ResumoIntrodução: As redes de atenção à saúde são fundamentais para assistir a população idosa em seus diversos aspectos. A assistência domiciliar, o Programa Acompanhante de Idosos da Secretaria Municipal da Saúde da cidade de São Paulo e as instituições de longa permanência para idosos compõem as redes de assistência à pessoa idosa. Fazse necessário analisar como a rede entre esses serviços se estabelece e contempla essa demanda de cuidado. Objetivo: Descrever e comparar os serviços assistência domiciliar, Programa Acompanhante de Idosos e instituições de longa permanência para idosos quanto às possíveis diferenças e semelhanças, demanda dos usuários, fluxo assistencial e gestão de serviços. Metodologia: Realizou-se uma revisão bibliográfica não exaustiva da literatura nacional publicada nas bases eletrônicas de dados SciELO e LILACS, em referências literárias e eletrônicas, no período de 1997 a 2012. Resultados: No total, 32 estudos foram incluídos na revisão. Observou-se que a população atendida é predominantemente do sexo feminino, com idade avançada, e recebe assistência multiprofissional. Os serviços de assistência domiciliar e o Programa Acompanhante de Idosos valorizam a manutenção da família e da comunidade como ambiente terapêutico, postergando a institucionalização. A presença do cuidador mostrouse como um dos fatores de maior influência para a permanência dos cuidados domiciliares. Conclusão: Conclui-se que os serviços revisados possuem objetivos que contemplam as demandas dos idosos. Espera-se que a integração dos equipamentos de saúde estabeleça suas ações de acordo com o perfil dos idosos e as características de cuidado oferecidas em cada serviço.

Objective: To verify students' knowledge about individual birth planning and learn their opinion about the use of this teaching-learning strategy for good obstetric practices. Method: This is a descriptive study conducted with midwifery students who made primary health care internships. Data collection was performed digitally from 01/2017 to 05/2017 through the Google Forms ® Platform. The analysis was performed by descriptive categorization statistics of statements. The study followed the required ethical standards. Results: The form was sent to 97 students and answered by 40% of them. All respondents reported knowing the birth planning, and 87% applied it during prenatal care. The most frequent (45%) points about the birth plan were those that promoted women's empowerment and autonomy. The most cited methodological suggestions for its application were to focus on content (76%) and increase the number of meetings (50%). Individual birth planning was recognized by 79% of the participants as an important teaching strategy. Conclusion: In addition to knowing birth planning and applying it, the students consider it very relevant for teaching and learning good obstetrical practices. Individual birth planning as a teaching-learning strategy for good practices in obstetric careO plano individual de parto como estratégia de ensino-aprendizagem das boas práticas de atenção obstétrica El plan individual de parto como estrategia de enseñanza aprendizaje de las buenas prácticas de atención obstétrica How to cite this article: Narchi NZ, Venâncio KCMP, Ferreira FM, Vieira JR. Individual birth planning as a teaching-learning strategy for good practices in obstetric care. Rev Esc Enferm USP. 2019;53:e03518.Individual birth planning as a teaching-learning strategy for good practices in obstetric care Rev Esc Enferm USP · 2019;53:e03518

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A tymovirus was isolated in Brazil from tomato plants with severe symptoms of leaf mosaic and blistering. The virus was mechanically transmissible to solanaceous indicator host species. The infected plants contained icosahedral particles and chloroplasts with membrane deformations which are typical cytopathic effects caused by tymoviruses. Its coat protein amino acid sequence shares the maximum of 64 % identity with the tymovirus Chiltepin yellow mosaic virus, which suggested that it can be considered as a distinct member of the genus Tymovirus. In a phylogenetic tree, this tymovirus was clustered with other solanaceous-infecting tymoviruses. It was tentatively named as Tomato blistering mosaic virus (ToBMV).

Cows fed high-protein diets may have impaired reproductive performance. Although the pathogenesis has not been completely elucidated, it appears that not only the uterus, but also the follicle and oocyte, are affected by excessive plasma urea nitrogen (PUN) concentrations. Thus, the objective was to determine the effects of short-term urea feeding on the competence of bovine oocytes. Forty crossbred heifers (Bos indicus vs Bos taurus) were allocated to two groups, namely CONTROL (maintenance diet) and UREA (maintenance diet supplemented with 75 g of urea/day), following a cross-over design. Heifers received their respective diets for 6 d (without adaptation). On the sixth day, blood samples were harvested both before and 3 h after feeding, and cumulus oocyte complexes (COCs) were collected by ovum pick-up. Although PUN concentrations were higher in UREA than CONTROL heifers (31.31 mg/dL ± 1.13 vs 22.12 mg/dL ± 0.86; mean ± SEM), neither the number of COCs recovered (8.8 ± 1.0 vs 9.2 ± 0.8, UREA vs CONTROL, respectively) nor their quality (based on morphology) differed significantly between groups. Next, oocytes were fertilized and cultured in vitro to assess developmental rates. There was an absence of significant differences between groups for rates of cleavage (Day 3) or blastocyst formation (Days 6, 7 and 9), but the hatched blastocyst rate on Day 11 after fertilization was lower (P < 0.05) in the UREA than the CONTROL groups (64.3 vs 83.5%). Therefore, we inferred that the effects of urea were only manifest later in development. In conclusion, high PUN concentrations decreased oocyte competence in heifers, reinforcing the hypothesis that poor reproductive performance in cows with high PUN was due, at least in part, to a deleterious effect on oocytes.

Objective: To evaluate the influence of sociodemographic, obstetric and neonatal variables on the quality-oflife index of adolescents after maternity. Methods: Cross-sectional study with 96 adolescents who gave birth in a teaching hospital, with data collection done through a questionnaire administered during home visits.Results: Overall quality-of-life index: 21.48. The socioeconomic domain had the lowest score attributed (17.34) and the family domain had the highest score (25.31). Statistically significant variables: maternal level of education, own income, gestational age at birth and number of live children. Conclusion: Such variables had a negative impact on the quality of life of the adolescents.

The effect of a polyclonal antibody preparation (PAP) against Streptococcus bovis and Fusobacterium necrophorum on ruminal fermentation and digestion in ruminally cannulated cows was investigated in two 3 × 3 Latin squares in factorial arrangement of treatments 3 × 2 regarding two feed additives (PAP in powder (PAPP) and in liquid (PAPL) presentation) plus control (CON) and two managements of diets (with or without adaptation to highly fermentable carbohydrate diets). Adapted group had greater DMI (p < 0.0001) and DM (p < 0.0001), NDF (p = 0.03) and total carbohydrates (p < 0.0001) apparent digestibility when compared to non-adapted group. PAPL had greater DM (p = 0.02), NDF (p = 0.03) and total carbohydrates apparent digestibility when compared to PAPP or CON. Adapted animals had lower (p < 0.0001) rumen pH when compared to non-adapted animals. Moreover, PAPL group had greater (p = 0.04) rumen pH values when compared to PAPP and CON. PAPL showed potential effect as an additive by increasing apparent digestibility of DM, NDF and total carbohydrates and also for being more efficient to prevent the drop in rumen pH during the peak of fermentation. ARTICLE HISTORY

Replacing regular urea (RU) by slow-release urea (SRU) at two levels of non-protein nitrogen (NPN)