bluuebunny/crossref_metadata_2025 huggingface dataset:
The fine line between health promotion and the reproduction of fatphobic speech by doctors
Authors: Atari Najuah Sael Basheer , Peixoto Gabriela de Queiroz , Soriani Eduarda Polônio , Oliveira Juliana Pacanaro de , Rossasi Maiana Bodaneze , Maia Liete Antosz Lopes
Published: August 2023

Abstract: Introduction: Body weight control is essential for the treatment and prevention of the main comorbidities in the world, such as hypertension, dyslipidemia and obesity. However, medical guidelines regarding weight loss are often not evidence-based or clearly communicated, and they also do not take into account the psychological and social conditions of patients, as dictated by the values of health promotion, but rather, approached in a prejudiced and shallow way. This study seeks to answer the following question: Is the manner physicians deal with their patients’ obesity a way of promoting health or of propagating even more unfavorable clinical outcomes in this population? Objective: This study aimed to review the literature regarding medical fatphobia and its impacts on the patient. Method: This is an integrative literature review, carried out in January 2022. The data search took place from the year 2007 to January 2022. The following databases were used: SciELO, Lilacs and PubMed. The following descriptors were used in the search for articles: Obesity, Overweight, Social Stigma, Social Discrimination, Bullying, Fatphobia, Weight Bias, Medication Adherence, Therapeutic Alliance, Health Professionals, Binge-Eating Disorder. Result: The 16 selected articles were classified according to type of study, year, place, target audience and results, and then critically analyzed. Conclusion: Although it is crucial for doctors to warn their patients about weight loss, these guidelines, when made in a prejudiced, rude way and without well-defined goals, make them not interested in taking care of their own health, or even trying to lose weight without professional support. Therefore, instead of fighting obesity, its current management is responsible for aggravating it and even developing other comorbidities, such as depression.
Teaching scientific research in medical graduation: is there interest and involvement of the students?
Authors: Santos Felipe da Silva Mota , Carvalho Sarah Fernandez Coutinho de , Freitas Junior Luiz Ricardo Cerqueira , Oliveira Isadora Abreu , Cunha Claudio Lucas Silva , Avena Katia de Miranda
Published: August 2023

Abstract: Introduction: Knowledge and understanding of scientific research are skills that must be developed by all health professionals. Specifically in Medicine, these skills make up an important part of undergraduate and continuing medical education. Considering that medical training is closely related to the understanding of scientific evidence, it becomes relevant to analyze the involvement of medical students with scientific activities during the course. Objective: This study aimed to investigate the interest and involvement in scientific research among medical students, analyzing the academic profile and the extracurricular activities carried out, in addition to evaluating the scientific production and identifying the motivations and difficulties faced. Method: A cross-sectional study carried out with medical students from Salvador/Bahia, over 18 years of age. A virtual, structured, anonymous questionnaire was applied through Microsoft Forms, containing 21 questions about the academic profile and extracurricular activities carried out, in addition to data on scientific production and the motivations and difficulties faced by students. Result: Of the 460 participating students, there was a predominance of women (63.3%), aged 24.1+6.1 years, attending the basic (45.4%) and clinical (46.7%) cycles, who have no previous desire to work with research (54.8%). Among the participants, 54.6% were part of academic leagues, 31.1% were involved in research groups and 29.1% participated in monitoring. It was found that only 33.9% of students have abstracts published in congresses, 12.2% are co-authors of scientific articles and 7.4% are main authors. Interest in working with research increases during graduation (p = 0.010), with students motivated to produce scientifically (66.1%). Research experience (27.4%) and genuine interest in scientific discovery (20.9%) were the main motivating factors. However, 81.1% of students identify difficulties in producing scientific content, with inadequate guidance (16.0%) and lack of time (15.5%) being the main obstacles. No relationship was observed between motivation and difficulty to produce scientifically and the current academic cycle. Conclusion: Medical students show interest and participation in scientific research, however those who are actually involved in scientific activities represent the minority.
Repercussões da pandemia de Covid-19 na saúde mental nos estudantes de Medicina de Pernambuco
Authors: Brito Ederline Suelly Vanini de , Silva Lyvia Nayá Bezerra da , Oliveira Taísa Melânia Moreira , Santos-Veloso Marcelo Antônio Oliveira , Lima Sandro Gonçalves de
Published: August 2023

Resumo: Introdução: As pandemias, como a de Covid-19, resultam em perturbação psicossocial que pode romper os limites da capacidade de enfrentamento, de modo a gerar tensões e angústias que se expressam variavelmente entre os envolvidos. Objetivo: analisar as repercussões da pandemia de Covid-19 na saúde mental de estudantes de Medicina do estado de Pernambuco. Método: estudo transversal e descritivo-analítico realizado entre julho e agosto de 2021 com estudantes de Medicina das 11 faculdades de Pernambuco. Como variáveis dependentes, foram analisados os escores de ansiedade e depressão. Quanto às variáveis independentes, foram estudadas: escore de resiliência, características sociodemográficas e comportamentais, e condições de saúde. A coleta dos dados foi realizada por meio da plataforma Google Forms. Aplicaram-se o Inventário de Beck para ansiedade e depressão e a escala de resiliência de Wagnild e Young. O estudo foi aprovado pelo Comitê de Ética em Pesquisa do Centro Universitário Maurício de Nassau, e os participantes concordaram o Termo de Consentimento Livre e Esclarecido. Os dados foram analisados pelo programa SPSS 25, considerando significativo valor p < 0,05. Resultado: participaram da pesquisa 416 estudantes. A amostra foi composta predominantemente por mulheres (60,9%), com idade média de 25 anos, das quais 73,8% tinham residência fixa no município da faculdade. Sintomas de ansiedade moderada e grave foram verificados em 27,2% e 10,3% dos avaliados, respectivamente. Observaram-se sintomas depressivos moderados em 17,8% dos estudantes. Cerca de 25% da amostra apresentou grau de resiliência baixo ou muito baixo. Resiliência alta (razão de chances [RC] = 0,18 [0,08-0,41]; p < 0,001) e suporte psicológico anterior à pandemia (RC = 0,36 [0,14-0,95]; p = 0,04) foram fatores de proteção; e cursar o ciclo clínico (quinto-oitavo períodos) foi fator de risco independente (RC = 1,95 [1,07-3,55]; p = 0,02) para ansiedade de moderada a grave. Resiliência alta (RC = 0,01 [0,02-0,11]; p < 0,001 e retornar à cidade natal durante a suspensão das aulas (RC = 0,41 [0,18-0,91]; p = 0,02) foram fatores protetores; e cursar o ciclo clínico foi fator de risco independente (RC = 2,74 [1,26-5,93]; p = 0,01) para depressão de moderada a grave. Conclusão: verificou-se uma alta prevalência de sintomas de ansiedade de moderada e grave, bem como de sintomas depressivos moderados. Um alta proporção dos estudantes apresentou grau de resiliência baixo ou muito baixo.
Galvanic vestibular stimulation to improve postural instability, voluntary attention, and quality of life in Parkinson's disease patients
Authors: Oliveira Renata Cristina Cordeiro Diniz , Labanca Ludimila , Meireles Paula Gabriela Zeferino , Diniz Maria Luiza , Pires Anna Paula Batista de Àvila , Barroso Jordana Carvalhais , Gonçalves Denise Utsch
Published: August 2023

ABSTRACT Galvanic vestibular stimulation (GVS) influences body balance and has proved to be useful to improve patients’ mood, quality of life, and cognitive skills. This study aimed to present three cases of patients with Parkinson’s disease and postural instability who had been submitted to GVS to improve their balance, by assessing the impact of this intervention on their cognition, mood, and quality of life. Patients were assessed before and after GVS sessions concerning P300 latency and scores on the 15-item Geriatric Depression Scale (GDS-15) and the 39-item quality-of-life Parkinson’s Disease Questionnaire (PDQ-39). The three patients’ P300 latency improved, possibly indicating improved attention. Their PDQ-39 score also improved, possibly indicating a positive impact on their quality of life. Their GDS-15 score did not change before and after the intervention. None of the patients had any intervention side effects. This three-case experimental pilot study has shown that GVS is a safe method, possibly useful to improve attention and, therefore, the quality of life of patients presented with Parkinson’s disease.
Estimulação vestibular galvânica na melhora da atenção voluntária e da qualidade de vida em pacientes com doença de Parkinson e desequilíbrio corporal
Authors: Oliveira Renata Cristina Cordeiro Diniz , Labanca Ludimila , Meireles Paula Gabriela Zeferino , Diniz Maria Luiza , Pires Anna Paula Batista de Àvila , Barroso Jordana Carvalhais , Gonçalves Denise Utsch
Published: August 2023

RESUMO A Estimulação Vestibular Galvânica (EVG) atua no equilíbrio corporal e tem se mostrado útil na melhora do humor, da qualidade de vida e de habilidades cognitivas. O objetivo deste estudo foi apresentar três casos de pacientes com doença de Parkinson e instabilidade postural que foram submetidos à EVG para melhorar o equilíbrio e avaliar o impacto dessa intervenção na cognição, no humor e na qualidade de vida. Os pacientes foram avaliados antes e após as sessões de EVG quanto a latência do potencial evocado P300, pontuação na escala de depressão geriátrica de 15 itens (EDG-15) e pelo questionário de qualidade de vida na doença de Parkinson de 39 itens (PDQ-39). Os três pacientes apresentaram melhora na latência do P300, indicando possível melhora na atenção. Apresentaram melhora na pontuação do PDQ-39, indicando possível impacto positivo na qualidade de vida. A pontuação na EDG-15 não modificou antes e após a intervenção. Nenhum paciente apresentou efeitos colaterais decorrentes da intervenção. Com base neste estudo piloto experimental de três casos, a EVG mostrou-se um método seguro e possivelmente útil para melhorar a atenção e, consequentemente, a qualidade de vida de pacientes com doença de Parkinson.
Stressors and maternal Coping in Congenital Zika virus Syndrome
Authors: Pequeno Vanessa Cavalcante , Barros Sibelle Maria Martins , Ramos Fabiana Pinheiro , Lewis Charlie
Published: August 2023

Abstract Objective: Congenital Zika virus Syndrome is characterized by a series of neurological changes bearing consequences for child development. In view of the large number of children born with microcephaly and other neurological disorders, this qualitative study sought to understand and review the coping strategies used by 10 mothers of children affected by the syndrome. Methods: A semi-structured interview was applied, which identified four main maternal stressors: diagnosis; childcare routine; child treatment; and development and access to health services. Results: The most used coping strategies with regard to these stressors were: information-seeking, problem-solving, and delegation. Conclusion: The implications of such results for the care of this population are discussed within the perspective of expanding the adaptive coping to these stressors and ensuring the necessary support for those families in the long and difficult process of taking care of a child with this syndrome.
Gene editing of the human embryo: tensions and controversies among scientists
Authors: Santos Maria de Fátima de Souza , Eskinazi Renan Harmes , Apostolidis Thémis , Dany Lionel
Published: August 2023

Abstract Objective: This study analyzed the relation between the position of scientists on embryo editing and the different types of knowledge involved. Methods: A lexical analysis of 151 scientific articles in the PubMed and Web of Science databases was conducted using the IRAMUTEQ software. Results: The results showed that gene editing in embryos is presented in two argumentative branches: the first refers to the editing technique and its possibilities; the second discusses the impacts of these techniques on the public arena. The results demonstrate a consensus regarding the potential of editing; however, dilemmas about its effectiveness were also highlighted. Conclusion: The presence of ethical conflicts with embryo editing among the specialists was evidenced especially regarding the birth of genetically modified babies. Therefore, gene editing is marked by conflicts that are not limited only to biological contexts, but that encompasses different aspects of social life.
Parental stress and associated symptoms in premature babies’ parents: a systematic review
Authors: Oliveira Luísa Sousa Monteiro , Costa Elson Ferreira , Brito Sidney Fernando de Souza , Pontes Fernando Augusto Ramos , Silva Simone Souza da Costa
Published: August 2023

Abstract Objective: The objective of the study was to identify in the scientific papers the variables associated with parental stress of premature babies’ parents through the graph analytics technique. Methods: This is a Systematic Literature Review performed in the CINAHL, Cochrane Library, Medline, PsycInfo and Web of Science databases. Results: The search yielded 12 articles that were submitted to the data graph analytics technique for analysis and visualization through the NodeXL Program. Among the variables reviewed, the following stand out: parental psychological distress, risk factors, maternal characteristics, child characteristics, environmental characteristics, parent-infant relationship, and intervention. The main symptoms associated with parental stress were depression, anxiety and post-traumatic stress. Conclusion: The implementation of interventions aimed at the baby and the family’s well-being can minimize the conditions faced.
Flora of Ceará state, Brazil: Evolvulus (Cresseae, Convolvulaceae)
Authors: Santos Diego , Freitas Ângela Maria de Miranda , Loiola Maria Iracema Bezerra , Buril Maria Teresa
Published: August 2023

Abstract We present the taxonomic treatment of Evolvulus in the state of Ceará, as part of the project “Flora do Ceará: Knowing to conserve”. The study was based on the floristic-morphological analysis of specimens deposited in the ASE, CEN, EAC, ESA, HCDAL, HST, HUEFS, HUVA, HVASF, IPA, PEUFR, and UFP herbaria, specialized bibliography, typus collections available on on-line platforms, collections and field observations. In Ceará, we registered 13 species of Evolvulus: E. anagalloides, E. cardiophyllus, E. eleaegnifolius, E. ericifolius, E. filipes, E. glomeratus, E. gypsophiloides, E. linoides, E. nummularius, E. ovatus, E. phyllanthoides, E. pterocaulon, and E. sericeus. Of these, ten occur in protected areas from Ceara state. The greatest species richness for the genus (10) was registered in the open crystalline caatinga. Additionally, we present an identification key, morphological descriptions, geographic distribution, taxonomic and ecological comments, phenology and illustrations of the diagnostic characters of the species.
Flora of Espírito Santo: Celastroideae (Celastraceae)
Authors: Biral Leonardo , Marcusso Gabriel Mendes
Published: August 2023

Abstract Here we present a taxonomic treatment of the subfamily Celastroideae (Celastraceae) in the state of Espírito Santo, southeastern Brazil, as a part of the ongoing project Flora do Espírito Santo. The work is based on analyses of herbaria specimens and fieldwork since 2012. Two genera and thirteen species are reported for Espírito Santo, covering all the vegetation formations found in the state. Celastrus is represented by one species, C. liebmannii, the unique climbing species of the subfamily in Brazil. Monteverdia are shrubs and trees characterized by fruits 2-valved, pericarp coriaceous and white aril. The genus is represented by twelve species, corresponding nearly to one third of the Brazilian species. Celastrus liebmannii is formally reported by the first time to Espírito Santo. Morphological descriptions, comments, color photographs plates, and identification keys for genera and Monteverdia species are provided.
Denticula, Hantzschia and Tryblionella (Bacillariaceae, Bacillariophyta) from northwestern Ceará freshwaters
Authors: Machado Guilherme de Almeida , Cavalcante Kaoli Pereira , Ludwig Thelma Alvim Veiga
Published: August 2023

Abstract Diatoms constitute a representative portion of the algal community of freshwater aquatic environments, but their studies are centered mostly in the south and southern regions of Brazil, making the microalgae biodiversity of water bodies in the semiarid practically unknown. In the state of Ceará, the few records of the Bacillariaceae are centered in the southern region of the state and are generally not identified at specific level. Denticula, Hantzschia, and Tryblionella are worldwide distributed diatom genera that belong to the family Bacillariaceae. The group is characterized by raphe located on a channel, internally supported by silica extensions, the fibulae. This is a taxonomic study on the genera Denticula, Hantzschia, and Tryblionella found in water bodies in northwestern Ceará state. Planktonic and periphytic samples were collected in four hydrographic basins, which are influenced by the semiarid climate, located in northwestern Ceará, northeastern Brazil. Fourteen infrageneric taxa were identified, described, and illustrated, all being pioneer citations for Ceará. The present study highlighted the underestimated diversity of diatoms in the semiarid region of Ceará and the need to cover undersampled or never explored regions to significantly contribute to the knowledge of the diatom flora and its distribution in Brazilian aquatic environments.
Use of plants and aspects of local knowledge in the rural community of Brejal, Rio de Janeiro, Brazil
Authors: Vieira Bruna Benazi , Milward-de-Azevedo Michaele Alvim
Published: August 2023

Abstract Rural communities have repertoires of knowledge associated with the use of plants related to various social and biological aspects. The objective of this study was to identify the diversity of use of food and medicinal plants by the Brejal rural community in Rio de Janeiro state, Brazil. Ethnobotanical data was obtained using the snowball technique and semi-structured interviews with 22 farmers. Species diversity and use-value indices were calculated. Relationships among the numbers of plants cited, interviewee age, gender, and working time in agriculture were investigated. We identified a high diversity index, comprising 185 species belonging to 53 botanical families, notably Asteraceae, Lamiaceae, and Brassicaceae. The greatest use-values were associated with exotic species. Leaves were the plant structures most utilized, and infusions the predominant method of preparation. The prescriptions most commonly cited related to illnesses of the digestive system. Men and women did not differ in terms of the numbers of species cited. We found no correlations between the ages of the interviewees and their working time in agriculture. The uniformity of the number of citations demonstrates the shared knowledge throughout the community, covering a high diversity of plants, uses, indications and preparations.
Assessment of humoral immune response to different COVID-19 vaccines in patients undergoing maintenance hemodialysis
Authors: El-Hameed Ayman Abd , Ahmed Mohammed Fouad , Ehmemeed Ali Omar Ahmed , Mokhtar Ahmad , Abdelhamid Walid Ahmed Ragab
Published: August 2023

ABSTRACT Introduction: The immune response to different Coronavirus Disease 2019 (COVID-19) vaccines is under-investigated in end-stage kidney disease (ESKD) patients, especially in the Middle East and North Africa. We carried out this research to estimate the effectiveness of COVID-19 immunization in ESKD patients on regular hemodialysis (HD). Methods: In this prospective observational study, we enrolled 60 ESKD patients on regular HD who had completed COVID-19 vaccination and 30 vaccinated healthy participants. Serum levels of severe acute respiratory syndrome coronavirus 2 immunoglobulin G (SARS-COV2 IgG) were quantified 1 month after completing the vaccination schedule, and all participants were followed up from October 2021 to March 2022. The vaccines used in the study were from Pfizer-BioNTech, AstraZeneca, and Sinopharm. Results: The median level of SARS-COV2 IgG was lower in HD patients than in healthy participants (p < 0.001). Regarding the type of COVID-19 vaccination, there was no statistical difference in SARS-COV2 IgG levels among HD patients. During the observation period, none of the HD patients had COVID-19. Conclusion: COVID-19 vaccination appeared to be protective in HD patients for 6 months and the side effects of vaccines were tolerable.
Use of sirolimus as an adjuvant therapy for kidney transplant recipients with high-risk cutaneous squamous cell carcinomas: a prospective non-randomized controlled study
Authors: Fázio Marina Rezende de , Cristelli Marina Pontello , Tomimori Jane , Koga Carlos Eiji , Ogawa Marília Marufuji , Beneventi Giovanni Tani , Tedesco-Silva Helio , Medina-Pestana José
Published: August 2023

ABSTRACT Introduction: Previous research demonstrated benefits of late conversion to mTOR inhibitors against cutaneous squamous cell carcinomas (cSCC) in kidney transplant recipients (KTR), despite of poor tolerability. This study investigated whether stepwise conversion to sirolimus monotherapy without an attack dose modified the course of disease with improved tolerability. Methods: This prospective exploratory study included non-sensitized KTR with more than 12-months post-transplant, on continuous use of calcineurin inhibitors (CNI)-based therapy, and with poor-prognosis cSCC lesions. Incidence densities of high-risk cSCC over 3-years after conversion to sirolimus-monotherapy were compared to a non-randomized group with high-risk cSCC but unsuitable/not willing for conversion. Results: Forty-four patients were included (83% male, mean age 60 ± 9.7years, 62% with skin type II, mean time after transplantation 9 ± 5.7years). There were 25 patients converted to SRL and 19 individuals kept on CNI. There was a tendency of decreasing density of incidence of all cSCC in the SRL group and increasing in the CNI group (1.49 to 1.00 lesions/patient-year and 1.74 to 2.08 lesions/patient-year, p = 0.141). The density incidence of moderately differentiated decreased significantly in the SRL group while increasing significantly in the CNI group (0.31 to 0.11 lesions/patient-year and 0.25 to 0.62 lesions/patient-year, p = 0.001). In the SRL group, there were no sirolimus discontinuations, no acute rejection episodes, and no de novo DSA formation. Renal function remained stable. Conclusions: This study suggests that sirolimus monotherapy may be useful as adjuvant therapy of high-risk cSCC in kidney transplant recipients. The conversion strategy used was well tolerated and safe regarding key mid-term transplant outcomes.
Uso do sirolimo como terapia adjuvante para receptores de transplante renal com carcinoma espinocelular cutâneo de alto risco: um estudo prospectivo controlado não randomizado
Authors: Fázio Marina Rezende de , Cristelli Marina Pontello , Tomimori Jane , Koga Carlos Eiji , Ogawa Marília Marufuji , Beneventi Giovanni Tani , Tedesco-Silva Helio , Medina-Pestana José
Published: August 2023

RESUMO Introdução: Pesquisas anteriores demonstraram benefícios da conversão tardia para inibidores de mTOR contra carcinomas espinocelulares cutâneos (CECs) em receptores de transplante renal (RTR), apesar da baixa tolerabilidade. Este estudo investigou se a conversão gradual para monoterapia com sirolimo sem dose de ataque modificou o curso da doença com melhor tolerabilidade. Métodos: Esse estudo prospectivo exploratório incluiu RTR não sensibilizados com mais de 12 meses pós-transplante, uso contínuo de terapia imunossupressora baseado em inibidor de calcineurina (CNI) associado a micofenolato de sódio ou azatioprina, com lesões de CECs de mau prognóstico. Comparou-se densidades de incidência de CECs de alto risco durante 3 anos após conversão para monoterapia com sirolimo à um grupo não randomizado com CECs classificados conforme os mesmos critérios de gravidade do grupo sirolimo, mas inadequado/não disposto à conversão. Resultados: Foram incluídos 44 pacientes (83% homens, idade média 60 ± 9,7 anos, 62% com fototipo de pele II, tempo médio pós-transplante 9 ± 5,7 anos). 25 pacientes foram convertidos para SRL e 19 indivíduos mantidos em CNI. Foi observado tendência de diminuição da densidade de incidência de todos CECs no grupo SRL e de aumento no grupo CNI (1,49 a 1,00 lesões/paciente-ano; 1,74 a 2,08 lesões/paciente-ano; p = 0,141). A densidade de incidência de lesões moderadamente diferenciadas diminuiu significativamente no grupo SRL enquanto aumentou significativamente no grupo CNI (0,31 a 0,11 lesões/paciente-ano; 0,25 a 0,62 lesões/paciente-ano; p = 0,001). No grupo SRL não houve descontinuação do sirolimo, nenhum episódio de rejeição aguda e nenhuma formação de DSA de novo. Função renal permaneceu estável. Conclusões: Esse estudo sugere que a monoterapia com sirolimo pode ser útil como terapia adjuvante de CECs de alto risco em RTR. A estratégia de conversão usada foi bem tolerada e segura em relação aos principais desfechos do transplante a médio prazo.
Patrimonialización de sitios con arte rupestre en Venezuela
Authors: Páez Leonardo
Published: August 2023

Resumen Partiendo de las pocas y fallidas experiencias de activación patrimonial de sitios con arte rupestre en Venezuela, este trabajo tiene como objetivo identificar factores que han intervenido en la patrimonialización de estos espacios arqueológicos. Se asume, como parte de estos factores, el contexto ideológico y el tratamiento diacrónico de los referentes culturales amerindios por agentes políticos, los principios que rigen la lógica patrimonial y los imaginarios populares recreados en comunidades con arte rupestre. Se aplican técnicas de investigación de campo y documental, bajo la mirada del enfoque poscolonial y los estudios etnohistóricos. Finalmente, se exponen algunas consideraciones, a modo de ampliar el debate y dejar el camino abierto a estudios por venir.
ICF and perception of functioning according to children/adolescents in follow-up with speech/language disorders
Authors: Zerbeto Amanda Brait , Zanolli Maria de Lurdes , Shon Regina Yu
Published: August 2023

ABSTRACT Purpose To characterize changes in the functioning aspects, in the perception of children and adolescents with speech and language disorders under speech-language follow-up, using the ICF. Methods Descriptive, analytical and longitudinal research, with a qualitative and quantitative approach, whose sample consisted of 60 children and adolescents: 30 with speech and language disorders and 30 with typical speech and language development. Data collection was carried out in two moments: beginning of the research and six months later. A semi-structured questionnaire was administered to the participants, and a medical records analysis was performed. From these data, functioning was classified using he ICF categories. The Wilcoxon test and thematic content analysis were used to compare the interviews. Results The use of ICF allowed characterizing changes resulting from speech-language follow-up. Participants with speech and language disorders presented a decrease in the magnitude of the qualifiers in the categories: articulation and fluency, social relationships, daily activities, engagement in play, people's attitude barriers, and how to handle stress. Conclusion The findings show changes in components of Body Functions, Activities and Participation, and the influence of Environmental Factors after speech-language follow-up, in the perception of the studied group, which brings relevant subsidies for a greater understanding of functioning and therapeutic intervention. The use of the ICF enabled the longitudinal analysis in a biopsychosocial approach, contemplating, in addition to biological aspects, the social impact of speech and language disorders in the lives of these children and adolescents.
Development and validation of BATUTA: a test to evaluate the musical perception of people with hearing impairment
Authors: Simões Pierangela Nota , Araújo Cristiano Miranda de , Romanelli Guilherme , Lüders Débora
Published: August 2023

ABSTRACT Purpose To describe the development and validation of a test, called BATUTA, that assesses the musical perception of people with hearing impairment that are hearing aid (HA) users. BATUTA is a computerized test with 35 subtests, divided into the rhythm, pitch, and timbre modules, and the participants must answer whether the sound samples and/or parts of the songs, presented in pairs, are the same or not. Methods The BATUTA creation process consisted of four stages: test development, submission to the expert committee for content validation; pilot application with 51 normal hearing participants and retest to validate reliability. The process was based on several recommendations for the development and validation of musical assessment instruments. A deep investigation of the guidelines related to sound samples used, musical attributes evaluated, testing environment and the most appropriate response method was undertaken to ensure dependability. Results The Content Validity Index (CVI) and expert agreement rates, when analyzed with the committee's recommendations, resulted in corrections and new audio recordings to ensure compliance to the test. The pilot test scores indicated internal consistency and the retest confirmed the reliability of BATUTA. Conclusion The results demonstrated the viability of BATUTA to assess the musical perception of people with hearing impairment that are HA users.
Estimating flood recurrence uncertainty for non-stationary regimes
Authors: Gomes Yan Ranny Machado , Marques Laís de Almeida , Souza Christopher Freire
Published: August 2023

Abstract Assuming non-stationarity in flood frequency models is still controversial due to uncertainty in estimates. In this study, a hierarchical Bayesian framework for flood frequency analysis is presented without assuming the stationarity hypothesis. We account data and model uncertainty in all modelling steps and use the Pardo River, Brazil, as study case. Results showed the presence of increasing trends in floods in Pardo River. The stationary model underestimated floods compared to the non-stationary model. Physical-based covariates models performed better than time-based showing the importance of adding physical covariates to explain the trend behavior. The presented model is adaptable to other case. Finally, this study provided guidance for the flood recurrence estimation under non-stationary conditions.
WEIGHT LOSS AND QUALITY OF LIFE AFTER ONE ANASTOMOSIS GASTRIC BYPASS: A 2-YEAR FOLLOW-UP STUDY
Authors: BRAGA João Gabriel Romero , RAMOS Almino Cardoso , CALLEJAS-NETO Francisco , CHAIM Elinton Adami , CAZZO Everton
Published: August 2023

ABSTRACT Background: Studies assessing quality of life (QoL) after one anastomosis gastric bypass (OAGB) are currently scarce. Objective: To analyze the main weight loss outcomes and QoL in individuals undergoing OAGB during a 2-year follow-up. Methods: This is a retrospective study based on a prospectively collected database including individuals which underwent OAGB at a tertiary-level university hospital. After 2-years, excess weight loss was assessed, and post-surgical therapeutical success was determined using Reinhold’s criteria. QoL was assessed through the Bariatric Analysis and Reporting Outcomes System (BAROS). Results: Out of 41 participants, 90.2% were female and the average age was 38±8.3 years old. The average body mass index significantly decreased from 37.1±5.6 kg/m2 to 27±4.5 kg/m2 after 2-years (P< 0.001). The mean percentage of excess weight loss was 84.6±32.5%. Regarding weight loss outcomes, 61% were considered “excellent”, while 26.8% were “good” according to Reinhold’s criteria. With regards to QoL assessed by BAROS, most individuals achieved a score classified as either “excellent” (26.8%), “very good” (36.6%), or “good” (31.7%). The highest degrees of satisfaction achieved were in the domains “self-esteem” and “work capacity”, in which 75.6% and 61%, respectively, were classified as “much better”. Conclusion: OAGB associated with significant weight loss and resolution of obesity-related medical conditions, as well as relevant QoL improvement assessed by the BAROS system.
No-till cabbage production in different cover crops and phosphorus sources in the Brazilian Cerrado
Authors: Alves Guilherme F , Torres José Luiz R , Charlo Hamilton Cesar de O , Orioli Junior Valdeci , Loss Arcângelo , Barreto Antônio Carlos
Published: August 2023

ABSTRACT No-till planting and the use of organomineral fertilizers are crop management practices that increase soil organic matter, thereby mitigating leaching and cycling a considerable amount of nutrients, with the potential to improve crop yield. This study aimed to assess the agronomic performance of cabbage grown under a no-till system, using different cover crops and phosphorus sources. A randomized block design was used, with the main plot consisting of eight split plots for different cover crop treatments: 1) Signal grass (SG); 2) Sunn hemp (SH); 3) Pearl millet (PM); 4) SG+SH; 5) SG+PM; 6) SH+PM; 7) SG+SH+PM; 8) conventional tillage (soil preparation with no cover crop), and phosphorus (P) sources in the sub-plots: 1) mineral fertilizer (FM); 2) organomineral fertilizer (OF); 3) no P, with four repetitions. The following characteristics were assessed: cover crop fresh (FW) and dry weight (DW) (t/ha), residue decomposition and nutrient cycling; and cabbage head FW and DW (HFW and HDW) (g/plant) and yield (YLD) (t/ha). The highest FW and DW were recorded in the intercropped cover plant treatments; PM+SH and SG+SH residue exhibited the highest decomposition rate and P cycling into the soil. The highest cabbage HFW and YLD occurred in the SG+SH treatment, regardless of the fertilizer used. The MF used as P source produced a greater cabbage YLD when grown in PM residue. Under conventional tillage, YLD was higher when OF was used as P source.
Allometric model for estimating leaf area of ora-pro-nobis genotypes
Authors: Cabral Mateus O , Oliveira Fábio Luiz de , Fialho Gustavo S , Pedrosa Joab LF , Teixeira Ariany das G , Dalvi Leandro P
Published: August 2023

ABSTRACT The planting of unconventional vegetables has increased in Brazil. This is mainly due to the demand of nutritionally rich foods grown in sustainable crops. In this scenario, ora-pro-nobis stands out, as, although being part of the meal of large part of the Brazilian population, it has been cultivated despite the lack of scientific knowledge. Thus, this study aimed to adjust a leaf area estimation model for ora-pro-nobis, using the measurements of the leaves. For the model adjustment and validation, 4000 leaves were collected in four different genotypes, being 1000 in each of them. The regression models were adjusted using 2000 independent and random observations, using 500 leaves per genotype. Thus, the observed leaf area was studied as a linear function of the dimensions of the leaf blade: length (L), width (W) and product (LW). The remaining 2000 observations, also 500 per separate genotype, were used only in the statistical validation study. The adjusted allometric model based on the product (LW) proved to be precise and accurate for estimating the leaf area of ora-pro-nobis, being applicable to any of the four genotypes analyzed regardless of the leaf size: L A ^ L W = 0.9294 + 0.6815 x L W.
Sobre “os remédios e medicinas que se haviam dado a negros enfermos”: os gastos com a saúde e a morte de escravos do Ofício da Província Jesuítica do Paraguay, 1711-1745
Authors: Fleck Eliane Cristina Deckmann , Ramos Antonio Dari
Published: August 2023

Neste texto, analisamos o tratamento dispensado aos escravos enfermos do Ofício da Província Jesuítica do Paraguay e da Estância de Santa Catalina entre 1711 e 1745. As fontes analisadas – Libro de cuentas del Ofício, Memoriales e Cartas ânuas – revelam que o adoecimento de escravos do Ofício gerava despesas tanto com a aquisição de medicamentos, roupas e alimentos quanto com mortalhas para seu sepultamento. No caso dos escravos da Estância de Santa Catalina, observou-se que, dependendo da enfermidade, eles eram encaminhados à cidade de Córdoba, onde eram tratados por leigos treinados nas artes de curar, o que implicava despesas de outra natureza também registradas nos relatórios contábeis.
As raízes do trauma: uma revisão sobre a história do psicotraumatismo
Authors: Reis Ramon , Ortega Francisco
Published: August 2023

Resumo A percepção do papel do trauma psicológico na origem de problemas psiquiátricos aumentou e diminuiu ao longo da história da psiquiatria. Com a concepção do transtorno de estresse pós-traumático (TEPT), entretanto, as sociedades ocidentais presenciaram uma profunda expansão do discurso do traumatismo na interpretação de experiências humanas devastadoras, como catástrofes, genocídios, desastres e epidemias. A partir de revisão bibliográfica integrativa, este artigo analisa alguns dos determinantes históricos e epistemológicos que fundamentam o surgimento da memória traumática e o estabelecimento do trauma como campo semântico que orienta respostas clínicas e estratégias políticas no campo das ciências humanas e da saúde.
Induced shear in reinforced concrete beams with synthetic aggregate
Authors: Amaral Willian Jorge Rodrigues , Oliveira Dênio Ramam Carvalho de
Published: August 2023

Abstract The increasing aluminum production demands larger volumes of bauxite residue (BR) to be stored in the Amazon region. There are millions of tons of waste without reuse but with high potential for use in civil construction as artifacts or components for concrete. Due to the significant consumption of coarse aggregates for concrete, there is the possibility of producing synthetic aggregate (SA) from bauxite residue, containing high levels of residue (70%, 80% and 90%), maintaining satisfactory levels of resistance and durability. To evaluate this new product, two beams were made with conventional aggregate (gravel) and the others with SA. For the evaluation of the shear strength, friezes were made to fix the failure surface, aiming to reduce the influences of the arch action on the shear strength, inducing the failure in the brittle section. The friezes presented inclinations of 30° or 45°, according to the calculation models of the Brazilian code for concrete structures. All beams were subjected to bending test until failure. The results showed that the SA has potential for use in reinforced concrete structures, presenting a similar performance to the conventional aggregate. The results also showed the preponderance of tensile when the a/d ratio increases, evidencing the greater contribution of the coarse aggregate with the increase of the strut inclination.
A new nematode of the family Capillariidae identified in Cairina moschata (Linnaeus) on Marajó Island in the Brazilian Amazon
Authors: Carvalho Elaine Lopes de , Santana Ricardo Luis Sousa , Sindeaux Neto José Ledamir , Silva Michele Velasco Oliveira da , Giese Elane Guerreiro
Published: August 2023

Abstract Capillaria Zeder, 1800, parasitizes the organs and tissues of several hosts, including the domestic duck Cairina moschata (Linnaeus). This article describes a new species of Capillaria in domestic ducks identified based on morphological studies and molecular analyses of the ribosomal RNA gene. Thirty-eight specimens of C. moschata from the municipality of Soure, Marajó Island, Pará, Brazil. The organs of the birds' digestive tract were analyzed under a stereomicroscope to confirm the parasitic infection, after which the collected nematodes were identified by light microscopy, scanning electron microscopy, and molecular analysis. Capillariids parasitized the intestine and cecum of the examined birds. These parasites had three bacillary bands and a pair of elongated precloacal papillae on the tail. Phylogenetic analysis indicated that the new species formed a sister clade with Capillaria spinulosa (Linstow, 1890), as described in Indonesia and Japan. Based on morphological distinctions and molecular data, Capillaria cairina n. sp. can be considered a new parasite species of C. moschata in the Brazilian Amazon.
Profile of leisure-time physical activity and sedentary behavior in adults in Brazil: a nationwide survey, 2019
Authors: Oliveira Arão Belitardo de , Katzmarzyk Peter T. , Dantas Wagner Silva , Benseñor Isabela Judith Martins , Goulart Alessandra de Carvalho , Ekelund Ulf
Published: August 2023

Abstract Objectives: to estimate the prevalence of leisure-time physical activity and sedentary behavior in adults in Brazil. Methods: this was a cross-sectional, population-based study carried out in a sample of 88,531 Brazilians, using data from the 2019 National Health Survey; leisure-time physical activity (overall and aerobic exercise) was measured according to the World Health Organization guidelines; the weighted prevalence and respective 95% confidence intervals (95%CI) of physical activity, physical inactivity and sedentary behavior were estimated. Results: according to the selected sample, 26.4% (95%CI 25.9;27.1) of Brazilian adults were physically active, 14.0% (95%CI 13.5;14.4) were insufficiently physically active and 59.5% (95%CI 58.8;60.2) were physically inactive; sedentary behavior ≥ 6 hours was reported by 30.1% (95%CI 29.5;30.8) of the population; only 8.6% (95%CI 8.2;8.9) met the recommendations for muscle-strengthening activities. Conclusion: most Brazilian adults were physically inactive and did not meet international recommendations for leisure-time physical activity and reduction in sedentary behavior.
EXPERIMENTAL STUDY OF IMPACT COMPRESSION MECHANICAL PROPERTIES OF THE CELLULAR CONCRETE WITH CORAL SAND FINE AGGREGATE
Authors: Zhou Ling , Ren Junru , Deng Zhiping , Li Wenlei , Zhu Yuhao
Published: August 2023

The compressive behavior of the cellular concrete with coral sand fine aggregate was experimentally investigated under quasi-static and high-strain-rate loadings. Quasi-static tests at strain rate of 10-5/s were conducted using a servo-hydraulic material test system. Impacting tests at strain rates ranging from 70/s to 140/s were performed using Φ74 mm conic variable cross-sectional split Hopkinson pressure bar (SHPB) equipment. The strain rate effects on the compressive strength, elastic modulus, and peak toughness were studied. The results indicated that the compressive strength, elastic modulus, and peak toughness all increased with increasing strain rate and displayed clear strain-rate dependence. At high strain rates the compressive strength decreased with increasing the porosity, while the dynamic
increase factor of compressive strength (DIF-fc) due to the pure rate effect showed a reverse tendency, which may contribute to more significant path altering effect in specimens with higher porosity.
Effects of sucrose on fresh-state and setting properties of air lime
Authors: Pesce Cecilia , Pesce Giovanni , Molinari Marco , Corradi Marco
Published: August 2023

The use of sustainable additives such as sucrose for improving the properties of lime-based materials can contribute to a wider use of such low-carbon binders with applications in both civil engineering and conservation of the built heritage. Various sucrose-modified lime pastes were prepared, and their microstructure, fresh and hardened properties, and carbonation rate were assessed with an array of analytical techniques. It was found that sucrose acts as a water-reducing agent with relevant effects on both, fresh and hardened properties of pastes while allowing carbonation to occur homogeneously across the whole sample without the formation of carbonation rims. Such effects were enhanced when sucrose was added to the mixture after the slaking as pastes show higher mechanical strength and carbonate at a slower rate. When sucrose was added before the slaking, pastes show high elasticity, low mechanical strength, and carbonate faster due to their fine microstructure.
Factores organizacionales y experienciales del consumidor: Influencia comparativa en el comportamiento de respuesta a la información
Authors: Otero Gómez María Cristina , Giraldo Pérez Wilson , Sánchez Zeferino Diana Edith
Published: August 2023

Objetivo: Este artículo presenta los resultados de una investigación que vincula factores organizacionales y experienciales de los consumidores mediante un análisis de las relaciones entre la percepción de la responsabilidad social corporativa, la experiencia en el servicio, el valor de marca y la resistencia a la información negativa, en usuarios de los principales servicios bancarios en Colombia y México. Método: Los datos se recabaron entre personas mayores de edad residentes en los dos países, con la técnica de encuesta virtual, se analizaron mediante el modelo de ecuaciones estructurales para comprobar las relaciones directas entre las variables, y bajo el procedimiento de permutaciones para las relaciones de moderación. Resultados: Los hallazgos destacan que la percepción de los consumidores respecto a las iniciativas de responsabilidad que desarrollan los bancos mantiene una relación directa con el valor de marca y la resistencia a la información negativa. Conclusión: Se puede inferir que son los factores organizacionales sobre los elementos experienciales del consumidor, los que prevalecen en el momento de quedar expuestos a comentarios negativos que se realicen acerca de la entidad financiera de la que son usuarios, con resultados diferentes explicados por el efecto moderador del país de origen y el género.
Long-term storage modifies the microRNA expression profile of cryopreserved human semen
Authors: Huang Chuan , Ji Xi-Ren , Huang Zeng-Hui , Liu Qian , Wang Rui-Jun , Fan Li-Qing , Wu Hui-Lan , Bo Hao , Zhu Wen-Bing
Published: August 2023

The global practice of cryopreservation of human semen is commonplace in Assisted Reproductive Technology (ART) labs and sperm banks. However, information on the effects of long-term cryopreservation on semen is limited to clinical data summaries and descriptions. For this study, we prepared 4 semen specimens of fresh semen, 4 specimens cryostored for at least 1 year, 3 specimens cryostored for at least 5 years, 4 specimens cryostored for at least 10 years, and 3 specimens cryostored for at least 15 years. Total RNA was extracted from each sample, amplified, labeled, and mapped to the known primary microRNA (miRNA) in the miRBase database, enabling the prediction of novel miRNAs. We found that cryopreservation can lead to changes in miRNA expression, and with the increase in storage time, these changes became more pronounced. Meanwhile, the expression of let-7d-3p, let-7c-5p and let-7i-3p miRNAs changed dynamically over cryostorage time in frozen-thawed human sperm. Furthermore, we analyzed the time-dependent dynamics of cryostorage-expressed miRNAs and their target mRNAs and found that half of the target genes were expressed in oocytes. These intersection genes were mainly enriched in cancer and cytoskeletal signaling pathways. Our findings showed that the miRNA expression profile of cryopreserved human semen is modified by long-term storage. Furthermore, as the storage time increases, the impact on human sperm becomes more pronounced in terms of miRNAs, which may have an effect on subsequent fertilization and embryonic development.