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BACKGROUND: Evidence indicates that inflammation in Inflammatory Bowel Disease (IBD) is associated with increased systemic levels of reactive oxygen species. Systemic oxidative stress has been associated with reduced levels of plasma thiols. Less invasive tests capable of reflecting and predicting IBD activity are increasingly sought after. We sought to systematically review the evidence inherent in serum thiol levels as a marker of Crohn's Disease and Ulcerative Colitis activity (PROSPERO: CRD42021255521). METHODS: The highest quality documents for systematic reviews standards were used as reference. Articles were searched on Medline via PubMed, VHL, LILACS, WOS, EMBASE, SCOPUS, COCHRANE, CINAHL, OVID, CTGOV, WHO/ICTRP, OPENGREY, BDTD and CAPES, between August, 03 and September, 03 on 2021. Descriptors were defined according to the Medical Subject Heading. Of the 11 articles selected for full reading, 8 were included in the review. It was not possible to perform a pooled analysis of the studies, as there were no combinable studies between subjects with active IBD and controls/inactive disease. RESULTS: Findings from the individual studies included in this review suggest an association between disease activity and systemic oxidation, as measured by serum thiol levels, however, there are limitations that preclude weighting the study results in a meta-analysis. CONCLUSIONS: We recommend conducting better-designed and controlled studies, that include individuals of both phenotypes and at different stages of IBD, involving a larger number of participants, using the standardization of the technique for measuring serum thiols, to confirm whether thiols can be a good parameter for monitoring the clinical course of these intestinal diseases and the degree of clinical applicability.

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Paraphrenia is a chronic psychotic disorder characterized by a strong delusional component with preservation of thought and personality. It was first introduced as a disorder associated with paranoid dementia and paranoia, but with less personality deterioration than schizophrenia and without fulfilling the clinical features of a delusional disorder. This classic diagnostic entity is not currently listed in main diagnostic systems, rendering delusional disorders difficult to classify in cases that resemble the concept of paraphrenia. We revisit the concept of paraphrenia through a critical review based on a clinical vignette of a patient followed at the psychiatry department of the University Hospital Center of São João.

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INTRODUCTION: Gender dysphoria (GD) is a condition in which the individual's gender identity does not correspond to their biological sex, causing significant distress. Biological males who identify as females are referred to as transgender females or as showing male-to-female GD (MtF GD) and biological females who identify as males are referred to as transgender males or as showing female-to-male GD (FtM GD). In our center, there is a multidisciplinary consultation to approach and follow patients with GD. AIM: We aimed to analyze the characteristics of the individuals who attend this consultation. METHODS: Retrospective study of individuals attending the Sexual Medicine Group Consultation. Age, comorbidities, symptom onset, and hormonal and surgical treatment were analyzed. RESULTS: In total, 114 patients were diagnosed with GD: 68.4% FtM GD and 31.6% MtF GD. Median age was 30.2±12years. Among the patients, 63.2% reported symptom onset in childhood: 14.9% between 10 and 18years, and 4.4% later than 18years. Median age at treatment initiation was 23.1±7.1years. Several individuals had concomitant medical conditions, notably smoking (n=37; 32.5%) and depression (n=26; 22.3%). The majority of (92.3% FtM GD and 88.9% MtF GD) were under hormone treatment, and about one-third had undergone some sex reassignment surgery. DISCUSSION: We found higher prevalence of FtM than MtF, in contrast with most other studies. The reasons for this are not clear. A high percentage of our patients were self-medicated. Other characteristics were similar to those previously reported. CONCLUSION: Medical requests by individuals with GD are increasing worldwide. To our knowledge, this is the first study to portray a case series in a consultation center dedicated to the diagnosis, treatment and follow-up of individuals with GD in Portugal.

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O presente estudo teve como objetivo analisar se a Compreensão de Textos Literários e Científicos de uma amostra de alunos do Ensino Médio contribuiu para o Desempenho Acadêmico desses alunos em disciplinas que não apenas de linguagem. Participaram dessa pesquisa 75 estudantes do Ensino Médio de uma escola Pública do Estado do Rio de Janeiro. A média de idade foi de 17,07 anos (DP = 0,74). A compreensão de leitura científica foi avaliada com dois pequenos textos seguidos de perguntas de múltipla escolha, o teste de Compreensão de leitura literária foi um teste de Cloze, a inteligência geral foi avaliada pelas Matrizes Progressivas de Raven e a avaliação de desempenho escolar foi calculada pela média do Coeficiente de Rendimento dos alunos. Análises de regressão mostraram que a Compreensão de Leitura de Textos Científicos contribuiu para o desempenho acadêmico medido pelo coeficiente de rendimento médio, mesmo depois de controlado a inteligência não verbal. Os resultados corroboram com estudos que apontam a importância da compreensão de texto para o sucesso acadêmico em todo o ciclo escolar. (AU)

The present study aimed to analyze whether high school students' Comprehension of Literary and Scientific Texts out of a sample of High School students is associated with the academic performance in subject matters not related to language specifically. Seventy-five high school students from a public school in the state of Rio de Janeiro participated in this research. The mean age was 17.07 years (SD = 0.74). Scientific reading comprehension was assessed with two small texts followed by multiple choice questions, the literally reading comprehension was followed by a Cloze test, overall score was assessed using Raven Progressive Matrices and the mean grade score from the students was a measure of their school performance. Regression analyzes showed that Reading Comprehension of Scientific Texts contributed to academic performance measured by the mean score of grades even after controlling for nonverbal intelligence. The results corroborate studies that point out the importance of text comprehension for academic success throughout the school cycle. (AU)

Este estudio tuvo como objetivo analizar si la comprensión de los textos literarios y científicos de una muestra de estudiantes de secundaria contribuyó con el desempeño académico de estos alumnos en asignaturas además de las de lenguaje. Setenta y cinco estudiantes de secundaria de una escuela pública en el estado de Río de Janeiro participaron en esta investigación. La edad promedio fue de 17.07 años (DE = 0.74). La comprensión lectora científica se evaluó con dos textos pequeños seguidos de preguntas de opción múltiple, la prueba de comprensión lectora literaria fue una prueba Cloze, la inteligencia general se evaluó mediante las Matrices Progresivas de Raven y la evaluación del desempeño escolar se calculó mediante promedio del coeficiente de desempeño de los estudiantes. Los análisis de regresión mostraron que la comprensión lectora de textos científicos contribuyó al rendimiento académico medido por el coeficiente de rendimiento promedio, incluso después de controlar la inteligencia no verbal. Los resultados corroboran con estudios que señalan la importancia de la comprensión de textos para el éxito académico a lo largo del ciclo escolar. (AU)

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O presente estudo teve como objetivo investigar o nível de compreensão de texto em estudantes universitários e sua relação com o desempenho acadêmico. Participaram da pesquisa 161 estudantes universitários dos cursos de Pedagogia e Serviço Social de uma Universidade Federal do estado do Rio de Janeiro. Foram utilizados três instrumentos: Questionário Sócio Demográfico e Histórico Escolar (CR), Teste Cloze de Compreensão de Leitura e Matrizes Progressivas do Raven Geral –MPR. Os resultados evidenciaram que há correlação estatisticamente significativa entre compreensão de texto e desempenho acadêmico de estudantes universitários, mostraram também para esta amostra que não há diferença no nível de compreensão de texto em comparações entre cotistas e não cotistas, ou seja, estudantes que ingressaram por sistemas de cotas em relação ao grupo que entrou pelo sistema regular. De um modo geral, esses resultados corroboram com os já encontrados na literatura e expandem esse conhecimento para uma amostra ainda não estudada nessas condições que é a de estudantes ingressantes pelo sistema de cotas.(AU)

The present study had as purpose investigating the level of text comprehension of university students and its relationship with academic performance. To the execution of this study, 161 students have participated of the Pedagogy and Social Service of a Federal University of the state of Rio de Janeiro. There have been used three devices: Socio demographic Survey and academic records (CR), Cloze Test of Reading Comprehension and Progressive Matrices of General Raven –MPR. The results have evidenced that there is a correlation statistically significative between text comprehension and academic performance of university students, also showed that, in this sample, there is no difference on the comprehension level in students that have entered through quota system in relation to the groups that have entered through regular system. Altogether, these results corroborate the ones found in literature and expand this knowledge to a sample never studied on the conditions of students that have entered through the quota system.(AU)

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The objective of this study was to systematically review the literature to verify the efficacy and safety of curcumin as a complementary therapy for the maintenance or induction of remission in patients with inflammatory bowel disease (IBD). A comprehensive search was conducted by two independent authors in MEDLINE (PubMed), Scopus, Web of Science, the Cochrane Library, Lilacs, Food Science and Technology Abstracts, and ScienceDirect. The search terms "curcumin", "curcuma", "inflammatory bowel disease", "proctocolitis", "crohn disease", and "inflammation" were combined to create search protocols. This study considered randomized controlled trials (RCTs) published in any language before March 2020 that evaluated the effects of curcumin on inflammatory activity and the maintenance or remission of IBD patients. After duplicates were removed, 989 trials were identified, but only 11 met the eligibility criteria. Five of these were considered to be biased and were excluded. Therefore, six trials were considered in this review. All the studies included in the systematic review were placebo-controlled RCTs conducted on individuals with ulcerative colitis (UC). All the RCTs reported that curcumin was well tolerated and was not associated with any serious side effects. Studies show that curcumin may be a safe, effective therapy for maintaining remission in UC when administered with standard treatments. However, the same cannot be stated for Crohn's disease due to the lack of low bias risk studies. Further studies with larger sample sizes are needed before curcumin can be recommended as a complementary therapy for UC.

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Coconut oil appears to help in weight loss and improve metabolic parameters associated with obesity. We evaluate the influence of coconut oil on the body composition, lipid profile and glycemia in men with obesity. A controlled, randomized clinical trial was performed with 29 adult men affected by obesity. They were randomized between two groups receiving a daily intake of 1 tablespoon (12 mL) of extra virgin coconut oil (CO, n = 15) or soybean oil (SO, n = 14), and an isoenergetic balanced diet. The anthropometric profile, lipid profile and glycaemia were evaluated at the baseline and 45 days after intervention. The Mann-Whitney test was performed to compare the groups, and the Wilcoxon test was performed to compare the times. We considered a value of p < 0.05 as significant. There was no difference in anthropometric variables between the groups before and after intervention. The level of HDL cholesterol increased (3.67 ± 8.08 versus-3.79 ± 10.98, p = 0.02) and the TC/HDL cholesterol ratio decreased (-0.63 ± 0.82 versus 0.23 ± 0.80, p = 0.03) in the CO group, compared to the SO group. Coconut oil included in the isoenergetic balanced diet could increase HDL cholesterol and decrease the TC/HDL cholesterol ratio in men with obesity.

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Estudos têm demonstrado que a motivação para aprender está associada ao bom desempenho acadêmico. O presente estudo objetivou investigar se há diferenças na motivação para aprender entre os cursos de Fisioterapia, Educação Física e Enfermagem, e a influência do estágio supervisionado. Participaram deste estudo 500 universitários de ambos os sexos, entre 18 e 58 anos (m = 26,43; dp = 6,97), do primeiro ao décimo período, sendo que 279 (55,8%) já haviam realizado estágio curricular. A coleta de dados foi realizada por meio da Escala de Avaliação da Motivação para Aprender de Alunos Universitários. Os resultados mostraram que alunos dos cursos de Enfermagem e Fisioterapia eram mais motivados que os de Educação Física. Em nenhum dos cursos foram encontradas diferenças de motivação entre sexo masculino e feminino. A análise que comparou os alunos que fizeram estágio e não fizeram estágio também não foi significativa. (AU)

Studies have shown that motivation to learn is associated to good academic performance. Our goal was to investigate differences in learning motivation among the courses of physiotherapy, physical education, and nursery, and the influence of a supervised internship. Participants included 500 university students of both sexes, aged between 18 and 58 years (M = 26.43; SD =6.97), from the first to the tenth period, of which 279 (55.8%) had already completed a curricular internship. Data collection was conducted with the Scale for evaluation of motivation lo learn of university students. Results showed that the nursery and physiotherapy students were more motivated than those of physical education courses. No differences in motivation were not found between men and women in any of the courses. The analysis that compared the students who completed an internship and those who did not, showed no relevant significance. (AU)

Los estudios han demostrado que la motivación para aprender está asociada a un buen desempeño académico. El objetivo de este estudio fue investigar si hay diferencias de motivación entre los cursos de fisioterapia, educación física y enfermería, y la influencia de las pasantías supervisadas. Participaron en este estudio 500 estudiantes universitarios de ambos sexos, entre 18 y 58 años (m = 26,43; de = 6, 97), del primer al décimo período, y 279 (55,8%) ya habían realizado esas pasantías supervisadas. La recopilación de datos se llevó a cabo a través de la Escala de Evaluación de Motivación para aprender de los Alumnos Universitarios. Los resultados mostraron que los alumnos de los cursos de enfermería y fisioterapia estaban más motivados que los de educación física. En ninguno de los cursos se encontraron diferencias de motivación por causa del sexo. El análisis que comparó a los estudiantes que hicieron pasantías supervisadas y los que no hicieron tampoco fue significativo. (AU)

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Neste estudo, investigou-se o papel do Home Literacy Environment e da Educação Infantil no desenvolvimento dos precursores da alfabetização: consciência fonológica e conhecimento de letras. Participaram da pesquisa 53 estudantes do 1º ano de escolas municipais de nível socioeconômico baixo e seus cuidadores, sendo analisadas: 1) as relações entre Home Literacy Environment e os precursores, por meio de correlações de Pearson, as quais não foram significativas; 2) a contribuição da Educação Infantil no desenvolvimento dos precursores, medida por meio de Testes t, comparando-se as diferenças entre os grupos 0 (pouca experiência) e 1 (com experiência em Educação Infantil), onde se obteve correlações significativas entre o conhecimento das letras e Consciência Fonológica. Esses dados sugerem que o Home Literacy Environment dessas crianças pode ser insuficiente para o desenvolvimento desses preditores, e, portanto, cursar a Educação Infantil influencia a alfabetização.(AU)

In this study the role of Home Literacy Environment and Childhood Education in the development of literacy precursors was investigated: Phonological Awareness and knowledge of letters. 53 students of the 1st Year of municipal schools of low socioeconomic level and their caregivers took part in he research, there were analyzed: 1) the relation between Home Literacy Environment and the precursors through Pearson correlations; 2) the contribution of Childhood Education to the development of literacy precursors. The results of mean's comparisons with t-test shows significant differences between groups with little experience and with experience in Pre-school Child Education for Phonological Awareness and letter knowledge. Pearson correlations were not significant. The data analysis suggests that environment of these children may be insufficient for the development of these predictors, and therefore attending Early Childhood Education influences literacy.(AU)

Este estudio investigó el papel del Home Literacy Environment y la educación de la primera infancia en el desarrollo de los precursores de la alfabetización: Consciencia Fonological y el conocimiento de las letras. Participaron en la investigación, 53 estudiantes del primero año de escuelas municipales de bajo nivel socioeconómico y sus cuidadores, siendo analizados: : 1) las relaciones entre del Home Literacy Environment y los precursores, por medio de correlaciones de Pearson, el que no eran significativas; 2) la contribución de la educación de la primera infancia en el desarrollo de precursores, medido a través de pruebas t, comparando las diferencias entre los grupos 0 (poca experiencia) y 1 (con experiencia en educación infantil), donde obtuvimos correlaciones significativas entre el Conocimiento de las letras y la conciencia fonológica. Estos datos sugieren que el ambiente de alfabetización en la casa (Home Literacy) de estos niños puede ser insuficiente para el desarrollo de estos predictores, y por lo tanto para asistir a la educación de la primera infancia influye en la alfabetización.(AU)

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BACKGROUND: Chikungunya virus (CHIKV) infection is an acute febrile illness with polyarthralgia and arthritis. There are few data about CHIKV infection in kidney transplant recipients (KTR). We report the largest case series of CHIKV infection in this population. METHODS: We retrospectively analyzed 32 cases of CHIKV infection in KTR between January 2016 and December 2017 at Hospital Universitário Walter Cantídio of Federal University of Ceará. RESULTS: All patients had been in endemic areas before the beginning of the symptoms. All presented arthralgia, 15 (46.9%) with joint inflammatory symptoms and 14 (43.8%) evolved to chronic arthralgia. Seven (21.9%) showed acute kidney injury (AKI) by Kidney Disease: Improving Global Outcomes criteria during the acute phase. Acute kidney injury was not related to prednisone use (odds ratio [OR], 0.3; 95% confidence interval [CI], 0.04-2.61, P = 0.3) nor chronic arthralgia (OR, 1.2; 95% CI, 0.2-8.4, P = 0.8) as well as male sex, chronic kidney disease and older than 60 years (OR, 1.7; 95% CI, 0.3-10.3, P = 0.58; OR, 0.4; 95% CI, 0.1-2.7, P = 0.4; and OR, 2.1; 95% CI, 0.3-14.9, P = 0.45, respectively). Hospitalization was associated to AKI (OR, 44.0; 95% CI, 3.8-503.1; P = 0.002), probably due to diarrhea or dehydration. One patient died throughout the study, possibly unassociated with CHIKV infection. CONCLUSIONS: KTR with CHIKV infection have a clinical presentation and evolution similar to those seen in the general population. Kidney function is generally well preserved, with transitory graft dysfunction without negative impact after 3 months from the beginning of the symptoms. Previous costicosteroids use did not relate with AKI or chronic arthralgia.

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O presente artigo faz uma revisão sistemática da literatura sobre o construto empatia com o objetivo de analisar as publicações neste tema em relação: (a) quantitativo de publicações por ano; (b) áreas das publicações; (c) tipo de estudo empírico; (d) instrumentos mais utilizados nas pesquisas empíricas. Realiza-se esta revisão na literatura nacional utilizando um Programa de busca nos sites acadêmicos no período de 2007 a 2017. A justificativa pela literatura nacional foi para identificar os estudos sobre o construto empatia, as áreas e, os instrumentos mais utilizados em nosso contexto, sendo estes brasileiros ou adaptados para nossa cultura. Os resultados apontaram que o tema “empatia” tem sido investigado em diversos campos e áreas de estudos tais como: psicologia, medicina, enfermagem, odontologia, fisioterapia, fonoaudiologia, educação, engenharia de produção. A maior frequência dos estudos encontra-se na área da psicologia, com uma forte tendência a validação de escala para nossa cultura e na área da saúde.

The article presents a systematic review of the construct empathy, with the objective of analyzing the publications in this topic in relation to: (a) number of publications per year; (b) areas of publications; (c) kind of study empirical; (d) most used instruments at empirical research. We made a research in the national literature using a search Program in academic sites at the period of 2007 to 2017. We chose the national literature to identify the studies about empathy, the areas, and the instruments most frequently used in our context, being them Brazilian or adapted to our culture. The results appointed that the topic “empathy” have been investigated in several fields and areas of study, such as psychology, medicine, nursing, dentistry, physiotherapy, speech therapy, education, production engineering. We found the biggest frequency of studies at psychology area, with a strong validation trend of scale to our culture and health area.

El presente artículo hace una revisión sistemática de la literatura sobre el constructo empatía con el objetivo de analizar las publicaciones en este tema en relación a: (a) cuantitativo de publicaciones por año; (b) áreas de publicaciones; (c) tipo de estudio, empírico; (d) instrumentos más utilizados en las investigaciones empíricas. Se realiza esta revisión en la literatura nacional utilizando un Programa de búsqueda en los sitios académicos en el período de 2007 a 2017. La justificación por la literatura nacional fue identificar los estudios sobre el constructo empatía, las áreas y los instrumentos más utilizados en nuestro contexto, siendo estos brasileños o adaptados para nuestra cultura. Los resultados apuntaron que el tema "empatía" ha sido investigado en diversos campos y áreas de estudios tales como: psicología, medicina, enfermería, odontología, fisioterapía, fonoaudiología, educación, ingeniería de producción. La mayor frecuencia de los estudios se encuentra en el área de la psicología, con una fuerte tendencia a validación de escala para nuestra cultura, y en el área de la salud.

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Este estudo investigou a contribuição única da consciência morfológica em palavras com diferentes regras ortográficas no português do Brasil. Participaram do estudo 114 crianças do 2º e 4º ano do Ensino Fundamental de uma escola pública. As crianças foram avaliadas quanto ao seu conhecimento ortográfico por meio de um ditado de palavras com diferentes dificuldades ortográficas (regras contextuais, morfológicas e palavras irregulares), consciência fonológica, consciência morfológica e inteligência (verbal e não verbal). Os resultados mostraram que, para ortografia de palavras com regras contextuais, morfológicas e irregulares, a consciência morfológica tem uma contribuição pequena, mas independente da consciência fonológica. A contribuição da consciência fonológica foi maior nas palavras contextuais e morfológicas. Nas palavras com ortografias irregulares, a contribuição da consciência morfológica foi maior do que a fonológica. Esses resultados sugerem que o conhecimento explícito das unidades mínimas de significado na palavra pode ser uma habilidade chave para o desenvolvimento da ortografia.(AU)

This study investigates the unique contribution of morphological awareness in the different spellings of the Portuguese in Brazil. The study included 114 children of 2 and 4 years of elementary education at a public school. The children were evaluated on orthographic knowledge measure by spelling test with different orthographic difficulties, phonological awareness, morphological awareness, verbal and nonverbal cognitive abilities. The results showed that morphological awareness has a small but independent contribution of phonological awareness for spelling words with contextual, morphological and irregular rules. The influence of phonological awareness was higher in contextual and morphological words. In the words with irregular spellings, morphological awareness of the contribution was higher than the phonological awareness. These results suggest that awareness of minimum units of meaning in the word can be a key skill for the spelling development.(AU)

Este estudio investigó la contribución única de la conciencia morfológica en palabras con diferentes reglas ortográficas en el portugués de Brasil. El estudio incluyó a 114 niños de 2 y 4 años de educación primaria en una escuela pública. Los niños fueron evaluados en cuanto a su conocimiento ortográfico por medio de un dictado de palabras con diferentes dificultades ortográficas (reglas contextuales, morfológicas y palabras irregulares), conciencia fonológica, conciencia morfológica e inteligencia (verbal y no verbal). Los resultados mostraron que la conciencia morfológica tiene una pequeña contribución más independiente de la conciencia fonológica de las palabras de ortografía contextuales y reglas morfológicas irregulares. El influencia de la conciencia fonológica fue mayor en palabras contextuales y morfológicos. En las palabras con ortografía irregular conciencia morfológica de la contribución era más alta que la conciencia fonológica. Estos resultados sugieren que el conocimiento explícito de las unidades mínimas de significado en la palabra puede ser una habilidad clave para el desarrollo de la ortografía.(AU)

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OBJECTIVE: The role of bone markers on insulin resistance (IR) remains controversial. The objective of this study is to evaluate the association between bone mineral density (BMD) and glucose metabolism and investigate if visceral hyperadiposity, evaluated by waist circumference (WC), is an effect modifier of this association. SUBJECTS AND METHODS: Cross-sectional analysis with 468 young adults from the fourth follow-up of the 1978/79 Ribeirão Preto prospective birth cohort, Brazil. BMD, total osteocalcin (OC), fasting plasma glucose and insulin concentrations were assessed. IR, sensitivity (S) and secretion (ß) were estimated by homeostasis model assessment (HOMA) indexes. Multiple linear regression models were constructed to estimate the association between BMD and glucose metabolism. Beta coefficient, R2 and p-values were provided. WC was tested as an effect modifier and OC as a confounder. The covariates were selected based on Direct Acyclic Graph. RESULTS: Significant interaction between BMD (femoral neck and proximal femur areas) and WC on glucose metabolism was observed in the adjusted models. Subjects with increased WC presented a positive association between BMD and log HOMA1-IR while an inverse association was found in those with normal WC (femoral neck R2 = 0.17, p = 0.036; proximal femur R2 = 0.16, p = 0.086). BMD was negatively associated with log HOMA2-S in individuals with increased WC and positively in those with normal WC (femoral neck R2 = 0.16, p = 0.042; proximal femur R2 = 0.15, p = 0.097). No significant associations between BMD, log HOMA2-ß and OC and glucose metabolism markers were observed. CONCLUSIONS: BMD was associated with glucose metabolism, independently of OC, and WC modifies this association.

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ABSTRACT Objective: The role of bone markers on insulin resistance (IR) remains controversial. The objective of this study is to evaluate the association between bone mineral density (BMD) and glucose metabolism and investigate if visceral hyperadiposity, evaluated by waist circumference (WC), is an effect modifier of this association. Subjects and methods: Cross-sectional analysis with 468 young adults from the fourth follow-up of the 1978/79 Ribeirão Preto prospective birth cohort, Brazil. BMD, total osteocalcin (OC), fasting plasma glucose and insulin concentrations were assessed. IR, sensitivity (S) and secretion (β) were estimated by homeostasis model assessment (HOMA) indexes. Multiple linear regression models were constructed to estimate the association between BMD and glucose metabolism. Beta coefficient, R2 and p-values were provided. WC was tested as an effect modifier and OC as a confounder. The covariates were selected based on Direct Acyclic Graph. Results: Significant interaction between BMD (femoral neck and proximal femur areas) and WC on glucose metabolism was observed in the adjusted models. Subjects with increased WC presented a positive association between BMD and log HOMA1-IR while an inverse association was found in those with normal WC (femoral neck R2 = 0.17, p = 0.036; proximal femur R2 = 0.16, p = 0.086). BMD was negatively associated with log HOMA2-S in individuals with increased WC and positively in those with normal WC (femoral neck R2 = 0.16, p = 0.042; proximal femur R2 = 0.15, p = 0.097). No significant associations between BMD, log HOMA2-β and OC and glucose metabolism markers were observed. Conclusions: BMD was associated with glucose metabolism, independently of OC, and WC modifies this association.

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Para obter evidências de validade e fidedignidade, a Escala de Atitudes em Relação à Leitura (ERAS-Br) foi aplicada em 335 estudantes do Ensino Fundamental. Identificou-se que estruturas muldimensionais com dois (Leitura Acadêmica e Leitura Recreativa) ou três (Leitura Recreativa, Leitura Acadêmica Geral e Leitura Acadêmica Avaliação) fatores e um fator de segunda ordem são adequadas para a ERAS-Br. Tanto a medida como um todo quanto seus fatores apresentaram consistência interna satisfatória. Um procedimento de teste-reteste com um intervalo de dois anos e parte da amostra obteve coeficientes de estabilidade suficientes ou bons. De modo geral, as atitudes em relação à leitura tenderam a ser ligeiramente positivas, mas declinaram no intervalo de dois anos. Embora a ERAS-Br possua boas evidências de validade baseadas na estrutura interna e fidedignidade, o fato de as atitudes em relação à leitura se tornarem menos positivas ao longo dos anos é preocupante. Pesquisas adicionais são recomendadas.(AU)

To obtain evidence of validity and reliability, the Brazilian version of the Elementary Reading Attitude Survey (ERAS-Br) was applied to 335 elementary school students. It was identified that multidimensional structures with two (Academic Reading and Recreational Reading) or three (Recreational Reading, General Academic Reading and Academic Reading Assessment) factors and one factor of second order are suitable to the ERAS-Br. Both the measure as a whole and the factors showed a satisfactory internal consistency. A test-retest procedure with an interval of 2 years and part of the sample obtained sufficient or good stability coefficients. Overall, the attitudes toward reading tended to be slightly positive, but declined in the 2-year interval. Although the ERAS-Br has good validity evidence based on the internal structure and reliability, the fact that the attitudes toward Reading become less positive over the years is worrying. Further studies are recommended.(AU)

Para obtener evidencias de validez y confiabilidad, la Escala de Actitudes con relación a la Lectura (ERAS-Br) fue aplicada a 335 estudiantes de Enseñanza Primaria. Se identificó que estructuras multidimensionales con dos factores (Lectura Académica y Lectura Recreativa) o tres factores (Lectura Recreativa, Lectura Académica General y Lectura Académica de Evaluación) y com un factor de segundo orden, son adecuados para la ERAS-Br. Tanto la medida en su conjunto como sus factores presentaron consistencia interna satisfactoria. Un procedimiento de test-retest con un intervalo de dos años y parte de la muestra obtuvieron coeficientes de estabilidad suficientes o buenos. En general, las actitudes en relación a la lectura tendieron a ser ligeiramente positivas, pero declinaron en el intervalo de dos años. Aunque la ERAS-Br presenta buenas evidencias de validez basadas en la estructura interna y confiabilidad, es preocupante el hecho de que las actitudes hacia la lectura se tornaron menos positivas a lo largo de los años. Se recomiendan investigaciones adicionales.(AU)

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Objetivo: Investigar as evidências científicas acerca da associação entre apoio social e bem-estar subjetivo em idosos. Métodos: Revisão de literatura advinda da busca de artigos publicados nos últimos dez anos, na base de dados do Portal de Periódicos da Capes. Os descritores utilizados foram: social support AND well being OR life satisfaction OR positive affect OR negative affect. Incluíram-se no estudo artigos completos publicados em periódicos, nos idiomas inglês, português e espanhol, que tinham como objetivo avaliar a predição do apoio social no bem-estar subjetivo. Resultados: A seleção inicial resultou em 311 artigos. Após análise e submissão aos critérios de inclusão e exclusão, restaram dez artigos, sendo todos em língua inglesa. Todos os estudos selecionados encontraram associações entre apoio social e bem-estar subjetivo. Em suma, quatro tipos de impactos foram observados: (a) direto e positivo; (b) direto e negativo; (c) direto e mediador; e (d) indireto e mediado. Conclusão: Os resultados dessa revisão apontaram que a relação entre apoio social e bem-estar subjetivo é, de modo geral, positiva. Portanto, a tendência dos artigos avaliados foi a de que o apoio eleva o bem-estar dos idosos, levando-os a avaliar suas vidas de modo mais positivo, a experimentar mais afetos agradáveis e menos afetos desprazerosos.

Objective: To investigate the scientific evidence on the association between social support and subjective well-being in older people. Methods: Systematic literature review of articles published in the last ten years available in the database of the Capes Journals Portal. The descriptors used were: social support AND well being OR life satisfaction OR positive affect OR negative affect. The study included full articles published in English, Portuguese and Spanish aimed at assessing the prediction of social support in subjective well-being. Results: Initial selection resulted in 311 articles. After analysis and application of inclusion and exclusion criteria, ten articles remained; all the articles were in English. All the selected studies found associations between social support and subjective well-being. In summary, four types of impacts were observed: (a) direct and positive; (b) direct and negative; (c) direct and mediator; and (d) indirect and mediated. Conclusion: The results of this review pointed out that the relationship between social support and subjective well-being is generally positive. Therefore, the articles showed that the support improves older people's well-being, leading them to rate their lives more positively and to experience more pleasant affects and less unpleasant affects.

Objetivo: Investigar las evidencias cientificas sobre la asociación entre el apoyo social y el bienestar subjetivo de mayores. Métodos: Revisión de la literatura con la búsqueda de artículos publicados en los últimos diez años en la base de datos del Portal de Periódicos de Capes. Los descriptores utilizados fueron: social support AND well being OR life satisfaction OR positive affect OR negative affect. Se incluyeron en el estudio los artículos completos publicados en periódicos en los idiomas inglés, portugués y español que tenían el objetivo de evaluar la predicción del apoyo social en el bienestar subjetivo. Resultados: La selección inicial fue de 311 artículos. Tras el análisis y la observación de los criterios de inclusión y exclusión se quedaron diez artículos todos en el idioma inglés. En todos los estudios elegidos se encontraron asociaciones entre el apoyo social y el bienestar subjetivo. En resumen, fueron observados cuatro tipos de impactos: (a) directo y positivo; (b) directo y negativo; (c) directo y mediador; y (d) indirecto y mediado. Conclusión: Los resultados de esa revisión apuntan a que la relación entre el apoyo social y el bienestar subjetivo es, en general, positiva. Por lo tanto, la tendencia de los artículos evaluados fue que el apoyo mejora el bienestar de los mayores llevándolos a evaluar sus vidas de manera más positiva y experimentar más a los afectos agradables y menos a los afectos que no causan placer.

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O objetivo do estudo é verificar evidências de validade da Escala Wechsler Inteligência (WISC-IV) para grupos especiais superdotados, baseada em variáveis externas com grupos especiais superdotados. Os instrumentos utilizados foram: Escala Wechsler Inteligência (WISC-IV) e Escala Características Comportamentais Alunos Habilidades Superiores - Revisada (SRCBBSS-R), versão professores, itens Aprendizagem, Criatividade, Motivação e Comunicação-Precisão. Participaram 68 crianças e adolescentes, de 6 a 16 anos e 11 meses dividos em: Grupo (superdotado) de 31 crianças com indicativos Superdotação (SRCBBSS-R) e grupo (não-superdotado) de 37 crianças não indicados (SRCBBSS-R). Análise por meio do test-t de Student apontaram diferenças estatisticamente significativas entre ser superdotado e não-superdotado ( de acordo com SRCBBSS-R), em relação (WISC-IV), em QI Total e Índices Fatoriais. Para QIT, t (66) 7,46, P < 0,001, indicando que o WISC IV discrimina os grupos. Estudos com amostras de outras regiões poderão complementar o presente estudo.(AU)

The aim of this study was to seek validity evidence for Wechsler Intelligence Scale (WISC-IV) based on external variables with special gifted groups. The instruments used were: the Wechsler Intelligence Scale (WISC-IV) and the Scales for Rating the Behavioral Characteristics of Superior Students - Revised (SRCBBSS-R), teacher’s version, items Learning, Creativity, Motivation and Communication-precision. Sixty-eight children and adolescents aged 6-16 years and 11 months took part in the study. Of those31 children with indicative of Giftedness (SRCBBSS-R) (group gifted) of and 37 children not indicated (SRCBBSS-R) (group non-gifted). Analysis performed by Student’s t-test showed statistically significant differences between being gifted and non-gifted ( according to SRCBBSS-R), on the WISC-IV n total IQ and factorial indexes. For QIT, t (66) 7.46, P <0.001, suggesting the WISC IV discriminated between groups. Studies with samples from other regions can complement the present study.(AU)

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O objetivo do estudo é verificar evidências de validade da Escala Wechsler Inteligência (WISC-IV) para grupos especiais superdotados, baseada em variáveis externas com grupos especiais superdotados. Os instrumentos utilizados foram: Escala Wechsler Inteligência (WISC-IV) e Escala Características Comportamentais Alunos Habilidades Superiores - Revisada (SRCBBSS-R), versão professores, itens Aprendizagem, Criatividade, Motivação e Comunicação-Precisão. Participaram 68 crianças e adolescentes, de 6 a 16 anos e 11 meses dividos em: Grupo (superdotado) de 31 crianças com indicativos Superdotação (SRCBBSS-R) e grupo (não-superdotado) de 37 crianças não indicados (SRCBBSS-R). Análise por meio do test-t de Student apontaram diferenças estatisticamente significativas entre ser superdotado e não-superdotado ( de acordo com SRCBBSS-R), em relação (WISC-IV), em QI Total e Índices Fatoriais. Para QIT, t (66) 7,46, P < 0,001, indicando que o WISC IV discrimina os grupos. Estudos com amostras de outras regiões poderão complementar o presente estudo.

The aim of this study was to seek validity evidence for Wechsler Intelligence Scale (WISC-IV) based on external variables with special gifted groups. The instruments used were: the Wechsler Intelligence Scale (WISC-IV) and the Scales for Rating the Behavioral Characteristics of Superior Students - Revised (SRCBBSS-R), teacher’s version, items Learning, Creativity, Motivation and Communication-precision. Sixty-eight children and adolescents aged 6-16 years and 11 months took part in the study. Of those31 children with indicative of Giftedness (SRCBBSS-R) (group gifted) of and 37 children not indicated (SRCBBSS-R) (group non-gifted). Analysis performed by Student’s t-test showed statistically significant differences between being gifted and non-gifted ( according to SRCBBSS-R), on the WISC-IV n total IQ and factorial indexes. For QIT, t (66) 7.46, P<0.001, suggesting the WISC IV discriminated between groups. Studies with samples from other regions can complement the present study.

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No presente estudo foi investigada a pertinência do Modelo Simples de leitura para explicar a compreensão leitora no português do Brasil em crianças do Ensino fundamental. Participaram desta pesquisa 50 crianças, estudantes do 2º e 4º anos do ensino fundamental de uma escola pública, sendo 23 do 2º ano com idade entre 7 a 9 anos e 27 do 4º ano, com idade entre 9 a 13 anos. Na pesquisa, foram aplicados o Teste de Desempenho Escolar, o Teste de Cloze e de Compreensão de Leitura da PROLEC, leitura de palavras, decisão lexical, leitura de pseudopalavras e de compreensão oral, ambos subtestes da PROLEC. O resultado das correlações e regressões lineares mostraram a importância dos dois componentes do modelo: compreensão oral e reconhecimento de palavras para compreensão de leitura e que estes, contribuem também de forma independentes para a compreensão de leitura. (AU)

The pertinence of the Simple View was investigated in this study in order to explain reading comprehension in Brazilian Portuguese amongst children attending Elementary education. Fifty children look part in the study, students of years 2 and 4 of elementary education from a state school, 23 of which were from year 2, aged between 7 and 9 and 27 from year 4, aged between 9 and 13. During the course of the research conducted, the following tests were applied: the School Performance Test (TDE), the PROLEC, a Cloze test, and Reading Comprehension test, word reading, lexical decision, pseudo-word reading and oral comprehension, subtests from PROLEC. In short, the result of the correlations and linear regressions showed the importance components of the model, oral comprehension and word recognition as well as the fact that these independently contribute to reading comprehension. (AU)

En este estudio se investigó la pertinencia del modelo simple para explicar la comprensión lectora en portugués de Brasil entre niños del Ensino fundamental, o Educación primaria. 50 niños participaron del estudio, estudiantes de 2º y 4º de primaria de una escuela pública, 23 de los cuales eran de 2º, con edades comprendidas entre 7 y 9 y 27 de 4º, con edades entre 9 y 13. En el estudio se aplicó el test de desempeño escolar, el Test de Cloze y de Comprensión Lectora de PROLEC, lectura de palabras, decisión léxica, lectura de pseudopalabras y comprensión oral, ambos subtestes de PROLEC. En definitiva, el resultado de las correlaciones y regresiones lineares demostró la importancia de los dos componentes del modelo, lectura de palabras y comprensión oral además de que estos contribuyen independientemente hacia la comprensión lectora. (AU)

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AIM: To present clinical characteristics from renal transplant recipients with dengue fever and its impact on graft function. METHODS: We retrospectively evaluated 11 renal transplant recipients (RTR) with dengue infection confirmed by laboratory test, between January 2007 and July 2012, transplanted in the Renal Transplant Center of Walter Cantídio University Hospital from Federal University of Ceará. RESULTS: Positive dengue serology (IgM) was found in all patients. The mean time between transplant and dengue infection was 43 mo. Fever was presented in all patients. Nine patients presented with classical dengue and two (18%) with dengue hemorrhagic fever. All cases had satisfactory evolution with complete recovery of the symptoms. The time for symptom resolution varied from 2 to 20 d, with an average of 9 d. An increase of creatinine after the infection was observed in three (27.2%) patients with no clinically impact on the kidney graft function. CONCLUSION: RTR with dengue infection seems to have a clinical presentation and evolution similar to those seen in the general population, with no long-term damage to patient and to the graft.