações, a dimensão ambiental recebe tratamento tangencial. Coloca-se, então, a questão sobre como contemplar a referida dimensão no entendimento e no desenvolvimento dos SLP, incorporando o objetivo de prevenir e reduzir os impactos ambientais negativos oriundos das atividades dessas aglomerações. O artigo tem como objetivo analisar as oportunidades para a integração da dimensão ambiental em um grupo de empresas do Polo Joalheiro de São José do Rio Preto-SP, o segundo maior do Estado de São Paulo em confecção de joias em ouro, participantes de um projeto de competitividade executado pelo Serviço Brasileiro de Apoio às Micro e Pequenas Empresas (SEBRAE. A análise proposta adota a produção mais limpa (P + L como abordagem e ferramenta de gestão ambiental particularmente adequada para empresas de menor porte e podendo convergir com esforços de inovação tecnológica para, desse modo, constituir uma alternativa para a efetivação de melhoria no desempenho ambiental. Por meio de uma pesquisa qualitativa de caráter exploratório, verificou-se que os esforços de atualização tecnológica realizados no polo joalheiro, analisados com base na P + L, permitem a obtenção de benefícios ambientais, econômicos e de saúde e segurança ocupacional a partir da redução no consumo de matérias-primas, água e energia, bem como na geração de resíduos e nas emissões. São identificadas

  3. Método de número mais provável para avaliação de grupos fisiológicos de microrganismos em digestão anaeróbia de água residuária de mandioca / Most probable number method for microorganism physiologic group's evaluation in anaerobic digestion of cassava wastewater

    Directory of Open Access Journals (Sweden)

    Maria Magdalena Ferreira Ribas

    2009-12-01

    Full Text Available ResumoA avaliação da microbiologia anaeróbia é um método caro e muito difícil. Técnicas simples são disponíveis para avaliação de microrganismos de diversos usos como médico, alimentar, ambiental e sistemas anaeróbios para tratamento de efluentes. Uma metodologia desenvolvida foi usada para avaliar a atividade de grupos de microrganismos em digestão anaeróbia com possível aplicação a substratos específicos. A técnica usa gases isentos de oxigênio em frascos tipo penicilina e fechados com tampa de borracha e selo de alumínio, onde foi adicionado um indicador de redução, complementos nutricionais e agentes redutores após a esterilização. O metabolismo dos microrganismos foi observado nesses frascos fechados depois de um período de incubação de quatorze dias pela variação da turbidez, de pH medido em indicador de Arrhenius e de gás capturado em tubos Duran. A técnica do Número Mais Provável (NMP foi usada para contagem de microrganismos em meio de cultivo adaptado para grupos específicos de microrganismos que eram esperados para se desenvolver em água residuária de mandioca com amido e seus hidrolisados (dextrina, maltose e glicose como fonte de energia. Para aferir o método, amostras foram coletadas de um reator acidogênico de mistura completa ligado a um reator metanogênico de leito fixo, ambos alimentados com água residuária de mandioca. O gás capturado nos tubos Duran dos frascos de penicilina foi analisado por cromatografia quanto ao conteúdo de metano. O uso dos meios permitiu separar os microrganismos em três grupos usando meio de cultivo seletivo: Meio Mínimo (MM sem substratos orgânicos, Meio Completo (MC com uma mistura de amido de mandioca e seus hidrolisados e Meio Diferencial (MD usando cada derivado de amido isoladamente. O sistema de tratamento anaeróbio no período analisado operou com um bom desempenho e a microbiologia confirmou estes resultados. No efluente do reator acidog

  4. The use and evolution of the CEA research reactors; Utilisation et evolution des reacteurs de recherche du C.E.A

    Energy Technology Data Exchange (ETDEWEB)

    Rossillon, F; Chauvez, C [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    reacteurs en montrant ce qu'a ete jusqu'a present leur utilisation, et comment certaines modifications ont permis de les adapter a l'evolution des programmes. Ils precisent egalement les raisons qui ont conduit a l'elaboration du projet de la nouvelle pile OSIRIS, La pile ZOE, la plus ancienne du CEA, est en service au Centre de Fontenay-aux-Roses depuis 1948. Elle est principalement utilisee pour les mesures de section efficace d'absorption du graphite, et pour diverses irradiations de courte duree ne necessitant que des flux peu eleves. La Pile EL2, en service depuis 1952, a permis les premieres etudes liees au refroidissement par gaz. Elle a ete tres utilisee pour la production des radioisotopes et pour de nombreuses experiences de physique, de metallurgie et de physico-chimie - le vieillissement de certaines parties du reacteur a conduit a decider l'arret prochain de cette installation. La Pile EL. 3 a ete tres utilisee pour les experiences de physique et pour l'etude des combustibles. L'adoption d'une nouvelle structure pour le coeur (solution 'Cristal de neige') va permettre d'accroitre considerablement les possibilites de la pile pour les irradiations en neutrons rapides. La pile TRITON-I, piscine de 2 MW, est surtout utilisee pour les irradiations en neutrons rapides et en gamma. Certaines modifications, actuellement en cours, permettront d'accroitre la puissance du reacteur jusqu'a 4 ou 5 MW. Dans un compartiment voisin de TRITON-I est implantee la Pile TRITON-II, de meme structure generale, mais dont la puissance maximum est de 100 kW. TRITON-II est utilisee exclusivement pour les etudes de protections. MELUSINE, pile piscine de 2 MW est en fonctionnement au Centre d'Etudes Nucleaires de Grenoble depuis 1959. Elle a permis l'execution d'un programme important concernant surtout la physique du solide, l'etude fondamentale de combustibles refractaires et de graphites speciaux, et l'etude du comportement des liquides organiques sous radiations. Les installations de

  5. Breastfeeding up to two years of age or beyond and its influence on child growth and development: a systematic review Lactancia materna por dos o más años y su influencia en el crecimiento y desarrollo infantil: una revisión sistemática Aleitamento materno por dois anos ou mais e sua influência no crescimento e desenvolvimento infantil: uma revisão sistemática

    Directory of Open Access Journals (Sweden)

    Carlos Delgado

    2013-02-01

    ás sobre el crecimiento presentaron resultados contradictorios. No se encontró asociación con el desarrollo infantil. Se concluye que las evidencias de efectos a medio plazo de la lactancia materna durante dos o más años son escasas y contradictorias. Se requieren estudios adicionales sobre esta práctica.Foi realizada uma revisão sistemática para estudar a prevalência mundial de lactância materna por dois anos ou mais, e seus efeitos sobre o crescimento e desenvolvimento infantil. Foram consultadas as bases MEDLINE e LILACS sem restrições de idioma ou tempo, obtendo-se 3.561 títulos. Foram lidos todos os títulos, 453 resumos e 49 artigos. Os artigos com lactância materna ≥ 2 anos foram incluídos. A análise foi realizada com 19 artigos que cumpriram os critérios de inclusão. Calculou-se uma prevalência combinada de lactância materna aos dois anos de idade de 33% (IC95%: 0,23-0,42. Observou-se uma tendência crescente de lactância materna por dois anos ou mais nas últimas décadas no sul da Ásia. Os seis estudos que analisaram os efeitos da lactância materna por dois anos ou mais sobre o crescimento apresentaram resultados contraditórios. Não encontramos associação com o desenvolvimento infantil. Conclui-se que as evidências de efeitos a médio prazo da lactância materna por dois anos ou mais são escassas e contraditórias. Requerem-se estudos adicionais sobre essa prática.

  6. Le paludisme, le tsunami silencieux d'Afrique | CRDI - Centre de ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    12 janv. 2011 ... Dans un élan de compassion fort justifié, le monde s'est porté au secours des victimes du tsunami qui a touché récemment la région de l'océan Indien. Mais il ignore qu'un « tsunami silencieux », le paludisme, s'abat sans cesse sur l'Afrique et y fait chaque année plus de 1,5 million de victimes, surtout de ...

  7. 48. Le pavillon Liliane de Stewart

    OpenAIRE

    Cameron, Christina; Déom, Claudine; Valois, Nicole

    2018-01-01

    Le pavillon Liliane de Stewart Le pavillon Liliane de Stewart est situé à l’arrière du pavillon Marguerite-d’Youville, qui lui est mitoyen. Il en constitue en quelque sorte un agrandissement, mais il s’en différencie par son plus petit volume (trois étages). Les deux pavillons partagent quelques caractéristiques architecturales, dont le plan angulaire et le revêtement de brique chamois. Le pavillon Liliane de Stewart se distingue cependant par sa fenestration, surtout celle de la façade avant...

  8. Η εικόνα του Κρούμου: Εικόνα των «κακοφρόνων» Βουλγάρων

    OpenAIRE

    ΝΙΚΟΛΑΟΥ, Κατερίνα

    1996-01-01

    Catherine  NicolaouL'image de Kroum: Une image des Bulgares «malveillants» Dans les récits des chroniqueurs et des historiens byzantins, le prince bulgare Kroum (803 ?-814) est esquissé avec des couleurs sombres: il est appelle violent, cruel, rude, orgueilleux et arrogant, perfide, mais aussi lâche.Dans cette étude nous nous sommes posé la question si chacune de ces caractéristiques rend fidèlement la réalité et, surtout, jusqu'à quel point elles concernent exclusivement Kroum. L'étude des s...

  9. Les poissons de Guyane

    OpenAIRE

    Ifremer

    1992-01-01

    Vous trouverez dans ce document les 24 poissons les plus courants de Guyane (sur un nombre d'espèces approchant les 200) avec leurs principales caractéristiques, leurs noms scientifiques, français, anglais et espagnol et leurs photographies. Ils sont classés, de l'acoupa au vivaneau ti yeux, par ordre alphabétique. Si vous ne trouvez pas de chiffres sur la production de telle ou telle espèce, c'est parce qu'ils n'existent pas, mais aussi et surtout parce qu'ils ne signifieraient rien, l...

  10. Entrepreneurs, État et citoyenneté.Le cas de la Tunisie

    OpenAIRE

    Nabli, Rabah

    2013-01-01

    Aujourd’hui, de nombreux observateurs et chercheurs vigilants s’accordent à affirmer le caractère non parasitaire des entrepreneurs tunisiens, quelle que soit leur région d’origine. Mais une question continue d’être posée: pourrons-nous aussi affirmer avec la même certitude qu’en dépit de leurs faiblesses structurelles, les entrepreneurs tunisiens et surtout les plus jeunes d’entre eux, sont en voie de se constituer en une force sociale disposant d’un poids politique leur permettant de dicter...

  11. Le paludisme, le tsunami silencieux d'Afrique | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    12 janv. 2011 ... Dans un élan de compassion fort justifié, le monde s'est porté au secours des victimes du tsunami qui a touché récemment la région de l'océan Indien. Mais il ignore qu'un « tsunami silencieux », le paludisme, s'abat sans cesse sur l'Afrique et y fait chaque année plus de 1,5 million de victimes, surtout de ...

  12. Wistrand Robinson Lila, Eight Years in the Amazon Headwaters. My Life in Three Peruvian Tribes

    OpenAIRE

    Erikson, Philippe

    2014-01-01

    Lila Wistrand de Robinson, ancienne membre du Summer Institute of Linguistics (SIL) bien connue des spécialistes de l’ethnologie et de la linguistique ouest-amazoniennes, nous livre ici le récit des années qu’elle a passées sur le terrain au Pérou, entre 1956 et 1965, chez les Shapra, les Aguaruna et (surtout) les Cashibo-Cacataibo. L’ouvrage est illustré de nombreuses photos noir et blanc, d’un charme sans doute désuet, mais d’une indéniable valeur documentaire. Eight years… contient une qua...

  13. Imagerie multiphotonique de la sérotonine par contraste endogène : vers un outil pour évaluer la concentration de la sérotonine in vivo

    OpenAIRE

    Samson, Karen

    2012-01-01

    La sérotonine (5-HT) est un neurotransmetteur régulant plusieurs fonctions fondamentales du corps : la thermorégulation, le comportement sexuel et alimentaire, le cycle éveil-sommeil, la perception de la douleur, l'anxiété, le contrôle moteur, mais elle est surtout connue pour le contrôle de l'humeur. Le manque de sérotonine dans le système nerveux central est associé aux maladies mentales. Ces maladies sont la dépression, le trouble bipolaire, l’anxiété, le trouble de panique, les phobies, l...

  14. Case Series of HIV Infection-Associated Arteriopathy: Diagnosis, Management, and Outcome Over a 5-Year period at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University.

    Science.gov (United States)

    Orrapin, Saritphat; Reanpang, Termpong; Orrapin, Saranat; Arwon, Supapong; Kattipathanapong, Thanate; Lekwanavijit, Suree; Rerkasem, Kittipan

    2015-09-01

    Patients infected with human immunodeficiency virus (HIV) can present with 4 pathology types: drug-induced vasospasm (ergotism), arterial limb ischemia, critical limb ischemia, and aneurysm. Although these problems are common vascular problems, they result in increased morbidity and mortality in HIV-infected patients, especially aneurysm. Patients with these problems tend to be diagnosed with difficulty because of atypical symptoms and signs. Because of lack of data in treatment outcome literature, our report explores and provides information on HIV infection-related arteriopathy. There were 17 patients in our 5-year review. There was no death in patients except the aneurysm type. The survival of aneurysm patients was significantly lower than from other pathologies (P = .003). Our case series showed good short-term outcome, and patients were not at risk for less beneficial surgical procedures. © The Author(s) 2015.

  15. Intervenções de enfermagem nas complicações mais freqüentes durante a sessão de hemodiálise: revisão da literatura Intervenciones de enfermería en las complicaciones más frecuentes durante la sesión de hemodialisis: revisión de la literatura Nursing interventions for the most frequent complications during hemodialysis procedure: literature review

    Directory of Open Access Journals (Sweden)

    Cristiano Dias Nascimento

    2005-12-01

    Full Text Available O procedimento hemodialítico tem complicações potenciais e o enfermeiro deve estar apto a intervir em tais complicações. Considerando este contexto, este artigo tem como objetivo descrever as complicações mais freqüentes relacionadas à hemodiálise e as intervenções de enfermagem a elas relacionadas. Esta revisão de literatura consiste em pesquisa as Bases de Dados, LILACS, BEDENF E MEDLINE, utilizando descritores pertinentes. Os resultados demonstraram que as complicações que oco