Ribeirao Preto City Research Articles

PHYSICAL ACTIVITY ASSOCIATED TO LOWER PREVALENCE OFDEMENTIA IN BRAZILIAN OLDER ADULTS

AbstractBackgroundEvidences indicate that physically active older individuals maintain healthy functioning longer than do sedentary peers. Some lifestyle could impact the risk of dementia including Alzheimer’s. In spite of this, the effect of physical activity on the relationship between age and the risk of dementia is unknown. This is a two‐phase study that aims to investigate the association of physical exercise and age with the prevalence of dementia in community older adults, from Ribeirao Preto city, state of Sao Paulo, Brazil.MethodCross‐sectional study of a randomized community‐based sample of 928 elderly subjects aged 60 years or older was performed. Standardized instruments for screening dementia and a socio‐economic questionnaire were applied to the subjects at home in phase I. The dementia diagnose was made at hospital in phase II, according to DSM‐V criteria.ResultOveral Dementia was 6.0%. Alzheimer’s disease was the most frequent dementia (2.8%), followed by Vascular dementia (1.3%), and Mixed dementia (1.1%). Initial multivariate analysis showed sociodemographic factors associated to dementia. After adjusting for all the variables, multivariate analysis showed an association with age group ≥80 (OR = 6.7; p<0.001); household chores (OR = 2.7; p = 0.004); no employment (OR = 4.3; p<0.001); and stroke (OR = 4.5; p = 0.001). There was no association with gender, socioeconomic class, educational level, and alcohol use. Secondary analysis showed an inverse relationship between physical activity and age (OR = 0.4; p<0.001). After deliberately exclude age, the final model showed a significant association between higher rates of dementia and lack of physical activity (OR = 2.0; p = 0.024).ConclusionAccording to previous studies, in our sample, lack of exercise was associated with two fold higher risk of dementia, only after exclude age of the analysis. This result could be due to decreasing level of physical activity found in the oldest subjects. We suggest that relatively simple lifestyle changes such as increasing the practice of exercise could enhance cognitive performance in elderly people. Future investigations are needed to clarify the real impact of physical activity on the relationship between dementia and age.

Molecular surveillance of the on-going SARS-COV-2 epidemic in Ribeirao Preto City, Brazil.

The Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) is the causative agent of an unprecedented worldwide pandemic. Brazil demonstrates one of the highest numbers of confirmed SARS-CoV-2 cases, and São Paulo State is the epicenter of the pandemics in the country. Nevertheless, little is known about the SARS-CoV-2 circulation in other cities in the State than São Paulo city. The objective of this study was to analyze phylogenetically SARS-CoV-2 strains circulating in city of Ribeirão Preto at the beginning of the pandemic and during the actual second wave. Twenty-nine nasopharyngeal SARS-CoV-2 RNA positive samples were sequenced by nanopore technology (18 obtained at the initial period of the pandemic and 11 during the second wave) and analyzed them phylogenetically. The performed analysis demonstrated that the majority of the strains obtained in the initial period of the pandemic in Ribeirão Preto belonged mainly to the B1.1.33 lineage (61.1%), but B.1.1 (27.8%) and B.1.1.28 (11.1%) lineages were also identified. In contrast, the second wave strains were composed exclusively by the Brazilian variant of concern (VOC) P.1 (91%) and P.2 (9%) lineages. The obtained phylogenetic results were suggestive of successive SARS-CoV-2 lineage substitution in this Brazilian region by the P.1 VOC. The performed study examines the SARS-CoV-2 genotypes in Ribeirão Preto city via genomic surveillance data. The obtained findings can contribute for continuous long-term genomic surveillance of SARS-CoV-2 due to the accelerated dynamics of viral lineage substitution, predict further waves and examine lineage behavior during SARS-CoV-2 vaccination.

Virome comparison of deferred blood donations obtained from different geographic regions in the Sao Paulo State, Brazil

The virome composition of blood units deferred due to symptomatic disease of the donors reported after blood donation may reveal novel or unsuspected viral agents which may have impact in the area of hemotherapy. The objective of this study was to compare the virome of blood donations obtained from two distantly located blood collecting institutions in the Saqo Paulo State and deferred from use due to post donation illness reports (PDIR). Plasma samples with PDIR due to different symptoms were collected in two cities of the Sao Paulo State (Sao Paulo city, 28 samples and Ribeirao Preto city, 11 samples). The samples were assembled in pools and sequenced in Illumina NextSeq 550 sequencer. The obtained raw sequencing data was analyzed using bioinformatic pipeline aiming viral identification. Phylogenetic classification of the most important contigs was also performed. The virome composition of the plasma samples obtained in both cities was different. This was more pronounced for some specific anellovirus types and the human pegivirus-1 (HPgV-1) which were exclusively found among donations obtained from the city of Sao Paulo. On the other hand, in PDIR samples from Ribeirao Preto, Dengue -2 reads were more abundant compared to commensal viral representatives. The obtained virome findings show that the differential viral abundance is related to geographic localization and specific disease endemicity. The virome of PDIR samples may be used to more profoundly analyze the hypothetic transfusion threats in a given location.

Consumo alimentar de pacientes com diabetes mellitus tipo 2 de Ribeirão Preto

Proper food intake is very important for patients with diabetes mellitus type 2 (DM2) for controlling blood sugar levels and preventing complications. Thus, the aim of this study was to evaluate the variables associated with the food consumption of patients with DM2, registered in Unidades de Saude da Familia (USF) of Ribeirao Preto city (Sao Paulo state, Brazil). This is a survey-type descriptive study, with a sample of 100 individuals who are registered in Unidades de Saude da Familia, of Ribeirao Preto city. Food consumption was evaluated using the Food Frequency Questionnaire. The Odds Ratio was applied to verify association between the sociodemographic variables of access to a health service, and food consumption. The data were analyzed by statistical tests, with a type-I error of 5 % (95 % confidence interval, CI). Woman comprised 64 % of the population studied. The subjects averaged 66.7 years of age, were predominantly white (78 %), married (58 %), with an incomplete basic education (56 %). We found a significant correlation between macronutrient consumption and schooling level (OR: 0.29; CI: 0.11; 0.73), and having private health insurance (OR:0.13; IC:0.03; 0.51). Concerning the uptake of carbohydrates, proteins and lipids, 64 %, 60 % and 81 % of the population, respectively, consumed properly; furthermore, 79 % of the subjects consume more than 20 g of fiber daily. The average total caloric value was 1500 Kcal, and the basal metabolic rate was 1,619.5 Kcal. Thus, it follows that the majority of the patients consume the recommended amount of macronutrients, and their behavior is closely related to a higher level of education and having private health insurance.

Inadequação calórico-proteica e associação com Indicadores de Qualidade em Terapia Nutricional na assistência ao paciente crítico

Proper food intake is very important for patients with diabetes mellitus type 2 (DM2) for controlling blood sugar levels and preventing complications. Thus, the aim of this study was to evaluate the variables associated with the food consumption of patients with DM2, registered in Unidades de Saude da Familia (USF) of Ribeirao Preto city (Sao Paulo state, Brazil). This is a survey-type descriptive study, with a sample of 100 individuals who are registered in Unidades de Saude da Familia, of Ribeirao Preto city. Food consumption was evaluated using the Food Frequency Questionnaire. The Odds Ratio was applied to verify association between the sociodemographic variables of access to a health service, and food consumption. The data were analyzed by statistical tests, with a type-I error of 5 % (95 % confidence interval, CI). Woman comprised 64 % of the population studied. The subjects averaged 66.7 years of age, were predominantly white (78 %), married (58 %), with an incomplete basic education (56 %). We found a significant correlation between macronutrient consumption and schooling level (OR: 0.29; CI: 0.11; 0.73), and having private health insurance (OR:0.13; IC:0.03; 0.51). Concerning the uptake of carbohydrates, proteins and lipids, 64 %, 60 % and 81 % of the population, respectively, consumed properly; furthermore, 79 % of the subjects consume more than 20 g of fiber daily. The average total caloric value was 1500 Kcal, and the basal metabolic rate was 1,619.5 Kcal. Thus, it follows that the majority of the patients consume the recommended amount of macronutrients, and their behavior is closely related to a higher level of education and having private health insurance.

High prevalence of clinically unsuspected dengue disease among children in Ribeirao Preto city, Brazil.

The aim of this study was to analyze the characteristics of Dengue virus (DENV)-infected children and the accuracy of dengue diagnosis based on clinical presentations. The inclusion criteria were children ≥1-year-old presenting febrile illness with 1-7 days of onset. Children (n = 110) aged 2-15 years were included in this study. DENV infection was confirmed with virological tests using serum, salvia, and/or urine samples. The attending pediatricians classified 56/110 (50.91%) of the children as suspected dengue cases. The DENV infection was confirmed by specific laboratory tests in 52/56 (92.9%) of the suspected dengue cases but also in 44/54 (81.5%) of the unsuspected dengue cases; total of 96/110 (87.27%) confirmed dengue cases. The clinical diagnosis gave an overall sensitivity of 54.2% (52/96) and a specificity of 71.4% (10/14). The positive predictive value of the clinical diagnosis was 92.8% and negative predictive value was 18.5%. After the third day of onset of symptoms, the DENV genome detection rate was similar in serum and saliva samples, suggesting that saliva samples represent an alternative to blood samples for early dengue diagnosis. Vaccination against Yellow fever virus did not influence the antibody response against DENV-1, DENV-2, and DENV-3, which circulated during the study period. Although the signs and symptoms were compatible with dengue, the attending pediatricians did not suspect the disease in several children. Therefore, the inclusion of virological tests for early diagnosis in the protocols for dengue surveillance would help in the implementation of prompt treatment of patients and epidemic containment strategies. J. Med. Virol. 88:1711-1719, 2016. © 2016 Wiley Periodicals, Inc.

Aqüifero Guarani: um retrato 3x4 de gestão e da experiência com estudantes em Ribeirão Preto (SP)

Experiências locais de gestão do Aqüífero Guarani e trabalhos desenvolvidos com estudantes no município de Ribeirão Preto (SP) visam enfrentar os desafios relacionados à melhor compreensão da qualidade e da quantidade de água desse mega-reservatório. Ribeirão Preto é uma área-piloto para estudo detalhado do Aqüífero Guarani, em função do acelerado crescimento urbano e da intensificação das atividades agrícolas e industriais. A demanda crescente de retirada de água subterrânea do Aqüífero Guarani tem levado um comitê gestor internacional a empreender dois tipos de ações: (a) para promover capacitação local junto a diferentes atores da comunidade local, como pode ser considerado o trabalho desenvolvido pela disciplina de Matemática “Aqüífero Guarani: ecologia e ciclo da água” na Escola Estadual Profª Eugênia Vilhena de Moraes, resultado de reflexões conduzidas para a inovação da prática na mudança do currículo escolar e (b) ações para promover gestão local e ordenamento territorial do espaço hídrico subterrâneo em conjunto com instituições envolvidas na execução das diversas tarefas de avaliação e conhecimento das características do reservatório; um exemplo disso é não permitir, na zona central da cidade, novas perfurações de poços, a não ser para substituição de poços do abastecimento público.

89-P

Aim The clinical behavior of the human urinary bladder papillary transitional cell carcinoma (TCC) probably results from a complex interaction between carcinogenic insults and host resistance during the patient’s life. While the main recognized risk factor is smoking, little information exists about the susceptibility to TCC development. The human leukocyte antigen E (HLA-E) molecule plays an important role both as a modulator of natural killer (NK) cell activity by interacting with CD94-NKG2A receptor in the innate immunity pathway and as an antigen-presenting molecule triggering a specific immune response, thus it may influence tumor immune surveillance. The aim of this study was to explore a possible influence of five HLA-E variation sites, one in exon 2 at position 424 (rs1059510), three at exon 3 in the positions 756 (rs1264457), 887 (rs41560815) and 906 (rs41562314) and one in exon 4 at the position 1691 (rs17875370), on the susceptibility to urinary bladder TCC development and progression in Brazilian subjects. Methods These variation sites were evaluated by means of direct sequencing of PCR products using an ABI3100 Genetic Analyzer. On this bases, 105 healthy donors and 73 patients with historical of TCC, both from Ribeirao Preto City, Southeast Brazil, were evaluated for the variation sites described above. Results Only two of the five variation sites evaluated were polymorphic in an admixed population such as Brazilians, i.e., positions +424 and +756. Considering these, the allele and genotype distributions in patients and controls were very similar and no significant difference was detected, even when patients were compared as a whole or stratified into high and low grade tumor patients. Conclusions In conclusion, although previous associations have been described evolving neighboring genes such as HLA-A and HLA-G, the HLA-G locus seems to be not associated with TCC susceptibility and/or progression to aggressive tumors.

Percepções de um grupo de idosos frente ao fato de não consultarem regularmente o cirurgião-dentista

Ainda existe no imaginário coletivo a ideia de que idosos não necessitam de assistência odontológica, pois são em sua maioria desdentados e usuários de dentaduras. Assim, a pergunta desta pesquisa é: Qual o motivo que faz com que muitos idosos não consultem regularmente o cirurgião-dentista? O objetivo foi levantar e analisar os motivos que fazem com que idosos cadastrados em uma Unidade de Saúde da Família não consultem regularmente o dentista. Trata-se de uma pesquisa descritiva exploratória de abordagem metodológica quanti-qualitativa realizada por meio de entrevistas domiciliares semiestruturadas aplicadas em 149 idosos cadastrados em uma Unidade de Saúde da Família na cidade de Ribeirão Preto,SP. Os dados foram analisados e sistematizados por meio da técnica da Análise de Conteúdo, e para a análise quantitativa foram realizadas análises bivariadas com associações significantes baseadas em valor de p<0,05. Houve associação estatisticamente significante entre visita ao dentista e idade (p=0,025), e observou-se que idosos com idades mais avançadas relataram ir menos ao dentista. Alguns dos motivos alegados foram: medo, dificuldade financeira, falta de tempo, além de falta de sintomatologia dolorosa nos dentes devido ao uso de dentaduras. Concluiu-se que os motivos alegados estão associados a aspectos sociais e culturais que devem ser analisados frente ao cuidado na atenção primária à saúde.

Dissemination of bla KPC-2 by the Spread of Klebsiella pneumoniae Clonal Complex 258 Clones (ST258, ST11, ST437) and Plasmids (IncFII, IncN, IncL/M) among Enterobacteriaceae Species in Brazil

This article reports the spread of bla(KPC-2) in the Sao Paulo and Rio de Janeiro states, facilitated by globally spread K. pneumoniae clonal complex 258 (CC258) clones (ST258, ST11, and ST437) and a diversity of plasmids (IncFII, IncN, and IncL/M, two untypeable plasmids carrying Tn4401a or Tn4401b) successfully disseminated among species of the Enterobacteriaceae (Enterobacter cloacae, Serratia marcescens, and Citrobacter freundii). It also constitutes the first description of sequence type 258 (ST258) in Brazil, which was associated with a nosocomial hospital outbreak in Ribeirao Preto city.

P01-515 - Systematization of collection of relevant information about community maintenance treatment of people egress of psychiatric hospitalization

In therapeutic advances context of mental care patients, community services are essential to maintenance treatment of people with severe mental disorders especially in people egress of psychiatric hospitalization cases. This research aim was to evaluate use of instruments to collect relevant information about maintenance treatment in a community mental health service.A two years quantitative and cross-sectional study developed in a community mental health service in Ribeirao Preto city- Sao Paulo - Brazil. The sample was egress patients and their family caregivers. It was utilizing a monthly nursing interview with following during six months with each patient and caregiver, to apply: sociodemographic and clinical questions; Structured Clinical Interview for Brief Psychiatric rating Scale (SIG-BPRS); Brief Psychiatric rating Scale (SIG-BPRS); Morisky-Green Adhesion Test; Family Burden Rating Scale (brazilian version - FIBS-BR).In this satudy participated 40 patients and 15 family caregivers. Between patients majority was women and diagnosis most prevalent was Schizophrenia and mood disorders. The psychiatric symptoms manifestation presents low degrees and medication adhesion treatment was low in 78% of patients. Family care givers was women in 96% of sample and 80% presents medium to high degrees of burden.The instruments utilized was important to evidence how patients and their caregivers was in maintenance of community treatment and collaborate to mental health professionals assistance systematization. The use of validated instruments can offer important information to mental health care in community services and maintenance treatments.

PROJETAR APARTAMENTOS COM VISTAS À QUALIDADE ARQUITETÔNICA A PARTIR DOS RESULTADOS DA AVALIAÇÃO PÓS-OCUPAÇÃO (APO)

This article aims to discuss the spatial quality of apartment buildings from results obtained by post-occupation evaluation (POE). It Searches to propose a set of POE methods and techniques with functional approach, destined to apartment buildings, made from homogeneous parameters in order to provide a replicable method. The set of methods and techniques used in this research seeks to understand the relationship between user´s behavior and design idealized by various real estate agents. For the purpose, we used multiple quantitative and qualitative nature methods, with emphasis on focus groups and the incorporation of researcher opinion in the ratings. The research starts from an analysis of apartment buildings production from 2000. Selects the production for middle class in São Paulo, which by its size is became a reference model for real estate market in other regions of country. Thus, as explained in the article, was chosen Ribeirao Preto city in order to develop and implement POE in three case studies. The results by POE implementation in the case studies attest how little the dwellers needs are filled, in that it revealed a fairly diverse range of family groups living in repeated and tripartite models Several overlapping of activities were identified in analyzed rooms in buildings that are designed in the traditional way, based on tightness, subdivision and monofunctional. Conclusively it points to need for greater and more effective connection between research and practice through databases fed by POEs. These should include techniques of built environment perception and interaction between environment and users behavior. So, is expected to feed future projects with information on ways of living, contemplating the real dwellers needs.

Comportamento do herbicida hexazinone em área de recarga do aqüífero Guarani cultivada com cana-de-açúcar

Sao Paulo state (Brazil) has an important area of sugarcane production, mainly for obtaining alcohol and sugar, where there is an intensive use of pesticides. An important recharge zone of Guarani aquifer, with supplies water for the local population, is located at Ribeirao Preto city, so the local behavior of pesticides must be investigated. The GUS index was obtained by using the paramenters Koc and half-life for hezazinone herbicide, determinated in representative soil of this region. This study has demonstrated that there is potential risks of hexazinone leaching to ground water, indicating that this herbicide must be monitored in ground water.

NITRATOS EM ÁGUAS SUBTERRÂNEAS NA REGIÃO DA CIDADE DE RIBEIRÃO PRETO, SÃO PAULO, BRASIL

A região da cidade de Ribeirão Preto, sudeste do Brasil, é uma importante área de cultivo de cana-de-açúcar e de recarga de águas subterrâneas do aquífero Guarani. Esta pesquisa foi realizada para avaliar o potencial de contaminação de águas subterrâneas com nitrato na área e nos poços de municípios vizinhos. Não foi encontrada quantidade significativa de nitrato nas áreas de recarga e agricultura. Entretanto, níveis de nitrato foram detectados em concentração máxima de 6,0 mg/L em poço localizado no centro urbano longe de áreas plantadas, sem histórico de aplicação de nitrogênio, alcançando valores mais altos que o coeficiente de risco maximo para crianças (CR) de 1.0.

Aplicação dos métodos eletromagnéticos indutivo, eletrorresistividade eip domínio do tempo em caracterização geoambiental

This project aims characterizing environmental problem generated in Serrana Landfill region, contained in Ribeirao Preto city (SP). In there, due to a huge soil cavity originated from sand extraction used in building site, the disposal of domestic, industrial and hospital residues started in mid 1970s. Nowadays, this landfill is saturated and without activity. However, damages caused by the inadequate residue disposition are still present, and the generated contamination plume still remains. The methodology used in this work consists in the integration of geophysical techniques efficient in the evaluation and characterization of environmental problems. The focus in here is to apply geophysical prospecting methods, such as resistivity, induced polarization related to time domains as well as electromagnetic inductive method, in geotechnical and environmental studies. The project was based on a compilation and reinterpretation of a large amount of pre-existent geophysical data as well as those collected during work conduction associated to surface geology and well data. In such way, with integrated information it attempted to study parameters to evaluate problems associated to tropical soil and groundwater contamination for urban residue landfill. This project accomplishment intends to achieve two main objectives. First of all it was application and interpretation of geoelectrical assays to a better geological characterization from the area. Geophysical data were linked to geological information from existent wells for a better local geology interpretation and definition. The second objective was the environmental problem characterization by using geophysical method and some water chemical analysis available by Ribeirao Preto City hall. In this context, it was also studied a geophysical parameter behavior of chargeability and time constant in digging delimitation filled out with residues from leachate shallow area and contamination plume inside of saturated area (deep area), once two mentioned parameter answers are not well known. This unknowing answer never happens with resistivity (and conductivity) case. The use of results obtained from electrical sounding has interpreted base on information about water monitoring wells and leachate collection, deep tubular wells, auger sounding, and surface geology made possible a better knowledge about landfill geology, which presents complex contact among three different geological units, and two types of aquifer. Since geological model establishment, results of electric profiling (resistivity and induced polarization) can be used in order to understand the association between residues and environment in landfill limits. Results of electromagnetic profile make possible a visualization of environmental impact in landfill zone and its surrounding as well as the establishment of hypothesis about format and way of contamination plume whose existence in the zone is verified by data from groundwater chemical analysis.

T12-O-02 Perceptions of HIV positive women's regarding their reproductive rights and pregnancy

Objective To discuss HIV positive women's perceptions regarding their reproductive rights Design and Methods Qualitative study; 14 HIV positive women took part in the study, at Ribeirao Preto City (Brazil). Data were organized using the Content Analysis Method. Ethic Aspects were observed. Results The women aged between 15-37 years; 10 had known of the infection during the pregnancy. Five women had revealed the desire of becoming pregnant again. Data analyzed came up with some categories: Fear of the Disease in the Child, Wish to Get Pregnant and Professional Reactions. The factors that affect the reproductive decisions include: religious, gender expectations, race, familiar support, value attributed to the maternity, availability of antiretroviral therapy. HIV infection does not modify the intention to have children, but the services are not prepared to help the woman to make this option conscientiously. The professionals who take care of the woman are influenced by their proper values and sometimes criticize the woman because of the pregnancy. Conclusions Health professionals need to understand the complexity of breeding choices and improve family counseling and planning. It should be present in professionals’training, so they can guide women to take their own decisions, aware of the possibility of transmission and infection.

Records of Anopheles (Nyssorhynchus) (Diptera, Culicidae) in artificial containers in Ribeirão Preto City, State of São Paulo, Brazil

Thirty immatures of Anopheles darlingi Root, Anopheles argyritarsis Robineau-Desvoidy and Anopheles rondoni (Neiva & Pinto) (were found in an artificial lagoon situated near Pardo River, in Ribeirao Preto City, State of Sao Paulo, Brazil. The presence of immatures of Anopheles darlingi breeding in a lagoon is suggestive of the potential capacity of that species to adapt and occupy new habitats and to invade urban areas along the species distribution range and also disperse to new localities.

AS REPRESENTAÇÕES DE ESCOLARES DE BAIRROS PERIFÉRICOS SOBRE O ESPAÇO EM QUE VIVEM

This article makes part of a broader research developed on the FAPESP Public Policy whose fundamental goal was to understand the aspects of live and struggle of people of every condition who dwell in the suburbs, thorugh their speech. In this research we tried to analyse the scholarly representations living in the outskirts of Ribeirao Preto City, State of Sao Paulo, on the space where they live. The empiric material was raised from the applied written narratives of students the 4th and the 5th grades in elementary degrees in the first semestre of 2000, in public (state and county net schools) which support the pupils of the suburbs referred in this research: Jardim Progresso, Conjunto Habitacional Avelino Palma, Jardim Anhanguera, Grajauna, Novo Mundo and Zara, including its slums. The texts reveal one of the most cruel aspects of children social exclusion deprived to the access of the basic welfare of life.

A FFCLRP-USP e as escolas públicas de Ribeirão Preto

Este artigo pretende apresentar o relato de uma experiência junto às escolas-padrão estaduais de Ribeirão Preto, como o início de um intercâmbio entre a Universidade e as Escolas públicas desta região. Intercâmbio que, futuramente, pretende configurar-se em convênio, onde professores e alunos de ambas as Instituições poderão beneficiar-se mutuamente. A experiência, nessa primeira fase, envolveu professores de Ciências das escolas-padrão, monitores de Ciências das Delegacias de Ensino, alunos do curso de Licenciatura em Ciências Biológicas e uma professora universitária, que através de encontros semanais, encaminharam propostas de ensino e promoveram discussões em relação ao planejamento escolar, à programação do curso de Ciências no 1º grau e a preparação de aulas desse mesmo curso. Foram realizadas, também, oficinas de Ciências onde, a partir da programação desenvolvida pelos professores eram produzidos materiais de ensino, tais como, textos para professores e alunos. Os resultados obtidos foram considerados significativos, principalmente, em relação às mudanças posturais do professor e do aluno frente ao processo ensino-aprendizagem.