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    Microcefalia por toxoplasmose congênita em tempos de epidemia por Zika vírus no Brasil

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    A case of congenital toxoplasmosis with microcephaly, occurred during the epidemic of Zika virus in Brazil, and only diagnosed as toxoplasmosis at seven months of age, is described. This case illustrates the pertinence and urgency for the implementation of specific public policies for prevention, diagnosis and treatment for toxoplasmosis acquired during pregnancy, and shows that when the subject is microcephaly due to congenital infections in Brazil, one must be attentive to other possibilities besides Zika virus infection; in particular to congenital toxoplasmosis, which is highly prevalent in our country, and if diagnosed and treated in due course, irreversible neurological and ocular damage may be avoided. We fully support the Ministry of Health ordinance that makes it compulsory to notify cases of gestational and congenital toxoplasmosis in Brazil. The actions that will be implemented should result in a specific national program for gestational and congenital toxoplasmosis, which will benefit children throughout the country through preventive health education, screening and treatment for pregnant women and newborns.Descreve-se um caso de toxoplasmose congênita com microcefalia, ocorrido durante a epidemia de Zika vírus no Brasil e somente diagnosticado como toxoplasmose aos sete meses de idade. Este caso ilustra a pertinência e urgência para a implementação de políticas públicas específicas para prevenção, diagnóstico e tratamento para a toxoplasmose adquirida durante a gestação, e demonstra que quando o assunto é microcefalia por infecções congênitas no Brasil, precisamos estar atentos a outras possibilidades além da infecção por Zika vírus; em especial à toxoplasmose congênita, que é altamente prevalente em nosso país, e se for diagnosticada e tratada no devido tempo, danos neurológicos e oculares irreversíveis poderão ser evitados. Apoiamos integralmente a portaria do Ministério da Saúde que torna obrigatória a notificação de casos de toxoplasmose gestacional e congênita no Brasil. As ações que venham a ser implementadas deverão resultar em um programa nacional específico  para toxoplasmose gestacional e congênita, que possa beneficiar crianças em todo o país por meio de medidas de educação preventiva em saúde, da triagem  e do tratamento para gestantes e recém nascidos

    Microcephaly due to congenital toxoplasmosis in times of Zika virus epidemic in Brazil

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    A case of congenital toxoplasmosis with microcephaly, occurred during the epidemic of Zika virus in Brazil, and only diagnosed as toxoplasmosis at seven months of age, is described. This case illustrates the pertinence and urgency for the implementation of specific public policies for prevention, diagnosis and treatment for toxoplasmosis acquired during pregnancy, and shows that when the subject is microcephaly due to congenital infections in Brazil, one must be attentive to other possibilities besides Zika virus infection; in particular to congenital toxoplasmosis, which is highly prevalent in our country, and if diagnosed and treated in due course, irreversible neurological and ocular damage may be avoided. We fully support the Ministry of Health ordinance that makes it compulsory to notify cases of gestational and congenital toxoplasmosis in Brazil. The actions that will be implemented should result in a specific national program for gestational and congenital toxoplasmosis, which will benefit children throughout the country through preventive health education, screening and treatment for pregnant women and newborns.Descreve-se um caso de toxoplasmose congênita com microcefalia, ocorrido durante a epidemia de Zika vírus no Brasil e somente diagnosticado como toxoplasmose aos sete meses de idade. Este caso ilustra a pertinência e urgência para a implementação de políticas públicas específicas para prevenção, diagnóstico e tratamento para a toxoplasmose adquirida durante a gestação, e demonstra que quando o assunto é microcefalia por infecções congênitas no Brasil, precisamos estar atentos a outras possibilidades além da infecção por Zika vírus; em especial à toxoplasmose congênita, que é altamente prevalente em nosso país, e se for diagnosticada e tratada no devido tempo, danos neurológicos e oculares irreversíveis poderão ser evitados. Apoiamos integralmente a portaria do Ministério da Saúde que torna obrigatória a notificação de casos de toxoplasmose gestacional e congênita no Brasil. As ações que venham a ser implementadas deverão resultar em um programa nacional específico  para toxoplasmose gestacional e congênita, que possa beneficiar crianças em todo o país por meio de medidas de educação preventiva em saúde, da triagem  e do tratamento para gestantes e recém nascidos

    Epidemiological Profile of Syphilis in Pregnant Women in the city of Macaé Rio de Janeiro

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    Introduction:The gestational and congenital syphilis are diseases that can be prevented. Practices routinely carried out in prenatal care are effective for the prevention of cases. The prevalence of syphilis in pregnant women is considered an indicator of the quality of prenatal care.Objective:Define the epidemiological profile of pregnant women, in the city of Macaé – Rio de Janeiro, diagnosed with syphilis in the 2010-2018 period.Methodology:A cross-sectional study, retrospective, of the years 2010 to 2018 with assessment of general prevalence in the period and annual incidence rates in records and database of the Care Center of Women and Children and the Public Hospital of Macaé.Results:It was reported 535 cases of syphilis in pregnant women. 2018 had the highest number of reported cases (n = 151) with a detection rate of 38.4% per 1000 live births signifying an increase of 37% compared to 2010. Most cases were in the third trimester of pregnancy (n = 194 cases), in the age group 20-29 years (n = 322). Housewives (n = 248) were the most affected. Brown skin were 32.4% (n = 180) of the cases, followed by 16.9% (n = 124) black skin color. The majority (n = 124) had incomplete elementary school education. Among 2010 to 2018, the annual incidence rate of congenital syphilis increased from 1.4 to 17.2 cases per 1,000 live births.Conclusion:There was an increased prevalence of the disease in the city of Macaé, intensifying from 2015 with a peak of cases in 2018.

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Rare diagnosis of Ebstein anomaly in an adult patient in Northern Rio de Janeiro

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    Ebstein anomaly is the fourth most frequent cyanotic heart disease in the neonatal period, and its clinical course is slow compared to other diseases, which in turn results in late diagnosis of this condition. We present a case of a 37-year-old man who complained of palpitation for about 5 years, twice a week, at rest, with prolonged duration and low systemic output. Auscultation revealed irregular heart rhythm characterized by extrasystoles with a tricuspid systolic murmur grade 5+/6 and worsening on inspiration. Clinical spectrum is variable and depends on the severity of defects and associated anatomical changes. In patients who have reached adulthood, symptoms usually present as progressive cyanosis, exercise intolerance, right heart failure, and arrhythmias. In Brazil, identification of this congenital disease usually occurs in a more adult phase, affecting the prognosis and survival of patients

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

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