bluuebunny/crossref_metadata_2025 huggingface dataset:
Profile of at-risk newborns attended by nurses in outpatient follow-up clinic: a retrospective cohort study
Authors: Beleza Ludmylla de Oliviera , Ribeiro Laiane Medeiros , Paula Rayanne Augusta Parente , Guarda Laíse Escalianti Del Alamo , Vieira Gessica Borges , Costa Kassandra Silva Falcão
Published: February 2019

ABSTRACT Objective: to analyze the cohort profile of at-risk newborns attended by nurses in a multidisciplinary follow-up clinic, with emphasis on the type of feeding and weight gain, after hospital discharge. Method: retrospective cohort, whose population is composed of at-risk newborns attended in a 4-year period. Data came from medical records and attendance report, later exported to R Program. The outcome variables were number of the nursing consultation, type of feeding, daily weight gain and main guidelines. We used descriptive statistics, frequency distribution and applied Mann-Whitney, Chi-Square, Spearman correlation, Variance and Tukey analysis, with p <0.05 being significant. Results: a total of 882 consultations with 629 infants and families were analyzed. The frequencies of exclusive breastfeeding and weight gain increased as the consultations progressed. The infants who needed more consultations and with lower weight gain were those with lower gestational age (p = 0.001) and birth weight (p = 0.000), longer length of hospital stay (p <0.005), and diagnoses related to extreme prematurity (p <0.05), among others. Conclusion: nurses verified the importance of outpatient follow-up of at-risk newborns, especially in promoting breastfeeding and healthy growth.
Implementation of the Humanitude Care Methodology: contribution to the quality of health care
Authors: Henriques Liliana Vanessa Lúcio , Dourado Marilia de Assunção Rodrigues Ferreira , Melo Rosa Cândida Carvalho Pereira de , Tanaka Luiza Hiromi
Published: February 2019

ABSTRACT Objective: to evaluate the contribution of the implementation of the Humanitude Care Methodology to the quality of health care in a Continuing Care Unit. Method: an action-research study with a non-probability convenience sampling, involving 34 health professionals from one unit in Portugal. Data was collected through a questionnaire and an observation worksheet for the Structured Sequence of Humanitude Care Procedures. We used data content analysis with the Statistical Package for Social Science, version 17.0. Results: health professionals demonstrated difficulties to provide care for people who are agitated, confused, disoriented, aggressive and who refuse care, and to communicate with patients who do not communicate verbally. The professionals valued the accomplishment of the stages of the observation worksheet. There were discrepancies between the perception of accomplishment and the actual practice. Throughout the implementation of the methodology, there was an increase in the practical application of the procedures, with positive repercussion for the patients and for the professionals. Conclusion: the results allowed to perceive the contribution of the process of implementation of the methodology, through the positive transformations in health care delivery.
Randomized clinical study comparing active heating methods for prevention of intraoperative hypothermia in gastroenterology
Authors: Santos Regina Maria da Silva Feu , Boin Ilka de Fatima Santana Ferreira , Caruy Cristina Aparecida Arivabene , Cintra Eliane de Araújo , Torres Nathalia Agostini , Duarte Hebert Nogueira
Published: February 2019

ABSTRACT Objective: to compare the efficacy of three active heating methods in the prevention of intraoperative hypothermia in open gastroenterological surgeries. Method: randomized clinical trial with a sample of 75 patients, whose initial body temperature measured by a tympanic thermometer. Esophageal temperature <36ºC was considered hypothermic. Patients were divided into three groups using: thermal mattress, underbody forced-air warming blanket and heated infusion system. The tympanic and esophageal temperatures were measured at different times of the intraoperative period, but the temperature considered gold standard was the esophageal. To evaluate the homogeneity of the groups, we used chi-square test (categorical variables). In the comparison of temperature measurements over time, the analysis of variance (ANOVA) and the contrast profile test were used for the difference in temperature between the times. The non-parametric Kruskal-Wallis test was used to compare the three groups. The level of significance was 5%. Results: regarding the studied variables, the groups were not homogeneous as to the categorical variable sex. All patients presented hypothermia during the intraoperative period (p> 0.05). Conclusion: there was no significant difference between the heating methods in the prevention of intraoperative hypothermia. REBEC - Brazilian Registry of Clinical Trials (RBR- no. 52shjp).
Mobile educational follow-up application for patients with peripheral arterial disease
Authors: Mendez Cristiane Baldessar , Salum Nádia Chiodelli , Junkes Cintia , Amante Lucia Nazareth , Mendez Carlos Mauricio Lopes
Published: February 2019

ABSTRACT Objective: to describe the development of a prototype mobile educational application for nursing follow-up aimed at patients diagnosed with peripheral arterial disease. Method: a prototype-based technological production study. The construction followed the contextualized instructional design model using two steps: analysis and design and development. Results: the pedagogical content of the application was based on a survey of needs of patients with Peripheral Arterial Disease and treatments recommended in the literature. The prototype developed contained concepts, risk factors, signs and symptoms, treatment, importance of medications and their side effects, frequent doubts, necessary health care, and follow-up of patients by monitoring the evolution of the cicatricial process of lesions and possible complications, clarification of doubts and stimulus for continuation of treatment. Conclusion: the use of health applications is a technological tool with the potential to improve the follow-up of patients regarding the progress of the disease and self-care, monitoring of risk factors, co-participation of the patient in the treatment, family participation, as well as planning of individualized care, and cost reduction for the health system.
Adherence to the objectives of the Safe Surgery Saves Lives Initiative: perspective of nurses
Authors: Gutierres Larissa de Siqueira , Santos José Luís Guedes dos , Barbosa Sayonara de Fátima Faria , Maia Ana Rosete Camargo , Koerich Cintia , Gonçalves Natalia
Published: February 2019

ABSTRACT Objective: to measure the adherence to the objectives of the Safe Surgery Saves Lives Initiative in surgical centers from the perspective of nurses. Method: cross-sectional study, developed through an online survey via the Google Forms® platform. The study participants were 220 nurses from surgical centers in different regions of Brazil. The data were collected through a socio-professional characterization form and a questionnaire in which the participants indicated their level of agreement in relation to the fulfillment of the objectives of the Safe Surgery Saves Lives Initiative. Data analysis was performed using descriptive statistics. Results: objective 1, The team will operate on the correct patient at the correct site, presented the highest levels of total agreement (n = 144; 65.5%) and partial agreement (n = 52; 23.6%). Objective 10, Hospitals and the public health systems will establish routine surveillance of surgical capacity, volume and results, obtained the lowest percentages of total (n = 69, 31.4%) and partial agreement (n = 81, 36.8%). Conclusion: adherence to the objectives of the Initiative is adequate, but there are weaknesses, especially in relation to the prevention of never events.
How long before hospital admission do the symptoms of heart failure decompensation arise?
Authors: Born Maraísa Carine , Azzolin Karina de Oliveira , Souza Emiliane Nogueira de
Published: February 2019

ABSTRACT Objective: to identify the signs and symptoms of decompensation of heart failure (HF) and the duration of time to hospital admission. Method: this is a cross-sectional study with adult patients hospitalized for decompensated HF in a teaching hospital located in southern Brazil from July to October 2017. Data collection was performed through a structured questionnaire that included sociodemographic, clinical signs and symptoms of HF. In the data analysis, the following tests were applied: t-Student, Mann Whitney U-Test, Chi-Square Tests. Results: 94 patients, aged between 42 and 98 years old (mean of 71.2 years old) were included. The most prevalent signs and symptoms before emergency admission were dyspnea (79.8%), cough (29.8%), orthopnea (27.7%), edema (23.4%), and fatigue (22.3%). The median time from onset of signs and symptoms to arrival in the emergency room is fatigue and edema 7 days, orthopnea 5 days, cough 4 days and dyspnea 3 days. Conclusion: the set of classic signs and symptoms of decompensation of HF occurs around seven days before the emergency search and dyspnea is the worsening that leads the patient to a hospital emergency.
Attitudes of nursing students toward to the suicidal behavior
Authors: Vedana Kelly Graziani Giacchero , Zanetti Ana Carolina Guidorizzi
Published: February 2019

ABSTRACT Objective: to investigate attitudes related to suicidal behavior and associated factors, among students in the last year of an undergraduate nursing course. Methods: a cross-sectional study with 111 nursing students from a Brazilian educational institution. The data were collected in 2017, by self-administration of a questionnaire with sociodemographic characteristics, and the Suicide Behavior Attitude Questionnaire, which were analyzed by descriptive statistics, comparison of means, and correlation tests. Results: most of the nursing students had contact with someone with suicidal behavior, but did not have education related to the subject. The most negative attitudes were associated with the female sex, lack of materials on suicide prevention, and lower self-perception of professional competence. Suicidal thoughts throughout life were associated with the contact with someone with suicidal behavior, and less moralistic/condemnatory attitudes. Conclusion: investigations and interventions are necessary for academic qualification and prevention of suicidal behavior.
Identification of warning signs for prevention of in-hospital cardiorespiratory arrest
Authors: Souza Beatriz Tessorolo , Lopes Maria Carolina Barbosa Teixeira , Okuno Meiry Fernanda Pinto , Batista Ruth Ester Assayag , Góis Aécio Flávio Teixeira de , Campanharo Cássia Regina Vancini
Published: February 2019

ABSTRACT Objective: to identify the occurrence of warning signs and changes in vital signs in individuals who experienced in-hospital cardiorespiratory arrest and correlate them with the occurrence of this event. Method: this is a retrospective, analytical and quantitative study that included 218 medical records of patients who suffered in-hospital cardiorespiratory arrest and identified warning signs and alterations in vital signs. Mean, standard deviation, median, minimum and maximum values were calculated for the continuous variables, and frequency and percentage for the categorical variables. We compared the age and occurrence of cardiorespiratory arrest with the occurrence of warning signs using the Chi-Square Test and the Mann Whitney non-parametric test (p-value < 0.05). Results: 62.1% of the patients presented signs and symptoms of shock, 44.9% of neurological alteration, 40.4% of malaise, 15.2% presented signs suggestive of acute coronary syndrome, and 25.9% presented mental confusion. In the last measurement of vital signs before cardiorespiratory arrest, the majority of patients had altered abnormal (32.6%) and severely abnormal (23.9%) heart rate, and abnormal (37.1%) and severely abnormal (27.0%) respiratory rate. Conclusion: the warning signs identified were: shock, neurological signs, malaise and acute coronary syndrome. The prevalent changes in vital signs were: heart rate, respiratory rate and O2 saturation. Patients with severely abnormal systolic blood pressure were not discharged and those with abnormal respiratory rate did not survive 6 months after cardiorespiratory arrest.
Ichthyofauna of streams of the Rio Sapucaí basin, upper Rio Paraná system, Minas Gerais, Brazil
Authors: Azevedo-Santos Valter M. , Britski Heraldo A. , Oliveira Claudio , Benine Ricardo C.
Published: February 2019

Abstract: The Rio Sapucaí basin, in Minas Gerais State, Brazil, is one of the many watersheds of the upper Rio Paraná system. Ichthyofauna surveys in this basin, in general, are scarce. In addition, small rivers and streams of the region have been targets of anthropogenic actions (e.g., pollution) - which suggest that more ichthyological studies must be performed within the watershed. In this study we provide a survey of species that occur within three streams of the lower Rio Sapucaí basin. Samples were collected in April, July, and November 2017 and in May 2018. Collections resulted in 349 individuals belonging to 28 species, five orders, and 12 families. Among our findings are three putatively undescribed species and the first record of Oligosarcus argenteus and Pareiorhina hyptiorhachis within the Rio Paraná system.
Face e contraface da violência de gênero: diálogos entre telenovelas e contexto nacional
Authors: Caminhas Lorena
Published: February 2019

Resumo Embasado no argumento de que a violência é constitutiva das relações de gênero no Brasil (Saffioti 1994), o presente artigo retoma as estatísticas sobre agressões contra mulheres (demonstrando a persistente presença desse fenômeno) e a crescente importância da temática em telenovelas brasileiras dos últimos 18 anos para questionar quais imagens e imaginários acerca dessas violações circulam no cotidiano do país. Ao se construir a partir do diálogo entre conjuntura e representações do melodrama televisivo, este texto se associa a uma abordagem sociocultural da mídia de inspiração antropológica, desdobrando-se em uma reflexão que aponta marcos de inteligibilidade que definem quais mulheres podem (e em muitos casos devem) apanhar. A relativização e a naturalização de diversas formas de desrespeitos e injúrias encontram-se tanto no interior das narrativas ficcionais quanto no contexto nacional.
"De sangue" e "de santo": o parentesco no candomblé
Authors: Flaksman Clara
Published: February 2019

Resumo Este artigo investiga o parentesco, tanto “de santo” quanto “de sangue”, a partir de uma etnografia do terreiro de candomblé Ilê Iyá Omi Axé Iyamassé (mais conhecido como Gantois), em Salvador, Bahia. O tema que abordo baseia-se numa reflexão sobre o parentesco no candomblé, mais especificamente sobre os modelos de transmissão dos orixás (e de outras entidades) entre os membros de uma mesma família e as possíveis conexões entre esses modelos e alguns dos princípios daqueles que se convencionou chamar "novos estudos do parentesco". O objetivo deste artigo é, portanto, analisar a questão do “parentesco de santo”, entendido como a rede familiar que surge a partir da feitura do noviço em um terreiro de candomblé, e do “parentesco de sangue”, a família consanguínea do iniciado, questionando assim a separação entre elas.
Expression patterns of mesenchymal stem cell-specific proteins in adipose tissue-derived cells: possible immunosuppressing agent in partial allograft for restoring the urinary bladder in rabbits
Authors: Pinto Filho Saulo T.L. , Pillat Micheli M. , Rosa Matheus P. , Dalmolin Fabíola , Ulrich Henning , Pippi Ney L.
Published: February 2019

ABSTRACT: Adipose tissue-derived stem cells (ADSCs) are an attractive source of mesenchymal stem cells (MSCs) for use in tissue engineering and clinical applications. This paper focuses on the characterization of ADSCs used as immunosuppressive agent in rabbits undergoing partial allograft for urine bladder restorage. For this study highlighted the characterization of the ADSCs used as immunosuppressive agents in rabbits submitted to partial allograft for restoration of the urinary vesicle, using 25 animals, six months old, New Zealand. ADSCs at the third peal were characterized by the MSC-specific CD105, CD73 and CD90 expression and by the absence of the hematopoietic marker CD45, as revealed by flow cytometry analysis. Moreover, ADSCs were efficient in preventing allograft rejection from the urinary bladder, as judged by biochemical, clinical and ultrasonography analysis. Together, these results compose characterization of protein expression profiles and immunosuppressive functionality of ADSCs in rabbits, which had undergone partial allografts of the urinary bladder, foreseeing future applications in clinical practice.
Physiotherapy protocol during initial postoperative period of arthroscopy in horses
Authors: Stievani Fernanda C. , Machado Thais S.L. , Bezerra Kaio B. , Silva Marilene M. , Baccarin Raquel Y.A. , Silva Luis C.L.C.
Published: February 2019

ABSTRACT: This study evaluated the effects of a physiotherapy protocol applied in joints with osteochondritis dissecans submitted to arthroscopy. Twelve horses totaling twenty joints were used and divided into two uniform groups, according to articular lesion grade. Treated Group (TG) received the physiotherapy protocol (cryotherapy, passive rage motion and controlled exercise) that initiate just after anesthetic recovery and extended for five days. Control Group (CG) remained resting in stall during the same period. Physical examination and synovial fluid analysis were used to evaluate the treatment. The synovial fluid examination consisted of physical analysis (color, aspect, and viscosity), mucin clot evaluation, Serum Amyloid A, Prostaglandin E2 and urea concentration. Synovial samples were collected by arthrocentesis at the beginning of the surgical procedure (D1), 48 hours (D3) and 96 hours (D5) after surgery. Before arthroscopy and daily during the postoperative period joints were evaluated by physical exam: superficial temperature (°C), range of motion (degrees) and circumference (centimeters). The joint physical examination showed no significant difference between groups and neither along the days for the same group. The parameters of synovial fluid showed difference over the moments in each group but didn’t have difference between groups. Color and aspect had the same patterns across moments, in CG fluid had significant change when compared D1 with D3 (color and aspect: p<0.001) and D5 (color: p<0.001; aspect: p<0.05) becoming mostly bloody and cloudy in D3 and D5. However in TG the difference was significant just between D1 and D3 (color and aspect: p<0.05), showing an improvement of synovial fluid in D5 (color and aspect: p>0.05). Viscosity and mucin clot evaluation showed significant change in CG between D1 and D3 (viscosity: p<0.01; mucin clot: p<0.05) and between D1 and D5 (viscosity: p<0.01;mucin clot: p<0.01). In TG no significant difference of viscosity and mucin clot was observed over the moments, showing an early improvement of synovial fluid quality. The Serum Amyloid A concentration showed an extremely significant increase in CG (p<0.001) when compared D1 (1217.13±664.47μg/mL) and D3 (42423.80±52309.31μg/mL). The comparison between D1 and D5 in CG, and across moments in TG, had no statistical difference. The PGE2 eicosanoid remained statistically unchanged all over the time. Urea showed significant increase in D3 when compared to D1 (p<0.001) in CG, and had no variation in TG. The physiotherapy protocol minimized the inflammatory mediators and provided minor alterations in synovial fluid after arthroscopy.
Excessive abdominal adiposity and body fat are associated with lower serum vitamin D levels: A population-based study
Authors: SEGHETO Kátia Josiany , SILVA Danielle Cristina Guimarães da , FERREIRA Fabrícia Geralda , CARVALHO Mariana Rinaldi , LONGO Giana Zarbato
Published: February 2019

ABSTRACT Objective To estimate the prevalence of 25-hydroxyvitamin D deficiency and to analyze factors associated with lower serum vitamin levels in Brazilian adults. Methods A cross-sectional, population-based study consisted of 626 adult individuals of both sexes living in the urban area of Viçosa, Minas Gerais. The dependent variable used was the serum level of 25-hydroxyvitamin D and the independent variables were sociodemographic, anthropometric and body composition variables. The associations among the variables were verified using simple and multiple linear regression models, considering alpha lower than 0.05 for the input in the final model. Results The prevalence of 25-hydroxyvitamin D deficiency was 14.4% and the prevalence was 42.0%. Excess abdominal fat was higher in subjects with 25-hydroxyvitamin D sufficiency. The serum level of 25-hydroxyvitamin D was 30.34±9.85ng/ml. Body adiposity was higher in men with vitamin insufficiency. Negative associations were observed between serum 25-hydroxyvitamin D levels and age, educational level, body adiposity (p=0.028) and abdominal adiposity (p=0.023). Conclusion Our results showed that excess body and abdominal adiposity are strong predictors of alterations in the serum vitamin D levels, thus public policies for prevention and treatment in this population are essential.
Measuring the quality of main meals: Validation of a meal quality index
Authors: GORGULHO Bartira , POT Gerda Karolien , SARTI Flavia Mori , FISBERG Regina Mara , MARCHIONI Dirce Maria
Published: February 2019

ABSTRACT Objective To evaluate the internal validity and reliability of an index developed to assess the nutritional quality of meals. Methods The Main Meal Quality Index is composed of ten components. The final scores range from 0-100 points. The index performance was measured using strategies for assessing content validity, construct validity, discriminant validity and reliability. The analyses were performed using the Stata statistical software at a 5% significance level. Results The index was positively associated with carbohydrates, vegetable proteins, fibers, vitamins, folate and potassium and negatively associated with energy, total fat, saturated fat, animal protein, cholesterol, phosphorus, sodium, added sugar, and cholesterol biomarker. Significant differences were found between the two groups with marked disparities in dietary quality, smokers (50.2 points) and non-smokers (53.5 points). Conclusion The index might be a useful tool for assessing the nutritional quality of meals and for monitoring and comparing groups.
Nutritional composition of fad diets published on websites and blogs
Authors: BRAGA Daiane Cristina de Assis , COLETRO Hillary Nascimento , FREITAS Maria Tereza de
Published: February 2019

ABSTRACT Objective To analyze quantitatively the diets available on blogs and websites. Methods The following 15 diets were analyzed: low-carb diet, gluten-free diet and intermittent fasting diet using the Virtual Nutri software program. The nutrients analyzed were as follows: carbohydrates, fibers, proteins, lipids, iodine, sodium, calcium, magnesium, iron, zinc, manganese, phosphorus, selenium, vitamins A, C, B6, B12, D, niacin, and folate. The nutrient values were compared with the Dietary Reference Intake recommendation for adults between the ages of 19-50 years. The macronutrient adequacy percentage was based on a 2000-kcal diet for a healthy life, as recommended by the World Health Organization. Results It was observed that most of the composition of macro and micronutrients was lower than the one established by the World Health Organization and the Dietary Reference Intake recommendation for adults between the ages of 19-50 years. Conclusion Long-term dieting can be a risk factor for several deficiency diseases and may endanger the health of individuals.
Public policies of food and nutrition in Brazil: From Lula to Temer
Authors: VASCONCELOS Francisco de Assis Guedes de , MACHADO Mick Lennon , MEDEIROS Maria Angélica Tavares de , NEVES José Anael , RECINE Elisabetta , PASQUIM Elaine Martins
Published: February 2019

ABSTRACT Objective To analyze public policies on food and nutrition in Brazil, with emphasis on the last fifteen years (2003-2018). Methods Historical-documentary analysis based on a bibliographical survey on indexed bases and exploratory visits to websites of government agencies. Results The scientific and governmental findings were organized according to the Lula, Dilma and Temer governments. They explore the development of several public policies and welfare programs in food and nutrition, focusing mainly on Brazilian Hunger Eradication Program, Assistance for Needy Families Program, National Policy on Food and Nutrition Security, Food Acquisition Program, National School Nutrition Program, National Food and Nutrition Security Policy, National Food and Nutrition Surveillance System and Brazilian Misery Eradication Program. The centrality of the idea of the fight against hunger and misery in public policies during Lula’s first and second terms and Dilma’s first term stand out. Dilma’s second term is marked by the focus on healthy eating, as well as presenting the first signs of fragilization of public policies on food and nutrition. Currently, the Temer government is characterized by processes of institutional and programmatic rupture, budget cuts and setbacks in acquired rights. There is evidence of the need to activate national and international instruments to enforce the human right to adequate food and consequent strengthening of public policies on food and nutrition. Conclusion This period presents an expansion and qualification of public policies on food and nutrition, mainly in the Lula and Dilma administration, with setbacks in the Temer administration, in which continuous budget cuts weaken social, hunger reduction, poverty reduction and food and nutrition security policies.
Profile of women with cervical cancer attended for treatment in oncology center
Authors: Silva Ruan Carlos Gomes da , Silva Amanda Cristina de Oliveira , Peres Adrya Lúcia , Oliveira Sibele Ribeiro de
Published: February 2019

Abstract Objectives: to evaluate the sociodemographic, clinical, histopathological, cytopathological and microbiological profile of women with cervical cancer treated at Oncology Center in Pernambuco, located in the city of Caruaru-PE. Methods: a retrospective study was carried out to evaluate the medical records of women with cervical cancer treated for radiotherapy and/or chemotherapy between January 2014 and December 2016. For the analysis of variables, the absolute and relative frequencies were calculated. Results: there was a predominance of cases in the age range between 40 and 59 years (45.37%), non-white race/color (91.75%) and incomplete primary education (44.32%). Squamous carcinoma was present in 85.19% of the cases, with a moderately differentiated histological grade being the most common (53.41%). Most women underwent radiotherapy and associated chemotherapy (72.72%) and had 3 or more pregnancies before diagnosis (73.44%). Cytopathology has more frequently identified high-grade squamous intraepithelial lesion (HSIL) cases (45.83%) and cocci and/or bacilli (66.67%) were the most evident microorganisms. Conclusions: the results showed that the perimenopause age, low educational level, multiparity, cytopathologic result of HSIL and histopathological examination evidencing moderately differentiated squamous cell carcinoma were among the characteristics most related to cervical cancer in the population studied.
Prevalence and epidemiological profile of Hepatitis B in pregnant women: a population study in a Brazilian Western Amazon city from 2007 to 2015
Authors: Sanson Marina Cordeiro Gomes , Feitoza Helena Albuquerque Catão , Saraceni Valeria , Koifman Rosalina Jorge , Bessa Andrea Ramos da Silva
Published: February 2019

Abstract Objectives: this study aimed to describe the epidemiological profile and prevalence of hepatitis B infection in pregnant women living in Rio Branco, Acre, Brazil. Methods: this was a cross-sectional study concerning the prevalence of Hepatitis B in a cohort of women who gave birth in Rio Branco from 2007 to 2015. Data were obtained through health information systems. Pregnant women presenting one or more serological markers or positive molecular biology examination were considered confirmed cases of infections. Infection prevalence, the odds ratio (5% significance) and sociodemographic, clinical, obstetric and neonatal variable frequency distributions were calculated. The student's t-test and Mann Whitney test were applied, as well as the chi-square test or Fisher's exact test, at a significance level of 5%. Results: a total of 62,100 pregnant women were identified for the study period. The prevalence of Hepatitis B in the group was of 0.38% (206 cases), and only 12,5% were diagnosed during the first gestation trimester. A significant difference (p=0.034) in the mean age of infected women was observed when compared to those without infection. The chance of an infected pregnant woman giving birth to a child with a 1st Apgar minute <7 was of 2.01 (CI95%= 1.09-3.71; p=0.995), higher than observed for healthy pregnant woman. Concerning infected patients, the most reported risk exposure was dental treatment (19.2%). Conclusions: the prevalence of Hepatitis B among pregnant women was lower than reported in other national studies. Low Hepatitis B detection during the first gestation trimester was identified, which reinforces the need to intensify early diagnosis during prenatal follow-up, especially due to the severity of the disease and the possibility of vertical transmission.
Profile of infected pregnant women and children exposed to HIV at a specialized service in the South of Brazil
Authors: Bick Marília Alessandra , Ferreira Tamiris , Sampaio Clécia de Oliveira , Padoin Stela Maris de Mello , Paula Cristiane Cardoso de
Published: February 2019

Abstract Objectives: to characterize the social and clinical profile of pregnant women infected with HIV, the factors associated to the prevention of vertical transmission, and to analyze the quality of the information available in the SINAN notification forms and clinical records of infected pregnant women and children exposed to HIV in a specialized service in the countryside of Rio Grande do Sul. Methods: retrospective documentary study conducted from medical records of 110 HIV mothers and their children born between June/2014 and March/2017. For the analysis, the absolute frequency and the data percentage were taken under consideration. Results: the characterization of infected women represents a Brazilian scenario among young adults, low schooling level and the occurrence of unpaid employment situation. Most mothers underwent treatment during pregnancy and had prenatal care with the intention of applying the prophylactic measures recommended by the national protocols. A greater occurrence of incompleteness of data in the factors of prevention of vertical transmission was identified. Conclusions: the compromise is identified regarding the quality of assistance addressed to the population, which is largely exposed to unfavorable social conditions. The occurrence of data incompleteness shows that there is still not a culture among health professionals that ensures that the information is adequately filled out and favors the exchange of the information among the services.
HEALTH RISK ASSESSMENT ASSOCIATED WITH THE IMPLEMENTATION OF THE MADEIRA AHYDROELECTRIC COMPLEX, BRAZILIAN AMAZON
Authors: BARCELLOS CHRISTOVAM , XAVIER DIEGO RICARDO , BULCÃO JOSÉ ANTÔNIO SIMAS , SILVA HELIANA VILELA DE OLIVEIRA , LUIGI GIOVANNINI , SILVA DENISE DE SOUSA DA , MOURA FERNANDO HENRIQUE , ROVERE EMILIO LÈBRE LA
Published: February 2019

Abstract This article analyses the health impact of the installation of the Madeira Hydroelectric Complex to the population of Porto Velho county (Amazon, Brazil) between 2001 and 2010. The incidence of a selected list of diseases was evaluated with regard to changes that took place in the human and natural environment, compared to the phase prior to the installation of the hydroelectric power projects. An assessment of environmental responsiveness and the population’s vulnerability was carried out based on a matrix of socioeconomic, health, and environmental indicators. Malaria, Aids, leishmaniosis and dengue transmission were differentially affected by the implementation of the hydroelectric power plants in a context of limited government intervention in terms of sanitation and health care infrastructure, deforestation, different forms of land use and cover, in addition to migration processes within the area influenced by the hydroelectric power plants.
EVALUATION OF ECOSYSTEM SERVICES AND MANAGEMENT OF URBAN GREEN AREAS: PROMOTING HEALTHY AND SUSTAINABLE CITIES
Authors: GAUDERETO GUILHERME LEITE , GALLARDO AMARILIS LUCIA CASTELI FIGUEIREDO , FERREIRA MAURÍCIO LAMANO , NASCIMENTO ANA PAULA BRANCO DO , MANTOVANI WALDIR
Published: February 2019

Abstract Green areas and ecosystem services are emerging issues in the management of public areas with a view to promoting healthy and sustainable cities. The aim of this study is to establish and test an Index of Ecosystem Services for Green Areas (Índice de Serviços Ecossistêmicos para Áreas Verdes - ISEAV) to evaluate ecosystem services in urban parks as a technical subsidy for the management of urban green areas. The composition of the Index was based on quantitative indicators selected from a bibliographic review. In order to demonstrate the applicability of the Index, two parks of São Paulo city were selected - Buenos Aires Park and José Emérito Brás Park - and also primary and secondary data were used. The results demonstrate the feasibility of the proposition and application of this Index in two parks of São Paulo, where it was possible to obtain a diversified range of ecosystem services considered relevant for the health of the population.
EXCELLENCE MODEL IN PUBLIC MANAGEMENT: THE CAETÉS ECOLOGICAL STATION CASE
Authors: BEZERRA GIANNINA CYSNEIROS , CARVALHO RENATA MARIA CAMINHA MENDES DE OLIVEIRA , LYRA MARÍLIA REGINA COSTA CASTRO
Published: February 2019

Abstract The Model of Excellence in Public Management (MEGP) stands out for the results from the management of protected areas. This study aimed to analyze the applicability of this model to improve the effectiveness in management of the Pernambuco conservation units. As a reference, the Ecological Station chosen was Caetés, the first State unit deployed with a management plan and participatory management. Adapting the model to the unit management conditions and, through workshops with managers, the MEGP criteria were analyzed, the existing management practices identified and the results presented. The analysis revealed managerial gaps that interfere with the unit management and the use of the model helps to improve it, also improving outcomes for biodiversity conservation policies.
Merchandising social na telenovela brasileira: notas sobre a promoção da sustentabilidade ambiental em Velho Chico
Authors: Castro Gisela G. S. , Bezerra Beatriz Braga
Published: February 2019

Resumo A telenovela é uma das principais narrativas audiovisuais no cenário midiático nacional. A Rede Globo, líder no setor, firma como grande característica de suas tramas a presença de temáticas de cunho social que ajudam a promover a conscientização e o debate entre os telespectadores. Esse artigo pretende discutir as inserções sociais, chamadas de merchandising social, examinando como a temática da sustentabilidade ambiental foi trabalhada em Velho Chico. Lopes e Orozco Gómez (2009), Trindade (2007), Blessa (2006) e Baccega (2003) são alguns dos autores que dão suporte teórico a esse estudo. Como recorte empírico, são analisadas cenas selecionadas evidenciando os conteúdos abordados e as características desse tipo de construção narrativa que visa, sobretudo, fomentar a interação com a telenovela por meio da identificação do momento vivido com a trama elaborada para o espetáculo.
Prevalência e fatores associados à sarcopenia, dinapenia e sarcodinapenia em idosos residentes no Município de São Paulo - Estudo SABE
Authors: Alexandre Tiago da Silva , Duarte Yeda Aparecida de Oliveira , Santos Jair Lício Ferreira , Lebrão Maria Lúcia
Published: February 2019

RESUMO: Objetivo: Estimar a prevalência e os fatores associados à sarcopenia, dinapenia e sarcodinapenia em idosos residentes no município de São Paulo. Métodos: Estudo transversal de base populacional envolvendo 1.168 idosos pertencentes à terceira onda do Estudo SABE (Saúde, Bem-Estar e Envelhecimento), em 2010. Foramconsiderados sarcopênicos os idosos com índice de massa muscular esquelética ≤ 8,90 kg/m2 para homens e ≤6,37 kg/m2 para mulheres, dinapênicos aqueles com força de preensão manual < 30 kg para homens e < 20kg para mulheres, e sarcodinapênicos aqueles que apresentavam sarcopenia associada à dinapenia. Características sociodemográficas, comportamentais, condições clínicas, nutricionais e bioquímicas foram consideradas para determinar os fatores associados a cada uma das três condições por meio de regressão logística multinomial. Resultados: A prevalência de sarcopenia, dinapenia e sarcodinapenia foi, respectivamente, 4,8% (IC95% 3,6-6,3), 30,9% (IC95% 27,5-34,6) e 9,0% (IC95% 7,2-11,3). O avanço da idade e a desnutrição foram associados às três condições analisadas. O prejuízo cognitivo foi associado à dinapenia e à sarcodinapenia. A escolaridade, ter o hábito de fumar e não ter vida conjugal foram associados à sarcopenia, enquanto osteoartrite, escolaridade, ser ex-fumante e apresentar valores baixos de hemoglobina foram associados à dinapenia. Foram associados à sarcodinapenia o hábito de fumar e o risco de desnutrição. Conclusão: Dinapenia é a condição mais prevalente na população idosa, seguida pela sarcodinapenia e sarcopenia. Exceto por idade, escolaridade e desnutrição, os fatores associados à sarcopenia e à dinapenia são distintos. Entretanto, há similaridades em algumas associações quando se trata da presença de sarcodinapenia.
Cuidadores de idosos e tensão excessiva associada ao cuidado: evidências do Estudo SABE
Authors: Nunes Daniella Pires , Brito Tábatta Renata Pereira de , Duarte Yeda Aparecida de Oliveira , Lebrão Maria Lúcia
Published: February 2019

RESUMO: Introdução: A presença de múltiplas doenças e agravos crônicos pode ocasionar a incapacidade funcional do idoso, o qual poderá requerer a necessidade de ajuda de outra pessoa. A prestação de cuidados diários e ininterruptos pode gerar no cuidador situações estressoras, levando-o a sobrecarga. Objetivo: Descrever o perfil sociodemográfico e assistencial dos cuidadores de idosos e analisar os fatores associados à tensão excessiva associada ao cuidado. Métodos: Trata-se de um estudo transversal, parte do Estudo Saúde, Bem-Estar e Envelhecimento (SABE), realizado no município de São Paulo, no ano de 2010, com 362 cuidadores. A tensão excessiva associada ao cuidado foi avaliada pela escala de Zarit, e considerou-se ausência de sobrecarga pontuação inferior a 24 pontos e presença de sobrecarga os escores ≥ 24 pontos. Utilizou-se regressão de logística hierárquica para analisar os fatores associados à tensão dos cuidadores familiares. Resultados: A maioria dos cuidadores era familiar (91,5%), do sexo feminino (75,4%), com média de idade de 53,9 anos (desvio padrão - DP ± 15,5), casado (65,3%), residente no mesmo domicílio do idoso (68,2%). Um terço deles apresentou sobrecarga de cuidado, que foi associado à idade (odds ratio - OR = 1,04; p = 0,001), ao relato de disfunção familiar (OR = 5,60; p = 0,000) e à prestação de cuidado contínuo (OR = 2,78; p = 0,030). Conclusão: Os dados revelam a necessidade de políticas públicas que incluam as necessidades e o suporte aos cuidadores, em especial, os familiares, a fim de melhorar sua qualidade de vida e a sua prestação de cuidados às pessoas idosas.
Threshold-effect of income on periodontitis and interactions with race/ethnicity and education
Authors: Celeste Roger Keller , Oliveira Sara Cioccari , Junges Roger
Published: February 2019

ABSTRACT: Objectives: The aims of this study were to explore the shape of the relationship of income and education with periodontal health, and to assess the interactions between them and race/ethnicity. Method: Individual level data from the Brazilian National Oral Health Survey in 2010 (Pesquisa Nacional de Saúde Bucal-SB Brasil 2010) were obtained for 9,779 subjects. Relations between per capita income and education with periodontal health were smoothed using Locally Weighted Scatter-plot Smoother (Lowess) technique. Multivariable logistic regression was used to assess independent effects of income, education, race/ethnicity adjusted for age, sex and time since last dental appointment. Results: Prevalence of adults with moderate to severe and severe periodontitis was 17.6 and 6.5%, respectively. The relationship between periodontal health and income was curvilinear, showing a threshold of no relationship for income levels higher than US$ 600/month. In multivariable analysis, after controlling for covariates, only income was significantly associated with periodontal health. There was no significant interaction of income with race or education, neither between race and education. Conclusion: The relation between periodontal health and income was curvilinear and indicated the presence of a threshold, supporting income transfer programs. Beyond the threshold, only education presented a negative linear relationship with moderate to severe periodontitis.
CONDICIONANTES DAS EMISSÕES DE DIÓXIDO DE CARBONO (CO2) NO BRASIL: EVIDÊNCIAS EMPÍRICAS DE UMA CURVA NO FORMATO DE “N”
Authors: Castro Alisson Silva de , Alves Janaina da Silva , Andrade Daniel Caixeta
Published: February 2019

RESUMO Este artigo tem como objetivo investigar empiricamente quais os principais condicionantes das emissões de CO2 no Brasil no período 1971-2011. Além disso, este trabalho procura evidências da hipótese da Curva de Kuznets Ambiental (CKA) para o Brasil. As variáveis utilizadas para explicar as emissões de CO2 foram a renda per capita, consumo per capita de energia, densidade populacional e o grau de abertura da economia. Também foi adicionada uma dummyexógena ao modelo para captar os efeitos do protocolo de Kyoto sobre as emissões brasileiras. O trabalho utilizou-se da metodologia de vetores autorregressivos com correção de erros (modelos VEC) para atingir seu principal objetivo. Os resultados do modelo VEC, para o longo prazo, apontaram para significância estatística de todas as variáveis explicativas do modelo. Além disso, não foram encontradas evidências de uma CKA para o Brasil. Ao contrário, encontraram-se evidências de uma curva no formato de “N”, mostrando que as emissões de CO2 diminuem apriori, mas voltam a subir a partir de determinado patamar de renda per capita. O ponto de máximo da curva ocorre quando a renda per capita atinge US$ 2.729,27 e o ponto de mínimo se dá quando a renda per capita chega a US$ 9.122,54.
Preditores motivacionais de adesão à prevenção do câncer do colo do útero em estudantes universitárias
Authors: PEREIRA José Diogo , LEMOS Marina Serra de
Published: February 2019

Resumo Este estudo analisou o papel das variáveis motivacionais na adesão à prevenção do câncer do colo do útero. Participaram da pesquisa 399 estudantes universitárias que responderam a um questionário em que avaliaram fatores de adesão à prevenção do câncer, incluindo variáveis sociodemográficas, nível de conhecimento sobre o câncer e variáveis motivacionais. Os resultados mostraram que as variáveis motivacionais explicam de 34% a 54% da variância (p < 0,001) da intenção de adesão aos comportamentos de prevenção (exames de Papanicolau, uso de preservativo e restrição do número de parceiros sexuais) e são também um preditor significativo do envolvimento efetivo nesses comportamentos (odds ratios: 0,33 – 5,83; p < 0,05). O estudo evidencia a importância de considerar quer as variáveis motivacionais facilitadoras (autoeficácia e construção da intenção de adesão), quer as debilitantes (custos emocionais) no planejamento e avaliação de intervenções de educação para a saúde, com vistas a maximizar a adesão à prevenção do câncer do colo do útero.
“I would be more creative if...”: Are there perceived barriers to college students’ creative expression according to gender?
Authors: MORAIS Maria Fátima , ALMEIDA Leandro
Published: February 2019

Abstract Creativity has become essential to the innovation that is demanded today. In this context, the university is fundamental in promoting creative skills and, thus, meeting such demand. Despite the lack of research concerning what college students think about creativity, these students perceive barriers to their creative expression. A total of 582 Portuguese college students were analyzed in the present study regarding their perceived barriers to the expression of creativity, using an inventory concerning psychological and social dimensions. Gender differences were assessed, not only considering the inventory’s factors, but also items independently. Statistically significant differences were found in both analyses. These results are the starting point to a debate about the role of university in students’ development, which should be not only professional, but also social and personal, besides the importance of finding place to creativity in their daily academic lives.
Força de Clima: Seu Papel Moderador na Relação Entre Clima e Turnover
Authors: Iwai Tatiana , Bortoluzzo Adriana Bruscato , Nakata Lina Eiko , Costa José Eduardo Teixeira
Published: February 2019

Resumo Na literatura, o efeito da qualidade do clima, definido como as percepções positivas sobre o ambiente de trabalho, nos resultados organizacionais já é relativamente bem conhecido e estudado. No entanto, nos últimos anos, a literatura de clima tem prestado atenção crescente em um novo construto: força de clima, que se refere ao grau de consenso entre as pessoas sobre o clima dentro da unidade de trabalho ou organização. Para avançar na investigação do papel de clima nos resultados organizacionais, o presente trabalho examina o efeito de força de clima no turnover em nível organizacional. Para isso, usou-se uma amostra composta de 25.288 indivíduos de 150 empresas de médio e grande porte de diversos setores em que se testou o efeito direto e o moderador de força de clima em cinco dimensões de clima no nível de turnover coletivo. Os resultados obtidos mostraram que, após controlar a qualidade do clima organizacional, a força de clima modera a relação entre qualidade de clima e turnover coletivo em três das cinco facetas de clima estudadas, de forma que, quando a força de clima é alta, a influência do clima organizacional no turnover é potencializada, enquanto que, quando a força de clima é baixa, essa influência se enfraquece. Porém, não há efeito direto entre força de clima e turnover coletivo.