bluuebunny/crossref_metadata_2025 huggingface dataset:
Yeni Davranış Kazandırma Stratejilerini Kullanmaya Yönelik Öz Yeterlilik Ölçeğinin Geliştirilmesi: Geçerlilik ve Güvenirlik Çalışması
Authors: İŞCEN KARASU Fadime , KAYAHAN YÜKSEL Didem , GÖKMEN Cem
Published: September 2023

Bu araştırmada alana, çeşitli disiplin alanlarından öğretmen adaylarının yeni davranış kazandırma stratejilerini kullanmaya yönelik öz yeterliklerini ölçecek geçerli ve güvenilir bir araç kazandırmak amaçlanmıştır. Çalışma grubunu 2022-2023 eğitim-öğretim yılının güz döneminde Sivas Cumhuriyet Üniversitesinin eğitim fakültesine devam eden toplam 938 öğrenci oluşturmaktadır. Çalışmanın Açımlayıcı Faktör Analizi (AFA) aşamasında 705, Doğrulayıcı Faktör Analizi aşamasında 233 üniversite öğrencisi ile çalışılmıştır. Çalışmada taslak ölçeği oluşturmak için ilgili alanyazın taraması ve uzmanlarla bire bir görüşme yoluyla 30 maddelik bir havuz oluşturulmuştur. Uzman görüşlerinin alınması ve Lawshe Tekniği ile yapılan kapsam geçerliği çalışması sonucunda ölçekte 28 madde için .771 şeklinde hesaplanan değerin Lawshe tekniğine göre minimum KGİ değerinin üzerinde olduğu belirlenmiştir. AFA sonucunda faktör yükü düşük ve binişik beş madde ölçekten çıkarılarak, toplam varyansın %54.144 oranında açıklandığı iki faktörlü bir yapıya ulaşılmıştır. Ölçeğin boyutları pekiştireç temelli stratejiler ve ipucu temelli stratejiler olarak adlandırılmıştır. İki faktörlü yapının doğruluğunu test etmek amacıyla birinci düzey ve ikinci düzey DFA yapılmıştır. Bu bağlamda model uyum değerlerinden CMIN/DF değeri iyi uyum; RMSEA, CFI, GFI ve IFI değerleri ise kabul edilebilir uyum düzeyinde olduğu belirlenmiş ve sonuçlar neticesinde AFA ile belirlenen yapının DFA ile doğrulandığı görülmüştür. Güvenirlik analizleri incelendiğinde ise pekiştireç temelli stratejiler boyutunun .937, ipucu temelli stratejiler boyutunun .885 ve genel olarak ölçeğin .952 şeklinde hesaplanan omega düzeyiyle yüksek düzeyde güvenilir olduğu belirlenmiştir. Cronbach alfa değerleri ise pekiştireç temelli stratejiler boyutunda .934, ipucu temelli stratejiler boyutunda .882 ve ölçeğin toplamında .950 şeklinde olup yüksek düzeyde güvenirliğe işaret etmektedir. İki faktörlü 23 maddelik ölçeğin, çeşitli disiplin alanlarından öğretmen adaylarının öğretim sürecinde ve problem davranışların kontrolünde yeni davranış kazandırma stratejilerini kullanmaya yönelik öz yeterliklerini İncelemek için kullanılabilecek geçerli ve güvenilir bir araç olduğu söylenebilir.
“Isso daí tem muita Mironga!” Um estudo sobre atos mágicos na Folia de Reis
Authors: Souza Luiz Gustavo Mendel
Published: September 2023

Resumo: Este artigo centra-se na análise simbólica das rezas e orações fortes operadas em situações liminares do giro das folias de reis. Esses saberes estão relacionados à existência do Livro de São Cipriano, um compêndio de rezas e práticas mágicas marcadas por restrições e proibições relacionadas às ideias de bruxaria, feitiçaria e magia. Para a realização desse trabalho, lanço mão da etnografia realizada por mim entre os anos de 2010 e 2017 junto ao mestre Fumaça, da Bandeira Nova Flor do Oriente, sediada na região metropolitana do estado do Rio de Janeiro.
The 30-year cardiovascular risk trajectories and their independently associated factors in participants of a Brazilian cohort (CUME Study)
Authors: Passinho Renata Soares , Bressan Josefina , Hermsdorff Helen Hermana Miranda , Oliveira Fernando Luiz Pereira de , Pimenta Adriano Marçal
Published: September 2023

Abstract: We aimed to analyze the different trajectories of 30-year cardiovascular risk (CVR) and its independently associated factors in participants of the CUME Study, a prospective study with alumni from federal universities of Minas Gerais State, Brazil. In this study, 1,286 participants who answered the baseline (2016) and follow-up (2018 and 2020) questionnaires were included. Trajectories of CVR, according to the Framingham score, were identified with the latent class growth modelling technique with the use of the censored normal model. Analysis of the factors independently associated with each of the trajectories was conducted with multinomial logistic regression technique. Three CVR trajectories were identified: Low-Low (68.3%), Medium-Medium (26.2%), and High-High (5.5%). Male sex, living in a stable union, and having moderate and high intakes of ultra-processed foods were positively associated with the Medium-Medium and High-High CVR trajectories. Having non-healthcare professional training and working were positively associated with the Medium-Medium CVR trajectory, whereas being physically active was negatively associated with the High-High CVR trajectory. In conclusion, more than one-third of participants had CVR trajectories in the Medium-Medium and High-High categories. Food consumption and physical activity are modifiable factors that were associated with these trajectories; thus, implementing health promotion measures could help prevent the persistence or worsen of CVR. On the other hand, sociodemographic and labor characteristics are non-modifiable factors that were associated with Medium-Medium and High-High trajectories, which could help identify people who should be monitored with more caution by health services.
Malnutrition in mother-child dyads in the Brazilian National Survey on Child Nutrition (ENANI-2019)
Authors: Farias Dayana Rodrigues , Anjos Luiz Antonio dos , Freitas Maiara Brusco de , Berti Talita Lelis , Andrade Pedro Gomes , Alves-Santos Nadya Helena , Leite Maria Alvim , Raymundo Carlos Eduardo , Lacerda Elisa Maria de Aquino , Boccolini Cristiano Siqueira , Castro Inês Rugani Ribeiro de , Kac Gilberto , Vertulli Carneiro Letícia B. , Bertoni Neilane , Normando Paula , Machado Schincaglia Raquel
Published: September 2023

Abstract: Malnutrition affects billions of individuals worldwide and represents a global health challenge. This study aimed to determine the prevalence of malnutrition (undernutrition or overweight) among mother-child dyads in children under 5 years old in Brazil in 2019 and to estimate changes in this prevalence from 2006 to 2019. Individual-level data from the Brazilian National Survey on Child Nutrition (ENANI-2019) and the Brazilian National Survey of Demography and Health of Women and Children carried out in 2006 (PNDS 2006) were analyzed. Malnutrition outcomes in mother-child dyads included overweight mother and child, undernourished mother and child, and the double burden of malnutrition, i.e., overweight mother and child having any form of undernourishment (stunting, wasting, or underweight). Prevalence and 95% confidence intervals (95%CI) were estimated. Most women (58.2%) and 9.7% of the children were overweight, 6.9% were stunted, and 3.1% of mothers and 2.9% of the children were underweight. The prevalence of overweight in the mother-child dyad was 7.8% and was statistically higher in Southern Brazil (9.7%; 95%CI: 7.5; 11.9) than in the Central-West (5.4%; 95%CI: 4.3; 6.6). The prevalence of overweight mother and stunted child was 3.5%, with statistically significant difference between the extremes of the mother’s education [0-7 vs. ≥ 12 years, 4.8% (95%CI: 3.2; 6.5) and 2.1%, (95%CI: 1.2; 3.0), respectively]. Overweight in the dyad increased from 5.2% to 7.8%, and the double burden of malnutrition increased from 2.7% to 5.2% since 2006. Malnutrition in Brazilian mother-child dyads seems to be a growing problem, and dyads with lower formal education, higher maternal age, and from the South Region of Brazil were more vulnerable.
Framing poor diet quality as malnutrition: the Brazilian National Survey on Child Nutrition (ENANI-2019)
Authors: Scrinis Gyorgy , Castro Inês Rugani Ribeiro de
Published: September 2023

Based on the Brazilian National Survey on Child Nutrition (ENANI-2019) results, this article reflects on the adequacy of the “malnutrition in all its forms” framework and system of classification for representing and interpreting these dietary transitions in Brazilian children. We highlight the limitations of this classification system, including the focus on health outcomes and anthropometric measures, the siloed understanding of these forms of malnutrition, the lack of relevance of the obesity category to children under 5 years old, and the failure to adequately address the various measures of poor quality diets captured by ENANI-2019. As an alternative, based on an approach developed by Gyorgy Scrinis to reframing malnutrition in all its forms, we suggest a need for frameworks that focus on describing and classifying the nature of, and changes to, dietary patterns, rather than focused on health outcomes.
Factors associated with anemia and vitamin A deficiency in Brazilian children under 5 years old: Brazilian National Survey on Child Nutrition (ENANI-2019)
Authors: Castro Inês Rugani Ribeiro de , Normando Paula , Farias Dayana Rodrigues , Berti Talita Lelis , Schincaglia Raquel Machado , Andrade Pedro Gomes , Bertoni Neilane , Lacerda Elisa Maria de Aquino , Anjos Luiz Antonio dos , Boccolini Cristiano Siqueira , Reis Marta Citelli dos , Bezerra Flávia Fioruci , Pedrosa Lucia Fatima Campos , Jordão Junior Alceu Afonso , Lira Pedro Israel Cabral de , Kac Gilberto , Vertulli Carneiro Letícia B. , Alves-Santos Nadya Helena
Published: September 2023

Abstract: Factors associated with anemia and vitamin A deficiency were investigated in 7,716 children 6-59 months of age studied in the Brazilian National Survey on Child Nutrition (ENANI-2019). We adopted a hierarchical approach based on a United Nations Children’s Fund (UNICEF) theoretical model with three levels, stratifying by age (6-23; 24-59 months). Prevalence ratio (PR) and 95% confidence interval (95%CI) were estimated. Enabling determinants: a higher prevalence of anemia was observed in children 6-23 months whose mothers had ≤ 7 years of schooling (PR = 1.92; 95%CI: 1.10; 3.34), < 20 years old (PR = 2.47; 95%CI: 1.34; 4.56) or 20-30 years old (PR = 1.95; 95%CI: 1.11; 3.44), mixed-race (PR = 1.57; 95%CI: 1.06; 2.23); and in children 24-59 months in the North Region (PR = 3.11; 95%CI: 1.58; 6.13). A higher prevalence for vitamin A deficiency was observed in children 6-23 months from Central-West (PR = 2.32; 95%CI: 1.33; 4.05), and in children 24-59 months living in the North (PR = 1.96; 95%CI: 1.16; 3.30), South (PR = 3.07; 95%CI: 1.89; 5.01), and Central-West (PR = 1.91; 95%CI: 1.12; 3.25) and whose mothers were 20-34 years (PR = 1.62; 95%CI: 1.11; 2.35). Underlying determinants: the presence of more than one child < 5 years old in the household was associated with a higher prevalence of anemia (PR = 1.61; 95%CI: 1.15; 2.25) and vitamin A deficiency (PR = 1.82; 95%CI: 1.09; 3.05) in children 6-23 months. Immediate determinants: consumption of 1-2 groups of ultra-processed foods in children 24-59 months (PR = 0.44; 95%CI: 0.25; 0.81) and lack of breastfeeding in the day before in children 6-23 months (PR = 0.56; 95%CI: 0.36; 0.95) were associated with lower prevalence of anemia and vitamin A deficiency. Public policies focused on geographically and socially vulnerable groups are needed to promote equity.
Associação entre escolaridade e taxa de mortalidade por dengue no Brasil
Authors: Guimarães Lucas Melo , Cunha Geraldo Marcelo da , Leite Iuri da Costa , Moreira Ronaldo Ismerio , Carneiro Eduilson Lívio Neves da Costa
Published: September 2023

A dengue pode estar associada a variáveis de nível individual, como escolaridade, aumentando o risco de adoecimento. O objetivo deste trabalho é analisar as disparidades da mortalidade por dengue entre os menos e mais escolarizados no Brasil entre os anos de 2010 e 2018. Este é um estudo do tipo ecológico retrospectivo das diferenças na taxa de mortalidade por dengue entre menos e mais escolarizados no Brasil, através das taxas de mortalidade por dengue geral, por idade, sexo e Unidade Federativa (UF). Um procedimento de bootstrap e imputação múltipla para a variável escolaridade foram implementados de modo a considerar a estrutura multinível em cada UF dos dados ao longo dos anos. Para cada banco agregado gerado, foi ajustado um modelo de Poisson multinível. A melhoria na escolaridade da população brasileira não refletiu na diminuição da mortalidade por dengue. Houve um aumento na taxa de mortalidade por dengue no Brasil e um crescimento da diferença de taxas de mortalidade entre menos e mais escolarizados. Independentemente do processo de imputação, os resultados mostraram maiores taxas de mortalidade por dengue entre os menos escolarizados. A baixa escolaridade afetou de forma mais pronunciada os mais jovens.
Health risk assessments of exposure carbon dioxide among communities and children around Tonasa cement plant, Pangkep Regency, Indonesia. Monte Carlo Simulation (MCS) application
Authors: Mallongi A. , Ernyasih E.
Published: September 2023

Abstract Chronic exposure to carbon dioxide (CO2) can have a negative influence on one's health and be hazardous to the environment. It could be both directly and indirectly to those communities who are living near the CO2 point sources. This study aimed to investigate the magnitude of CO2 level in ambient air and its spatial distribution which then continued to assess the potential health risks posed by communities living surround the site as well as applied the Monte Carlo Simulation (MCS) approach to predict the risks magnitude among adult and children due to CO2 air pollution from the cement industry activities in Pangkep. This observational analytic study applied health risk assessment due to the CO2 exposure both to adult and children population. To estimate the non carcinogenic risk, study used the Monte Carlo Simulation model with 10,000 iterations to estimate the risk through the inhalation pathway suffered by communities, as well as analyzing the sensitivity level every single health risk parameter. The highest risks for the adults was in station 7 with 7,641 whereas the lowest risks was in station 3 with 1,194, respectively. Furthermore, the highest risks for child was in station 4 with 498 whereas the lowest one was in station 15 with 32, respectively. Those non carcinogenic HQ were exceed the standard for adult but not at risks for children. The results of the Monte Carlo Simulation that assessed the non risks cancer probability with the 5th and 95th percentiles demonstrated that adult population were at value of 0.83 and 1.53 0.83 and 1.53 respectively, that still indicated at low risk for developing adverse health effects among those communities temporarily. However, at the same percentiles children indicated at value of 199 and 388 that indicated at risk for developing adverse health effects among those children. In addition, level of sensitivity analysis result indicated that exposure frequency with (20,9%) for adult and the exposure duration with (25,6%) for children were the most contributing factors to health risks among, respectively. Simulation determines the critical factors with major effects in reducing health risks. The CO2 magnitude not poses risks to adults, by contrast, children are at risk. Thus, limiting exposure frequency and inhalation of CO2 levels in the school for children area are highly demanded.
Efficiency of essential oils in the control of the black bean aphid Aphis craccivora Koch (Hemiptera: Aphididae)
Authors: Bezerra L. L. A. , Azevedo F. R. , Evangelista-Júnior W. S. , Paula-Filho F. J. , Navarro D. M. A. F. , Santos E. F.
Published: September 2023

Abstract The black aphid Aphis craccivora Koch is one of the main pests of the caupi-bean crop Vigna unguiculata (L.) Walp. Due to the need to find effective and safe methods of control, there has been an increase in research seeking natural alternatives. Thus, the objective of this work was to evaluate the potential of essential oils from jatoba Hymenaea courbaril, copaiba Copaifera langsdorffii and aroeira Schinus terebinthifolius to control nymphs and adults of A. craccivora. The oils were extracted from the leaves by the hydrodistillation method, diluted to 0.1% in distilled water with 2% dimethyl sulfoxide (DMSO). Each treatment had four repetitions, plus a control with distilled water + 2% DMSO. The biotests were conducted in two stages: the first was conducted in the laboratory, under controlled conditions of temperature, relative humidity and photophase, and the second was conducted in the greenhouse, using only the treatment with the best laboratory test results. After 24, 48, 72, 96 and 120 hours of exposure, the insect mortalities were checked. In the first phase of the experiment, the aroeira oil showed 83.33% and 75.75% efficiency of mortality in nymphs and adults, respectively. In the greenhouse tests, this same oil showed 73.52% in nymphs and 62.85% in adults, opening new perspectives regarding its use as a natural insecticide for the control of the black aphid of the bean.
Construcción de un programa de cuidado intercultural para personas migrantes internacionales en el noroeste de México
Authors: Esquivel Rubio Abraham Isaac , Domínguez Chávez Claudia Jennifer , Velarde Valenzuela Laura Alicia
Published: September 2023

RESUMEN Objetivo: Describir el proceso de construcción de un programa de cuidado intercultural a personas migrantes internacionales en el noroeste de México. Método: Relato de experiencias profesionales, acorde a lo sugerido por Daltro y Faria. Resultados: El desarrollo y evolución del cuidado a personas migrantes internacionales ha favorecido la estructuración de un Programa de Servicio Social de tipo comunitario para estudiantes de una universidad pública en el noroeste de México, por lo que la salud intercultural y el cuidado a la salud a esta población se vuelve parte en la formación curricular de las nuevas generaciones de licenciados en enfermería, en un contexto en que la migración internacional es tema de gran relevancia social y cultural. Conclusión: La construcción y aplicación del programa Salud-Migrante fortalecerán el cumplimiento de las recomendaciones internacionales en materia de salud universal para personas migrantes, promoviendo en sus acciones el respeto a la identidad y diversidad cultural.
EVERYDAY LIFE OF ADOLESCENTS AND YOUNG PEOPLE UNDERGOING HEMODIALYSIS TREATMENT IN THE LIGHT OF AGNES HELLER: A CASE STUDY
Authors: Siqueira Francielle Brum dos Santos de , Neves Eliane Tatsch , Ribeiro Aline Cammarano , Silveira Andressa da , Paula Francielle Morais de , Oliveira Diúlia Calegari de
Published: September 2023

ABSTRACT Objective: to understand the everyday life of adolescents and young people with chronic kidney disease undergoing hemodialysis treatment. Method: a qualitative research study of the Single Case Study type developed in a Renal Clinic from southern Brazil. Eight adolescents and young people aged between 18 and 24 years old undergoing hemodialysis treatment from February 5th, 2021, to January 26th, 2022. Data production was through semi-structured interviews, data from electronic medical records and participant observation through data triangulation. The observation was based on a script and field diary. The data were submitted to inductive thematic analysis and interpreted in the light of Agnes Heller's concept of everyday life. Results: the everyday life of adolescents and young people experiencing chronic kidney disease is impacted from the moment they receive the diagnosis until they understand their health situation. The changes imposed by the treatment and maintenance of the care measures have repercussions as limits faced in their everyday life. As for self-care, the major concern refers to the laboratory test levels. Conclusion: the everyday life of adolescents and young people on hemodialysis is permeated by unique changes in their existence and the construction of their own identity, added to the impact of the disease and the new condition imposed by the treatment. It is believed that the time they remain at the Clinic constitutes a strategy for health education, meeting the needs for diverse information about their chronic condition and treatment and contributing to the externalization of their humanity as a whole in this everyday routine.
PRINCÍPIOS PARA O DESENVOLVIMENTO DA COMPETÊNCIA EM INFORMAÇÃO DE MULHERES RURAIS SOB A PERSPECTIVA DO EMPODERAMENTO
Authors: Pellegrini Eliane , Herrera Karolyna Marin , Vitorino Elizete Vieira
Published: September 2023

RESUMO Este artigo objetiva apresentar princípios para o desenvolvimento da competência em informação de mulheres rurais sob a perspectiva feminista do empoderamento. Os dados empíricos foram coletados por meio de dez entrevistas em profundidade, de natureza qualitativa e semiestruturada, realizadas com mulheres rurais engajadas no Movimento de Mulheres Camponesas (MMC) no Estado de Santa Catarina, Brasil. A análise temática dos dados foi realizada por meio da técnica de análise de conteúdo. Como resultados são propostos princípios à elaboração de estratégias, ações e programas de competência em informação sob quatro aspectos principais: técnicas de ensino e aprendizagem apropriadas às mulheres rurais; condições físicas do ambiente; abordagem teórico-prática; e, diretrizes nacionais e internacionais para a construção de programas. Concluímos que a competência em informação contribui para minimizar algumas vulnerabilidades a que as mulheres rurais estão expostas por contribuir ao processo de empoderamento, individual e coletivo, e por qualificar a ação dessas mulheres enquanto agentes de mudanças. Enfatizamos a necessidade de governos criarem indicadores de monitoramento e políticas públicas para o desenvolvimento da competência em informação.
Entre a colonialidade e a decolonialidade: Memórias docentes na educação básica da Amazônia brasileira
Authors: Cordeiro Albert Alan de Sousa , Araújo Sônia Maria da Silva
Published: September 2023

RESUMO Neste artigo analisamos as memórias profissionais de docentes da educação básica que em sua prática pedagógica relacionam conhecimento escolar e cultura popular no contexto da complexidade sociocultural da Amazônia brasileira. Além de exercerem o magistério, os sujeitos da pesquisa são produtores de cultura popular, engajados em manifestações artísticas de minorias sociais da região amazônica. Metodologicamente, as memórias narradas pelos/as professores/as foram apreendidas com base nas orientações da história oral e a análise se fundamenta no pensamento decolonial. A pesquisa concluiu que a escola é atravessada pelo fenômeno da colonialidade e, consequentemente, regida por uma epistemologia monocultural que marginaliza os conhecimentos produzidos pelas populações que foram vítimas do colonialismo. Entretanto, contraditoriamente, os protagonistas da pesquisa, com suas vivências no âmbito da cultura popular, colocam em questão os conhecimentos socializados nesta instituição e, mediatizados pelo diálogo com os saberes produzidos no território amazônico, ampliam os conceitos de arte e estética, denunciam práticas racistas e patriarcais e criticam a exploração do trabalho humano e da natureza no capitalismo.
A contrarreforma da formação de professores no Brasil: BNC-Formação e os retrocessos para a valorização docente
Authors: Zucchini Lilian Giacomini Cruz , Alves Andrêssa Gomes de Rezende , Nucci Leandro Picoli
Published: September 2023

RESUMO Este estudo apresenta os resultados de uma pesquisa que teve por objetivo analisar a Resolução CNE/CP n.º 2/2019 - que define as atuais Diretrizes Curriculares Nacionais para a formação inicial de professores e institui a Base Nacional Comum (BNC-Formação) - de modo a identificar e discutir as implicações das mudanças propostas na valorização do trabalho docente. Trata-se de uma pesquisa qualitativa na qual os dados foram coletados por meio de análise bibliográfica e documental, sistematizados e analisados por meio de duas categorias: Relação formação docente - ethos profissional; Valorização e engajamento profissional. Os resultados demonstram o alinhamento da nova resolução com o receituário neoliberal, limitando essa formação a aspectos técnicos e pragmáticos ajustados a uma perspectiva economicista. Fica explícito que essa resolução expressa uma padronização das políticas para a formação docente centrada em competências de modo a atender aos pressupostos da Base Nacional Comum Curricular (BNCC). Entendemos também que a lógica na qual está baseada negligencia a valorização profissional como um projeto coletivo e passa a ser associada a critérios meritocráticos de desempenho individual ligados ao ideário liberal. Por fim, consideramos a necessidade de construção de uma resistência ativa/coletiva, tanto no plano pedagógico como no plano político, contra a precarização e a privatização do Ensino Superior.
Apresentação - História da educação e migrações em perspectiva transnacional, algumas interlocuções teórico-metodológicas
Authors: Luchese Terciane Ângela , Barausse Alberto
Published: September 2023

RESUMO Ao longo de diferentes tempos e espaços, os seres humanos migraram e ao fazê-lo vivenciaram a intensidade de aprendizagens vinculadas à língua, aos modos de vida e nas formas de significar, conviver e organizar a própria existência mediante diferentes culturas. Migrar como promessa, escolha ou refúgio produziu aprendizagens e, no confronto com o outro, novos modos de ser, compreender e (sobre)viver. Ao mirar os deslocamentos de diferentes grupos humanos, atentando para os processos educativos vividos e as suas formas, em perspectiva transnacional, enriquecemos a compreensão da complexidade da história dos processos educativos (escolares e não-escolares) e este é o objetivo do presente dossiê. Consideramos que tais investimentos nos tornam capazes de iluminar dimensões pouco exploradas nas relações entre migrações e educação no Brasil e América Latina, sob diferentes matizes metodológicas e teóricas. Mobilizando análises que relacionam História da Educação e a História das Migrações, em perspectiva transnacional, percebemos a constituição de estratégias educativas e escolares, produção, circulação e distribuição de materiais didáticos, bem como a constituição de culturas escolares marcadas por algumas especificidades. Ao pensar nos itinerários dos sujeitos, os modos como distintas agências e iniciativas educacionais - religiosas ou civis, estatais ou associativas -, se percebe a pluralidade da história da educação no conjunto de artigos que compõem o dossiê Processos Migratórios e História da Educação em perspectiva transnacional.
PROFESSORES DIANTE DO COMPORTAMENTO SUICIDA DE ALUNOS ADOLESCENTES: PERCEPÇÕES E INTERVENÇÕES
Authors: Maciel Emanoela Moreira , Teixeira Selena
Published: September 2023

RESUMO Esta pesquisa buscou analisar intervenções de professores do Ensino Médio integrado ao perceberem o comportamento suicida em alunos. Para tanto, desenvolveu-se uma pesquisa de campo, de abordagem qualitativa e natureza aplicada com 12 professores efetivos de uma instituição federal de ensino. Os dados foram coletados por formulário eletrônico (Google Forms) e analisados por meio da análise de conteúdo. Os achados revelaram que os docentes têm uma visão superficial acerca do suicídio e dificuldades em manejar o comportamento suicida de seus alunos e, quando o fazem, tomam como base valores e experiências pessoais; hesitação e insegurança marcam as condutas dos docentes. O estudo realça a necessidade de a escola se tornar um espaço de diálogo e formação docente acerca do comportamento suicida.
Efeito de um pacote de ensino sobre o desempenho de cuidadoras no treino de ocupações para crianças com TEA
Authors: Wu Sayori Vasconcelos , Guimarães Mariane Sarmento da Silva , Paixão Glenda Miranda da , Silva Álvaro Júnior Melo e
Published: September 2023

Resumo Introdução As limitações funcionais observadas na pessoa com Transtorno do Espectro Autista (TEA) podem impedir a participação independente em ambientes comunitários. A aprendizagem de atividades cotidianas pode aumentar a participação inclusiva e a qualidade de vida dessas pessoas. Estratégias de ensino via profissional estão descritas na literatura, enquanto o ensino via cuidador para essas habilidades precisa ser explorado e torna-se essencial ao se considerar que o aumento de crianças com TEA não é acompanhado pelo aumento proporcional de profissionais qualificados, além de que os pais lidam diretamente com ensino dessas atividades. Objetivo Elaborar e avaliar a aplicação de um pacote de treinamento para cuidadores de crianças com TEA, para o ensino de preparo de sanduíche e escovação de dentes. Método Participaram quatro cuidadoras. O pacote de ensino incluiu Videomodelação Instrucional, Automonitoramento, Feedback Atrasado e imediato. Adotou-se o critério de precisão de desempenho igual ou superior a 90% por duas sessões consecutivas. Resultados Todas as cuidadoras apresentaram aumento na precisão de desempenho após exposição aos componentes do pacote de treinamento. Uma cuidadora atingiu critério de precisão passando por apenas um componente ou pela combinação deles. Três cuidadoras precisaram passar necessariamente pela combinação dos componentes e pelas fases de feedback para atingir o critério. Conclusão Corroborando outros estudos, não houve diferença significativa nos desempenhos das cuidadoras quando se comparou os componentes. Assim como estudos anteriores, demonstra-se que as fases de feedback desempenharam um papel importante para o alcance do critério. Atesta-se que o pacote de treinamento foi satisfatório no ensino das cuidadoras.
ANÁLISE DOS INDICADORES DE GESTÃO DO SERVIÇO DE ATENDIMENTO MÓVEL DE URGÊNCIAS DO CEARÁ
Authors: Formiga Natália Pinheiro Fabricio , Silva Lucilane Maria Sales da , Matos José Hiago Feitosa de , Gomes Emiliana Bezerra , Santana Kelly Fernanda Silva , Ferreira Francisco Edilson , Queiroz Maria Veraci Oliveira
Published: September 2023

RESUMO Objetivo: analisar os indicadores de gestão em saúde relacionados ao serviço de atendimento móvel de urgências do Ceará. Método: trata-se de um estudo documental, retrospectivo, de abordagem quantitativa, realizado no sítio eletrônico IntegraSUS do governo do estado do Ceará - Brasil, no período de julho de 2021, para análise dos indicadores “total de chamadas” e “tempo médio de resposta”. Resultados: verificou-se um perfil de chamadas prevalentes para homens (52,66%), com idade avançada >70 anos (22,06%), ocorrências de atendimento Covid-19 para a Central Juazeiro (7,62%) e acidentes por motocicleta para a Central Eusébio (7,94%). O serviço obteve chamados para 177 municípios cearenses (96,19%) com tempo médio de resposta maior para Covid-19. Conclusão: a análise sinaliza a necessidade de ajuste das estratégias para melhorar o desempenho do tempo-resposta do serviço, com revisão do sistema organizacional, inclusive, da publicização dos dados pela plataforma digital.
PROCESSO DE INSERÇÃO, MANUTENÇÃO E RETIRADA DE CATETER INTRAVENOSO PERIFÉRICO: ANÁLISE PREVENTIVA DE RISCOS
Authors: Furlan Maryana da Silva , Saba Amanda , Berger Simone , Lima Antônio Fernandes Costa
Published: September 2023

RESUMO Objetivo: demonstrar a aplicabilidade da ferramenta Healthcare Failure Mode and Effect Analysis para analisar, preventivamente, os riscos relativos ao processo de inserção, manutenção e retirada de cateter intravenoso periférico. Método: estudo teórico, realizado de agosto a novembro de 2022, em São Paulo-SP, Brasil, cujo processo foi mapeado em etapas/atividades, detalhando-se os modos de falha, com o uso da ferramenta. Calculou-se o Risk Priority Number, elaborou-se a matriz de severidade e probabilidade, adaptada à saúde por DeRosier e colaboradores, e propuseram-se as ações para reduzir os modos de falha. Resultados: identificaram-se como maiores riscos: “realizar antissepsia da área a ser puncionada com swab de álcool” e “desinfecção do conector com swab de álcool” sendo recomendados treinamentos e uso de kit de materiais como principais estratégias de mitigação. Conclusão: conhecer os riscos associados ao cateter intravenoso periférico, fundamenta a implementação de estratégias preventivas, minimizando a ocorrência de danos e os custos assistenciais deles decorrentes.
ESTRATEGIAS DE COMUNICACIÓN DE LOS PROFESIONALES DE LA SALUD CON LAS PERSONAS CON DISCAPACIDAD AUDITIVA: REVISIÓN INTEGRADORA
Authors: Vieira Domisy de Araújo , Silva Liliane Faria da , Machado Maria Estela Diniz , Brandão Euzeli da Silva , Chagas Herleis Maria de Almeida
Published: September 2023

RESUMEN Objetivo: identificar estudios en la literatura científica sobre la comunicación entre los profesionales de la salud y las personas con deficiencia auditiva en la prestación de cuidados. Método: revisión integradora realizada en febrero de 2021, en 14 bases de datos y búsqueda manual, sin recorte temporal, en portugués, inglés y español, a través de los descriptores Personas con discapacidad auditiva y Profesionales de la Salud y sus variantes, sin delimitación de contexto. El análisis de los resultados se realizó organizándolos en grupos temáticos en función de la frecuencia. Resultados: Se seleccionaron 16 estudios, se destacaron los resultados: uso de la escritura y la mímica como principales estrategias de comunicación; falta de cualificación de los profesionales para lograr una comunicación efectiva, el LIBRAS es la forma menos utilizada; y, sentimiento de inseguridad, bloqueo, incapacidad que experimentan los profesionales en la comunicación con personas con deficiencia auditiva. Conclusión: es necesario invertir en la capacitación de los profesionales de la salud en LIBRAS para que haya una comunicación más efectiva que contribuya a mejorar la práctica asistencial.
PROCESS OF INSERTION, MAINTENANCE AND REMOVAL OF PERIPHERAL INTRAVENOUS CATHETERS: PREVENTIVE RISK ANALYSIS
Authors: Furlan Maryana da Silva , Saba Amanda , Berger Simone , Lima Antônio Fernandes Costa
Published: September 2023

ABSTRACT Objective: to demonstrate the applicability of the Healthcare Failure Mode and Effect Analysis tool to analyze, preventively, the risks related to the process of insertion, maintenance, and removal of peripheral intravenous catheters. Method: theoretical study, conducted from August to November 2022, in São Paulo-SP, Brazil, whose process was mapped in stages/activities, detailing the failure modes, using the tool. The Risk Priority Number was calculated, the severity and probability matrix was elaborated, adapted to health by DeRosier and collaborators, and actions were proposed to reduce failure modes. Results: The major risks identified were: “perform antisepsis of the area to be punctured with an alcohol swab” and “disinfect the connector with an alcohol swab”, and were recommended training and use of kit materials as the main mitigation strategies. Conclusion: knowing the risks associated with peripheral intravenous catheters is the basis for the implementation of preventive strategies, minimizing the occurrence of damage and the associated healthcare costs.
HIGH-DENSITY LIPOPROTEIN CHOLESTEROL AND SYSTEMIC ARTERIAL HYPERTENSION ARE ASSOCIATED WITH HEPATIC NECROINFLAMMATORY ACTIVITY IN PATIENTS WITH CHRONIC HEPATITIS C
Authors: SOUZA Gustavo Henrique De Puy e , SILVA Luciana Diniz , VIEIRA Diego Alves , ROCHA Gifone Aguiar , LIMA Agnaldo Soares , VIDIGAL Paula Vieira Teixeira
Published: September 2023

ABSTRACT Background: Approximately 71 million people are chronically infected with hepatitis C virus (HCV) worldwide. A significant number of these individuals will develop liver cirrhosis and/or hepatocellular carcinoma. Beyond the liver, there is a sizeable body of scientific evidence linking cardiovascular disease and chronic hepatitis C (CHC); however, the biological mechanisms behind the concurrence of these conditions have not been completely clarified yet. Objective: To evaluate associations between hepatic histology, clinical comorbidities and lipid profile in patients with CHC. To investigate associations between liver histology and demographic, nutritional, biochemical and virological parameters. Methods: Eight-five patients with CHC prospectively underwent hepatic biopsy. Liver fragments were obtained from each patient by percutaneous route using a Menghini needle. Fibrosis was evaluated according to the METAVIR scoring system, as follows: F0, no fibrosis; F1, fibrous portal expansion; F2, fibrous portal widening with few septa; F3, bridging fibrosis with architectural distortion; and F4, liver cirrhosis. The activity was classified based on the degree of lymphocyte infiltration and hepatocyte necrosis, from A0 to A3. The diagnosis of liver disease was based on clinical, biochemical, histological, and radiological methods. The data were analyzed by logistic regression models. Results: This cross-sectional study included 85 outpatients followed at the tertiary care ambulatory centre with a mean age of 57.2±10.7 years and 45 (52.9%) were females. There were 10 patients with cirrhosis. Patients with a METAVIR F3-F4 were significantly older (P=0.02) and had higher levels of ALT (P=0.0006), AST (P<0.0001), γ-GT (P=0.03) and bilirubin (P=0.001) and higher prothrombin time than patients with F0-F2 score. Albumin levels (P=0.01) were significantly lower in METAVIR F3-F4. Age (OR=1.09; 95%CI=1.02-1.16; P=0.02), steatosis (OR=4.03; 95%CI=1.05-15.45; P=0.04) and high-density lipoprotein cholesterol (HDL-C) <60 mg/dL (OR=7.67; 95%CI=1.71-34.49; P=0.008) were independently associated with fibrosis. Hypertension (OR=6.36; 95%CI=1.31-30.85; P=0.02) and HDL-C <60 mg/dL (OR=9.85; 95%CI=2.35-41.39; P=0.002) were independently associated with necroinflammatory activity. Hypertension (OR=6.94; 95%CI=1.92-25.05; P=0.003) and HDL-C <60 mg/dL (OR=3.94; 95%CI=1.27-12.3; P=0.02) were associated with interface inflammatory activity. Triglycerides (TG ≥150 mg/dL) remained associated with lobular inflammatory activity. Conclusion: cholesterol levels <60 mg/dL were independently associated with necroinflammatory activity in chronic hepatitis C. Patients with hypertension are at an increased risk of developing necroinflammatory activity.
PROFILE OF INFLAMMATORY BOWEL DISEASE NURSES IN BRAZIL
Authors: BARROS Jaqueline Ribeiro de , RAMDEEN Madhoor , RIVERA-SEQUEIROS Adriana , BAIMA Júlio Pinheiro , SAAD-HOSSNE Rogério , ALENCAR Rúbia Aguiar , SASSAKI Ligia Yukie
Published: September 2023

ABSTRACT Background: Nurses play a fundamental role within the inflammatory bowel disease (IBD) multidisciplinary team. Objective: To identify the profile of IBD nurses in Brazil and their work process organization and characterize the health services where they work. Methods: A questionnaire-based research was developed. The inclusion criteria were nurses with experience in IBD care, nurses with scientific research published in an indexed journal or in process, nurses with master’s or doctorate degrees concluded or in progress, and educator nurses with expertise in IBD. Results: Seventy-four nurses were included, among whom 66 (89.19%) were women; their mean age was 40.63±9.98 years. Sixty-six percent work in the Southeast region, and more than half (54.05%) had a specialization course. Only four (5.41%) nurses worked exclusively with patients with IBD. The main areas of activity were outpatient clinics (39%) and ostomy care (35%). Nursing care was based on the nursing process (51.35%), and the main topics approached in nursing appointment were treatment adherence (72.97%), and ostomy (68.92%). Forty-seven (63.51%) nurses had knowledge on immunosuppressive medications and 52 (70.27%) on biological therapy. Most health services were integrated with a hospital that has clinical (72.97%) and surgical hospitalization units (67.57%), and 46 (62.16%) of them had an infusion center. Conclusion: Describing the work process of IBD nurses can supplement their organization of the IBD assistance process, as they do not follow any specific consensus. In addition, the characteristics necessary for IBD care are not found in all health services.
CLINICAL OUTCOME AND SEVERITY OF CLOSTRIDIOIDES (CLOSTRIDIUM) DIFFICILE INFECTION AT A TERTIARY REFERRAL HOSPITAL IN BRAZIL
Authors: CARVALHO Fernando Antônio Castro , SILVA Rodrigo Otávio Silveira , SANTOS Bárbara Moreira Ribeiro Trindade dos , DINIZ Amanda Nádia , VILELA Eduardo Garcia
Published: September 2023

ABSTRACT Background: Clostridioides difficile infection (CDI) is a potentially severe disease that can present with refractoriness, recurrence, and evolution to death. In Brazil, the epidemiology of CDI seems to differ from that of the United States and most European countries, with only one ribotype (RT) 027-related case and a high prevalence of RT106. Objective: The aim of this study was to evaluate the outcomes of CDI and its possible association with ribotypes at a university hospital in Brazil. Methods: A total of 65 patients with CDI were included and stool samples were submitted to A/B toxin detection and toxigenic culture, and toxigenic isolates (n=44) were also PCR ribotyped. Results: Patients’ median age was 59 (20-87) years and there were 16 (24.6%) deaths. The median Charlson comorbidity index (CCI) was 4 (0-15) and 16.9% of the patients had CCI ≥8. The ATLAS score and non-improvement of diarrhea were related to higher mortality. A longer length of hospitalization was related to the enteral nutrition and use of multiple antibiotics. The period between CDI diagnosis and hospital discharge was longer in those who received new antibiotics after diagnosis, multiple antibiotics, and required intensive care treatment. Recurrence was associated with CCI >7. Twenty ribotypes were identified and RT106 was the most frequently detected strain (43.2%). No relationship was observed between the ribotypes and outcomes. CDI was present in patients with more comorbidities. Conclusion: Risk factors for higher mortality, longer hospital stay and recurrence were identified. A diversity of ribotypes was observed and C. difficile strains were not related to the outcomes.
ASSOCIATION BETWEEN NONALCOHOLIC FATTY PANCREATIC DISEASE AND TRIGLYCERIDE/GLUCOSE INDEX
Authors: ANDRADE Luis Jesuino de Oliveira , OLIVEIRA Luis Matos de , BITTENCOURT Alcina Maria Vinhaes , BAPTISTA Gustavo Magno , OLIVEIRA Gabriela Correia Matos de
Published: September 2023

ABSTRACT Background: Nonalcoholic fatty pancreatic disease (NAFPD) is an increase of fat in the pancreas, and has an important association with insulin resistance (IR) and type 2 diabetes mellitus. Research has confirmed that the triglyceridemia/glycemia (TyG) index determines IR as much as does the hyperinsulinemic-euglycemic clamp assessment as the homeostasis model testing of IR (HOMA-IR). Objective: To evaluate the association between degree of NAFPD and TyG index. Methods: In 72 patients undergoing ultrasound of abdomen with a diagnosis of NAFPD, insulin, glucose, and triglycerides levels were evaluated. The HOMA-IR and TyG indexes were used as a reference for IR. The degrees of NAFPD and the TyG index were presented through the receiver operating characteristics (ROC) curves in order to evaluate the association between different degrees of NAFPD, and the correlation of NAFPD with HOMA-IR was also evaluated. Results: There was a statistically significant correlation between the degree of NAFPD and the TyG index. The AUROC curve for the TyG index for predicting the degree of NADPD was 0.855 (0.840-0.865). The intensity-adjusted probabilities of the degree of NAFPD were more strongly associated with TyG values when compared with HOMA-IR. Conclusion: In this study the TyG index correlated positively with the degree of NAFPD, performing better than HOMA-IR.
ALBUMIN VERSUS STANDARD MEDICAL TREATMENT IN BRAZILIAN PUBLIC AND PRIVATE HEALTHCARE SYSTEMS
Authors: TERRA Carlos , VIAYNA Elisabet , AYZIN Laura , FUSTER Cristina , ACEITUNO Susana , TAFLA Claudio
Published: September 2023

ABSTRACT Background: Cirrhosis is one of the final stages of chronic liver disease. Common causes of cirrhosis include alcoholism and viral hepatitis infections. Cirrhosis can progress from an asymptomatic, compensated phase to decompensation and the appearance of overt symptoms. There is no specific treatment for decompensated cirrhosis. The ANSWER trial positioned long-term albumin infusions as a potential treatment for patients with cirrhosis and uncomplicated ascites. Objective: This study assesses the economic impact of albumin infusions following the ANSWER trial regimen in Brazilian patients with decompensated cirrhosis from the public and private healthcare systems perspectives. Methods: The incremental cost per patient per year was calculated for standard medical treatment (SMT) plus long-term albumin infusions versus SMT alone. Costs of diuretics and albumin were obtained from Banco de Preços em Saúde and the Drug Market Regulation Chamber. Costs for complication and procedures were gathered from the published literature. Costs were transformed to 2021 Brazilian reals (BRL). Incidences of clinical complications and treatments were gathered from the ANSWER trial. Univariate sensitivity analysis was performed by increasing and decreasing all inputs by 20%. Results: The cost per patient per year was 118,759 BRL and 189,675 BRL lower for patients treated with SMT and albumin (compared to SMT only) for the public and private healthcare systems, respectively. The additional cost of albumin was offset by reduced complications and treatments (149,526 BRL and 249,572 BRL, respectively). The univariate sensitivity analysis showed cost savings for both healthcare systems in all the scenarios assessed. Conclusion: This economic analysis suggests that, if the ANSWER trial clinical outcomes translate into real-world effectiveness, addition of albumin infusions to SMT in patients with decompensated cirrhosis may lead to cost savings for the public and private healthcare systems in Brazil.
INTRAHEPATIC BILIARY PROLIFERATIONS: HISTOPATHOLOGY AND POTENTIAL IMMUNOHISTOCHEMICAL MARKERS
Authors: HIRAYAMA André Bubna , MELLO Evandro Sobroza de , ALVES Venâncio Avancini Ferreira
Published: September 2023

ABSTRACT Intrahepatic biliary proliferations represent a spectrum from reactive (ductular reaction, some with atypical architecture), hamartomatous (von Meyenburg complex), benign (bile duct adenoma) and precursor/borderline entities (biliary intraepithelial neoplasia, intraductal papillary neoplasm of the bile duct) to fully malignant (cholangiocarcinoma) neoplasms. Clinical pictures and even imaging patterns may be similar, requiring refined studies aiming at histopathological and immunohistochemistry for more precise diagnosis, essential for correct patient management. This article discusses updated concepts and definitions of most relevant entities aiming more specifically at the differential diagnosis in practice, focusing on morphology and immunohistochemistry, with a discussion of potential markers to help distinguishing between benign and malignant lesions.
Overview of the brazilian scientific literature on mental health at university: a systematic review
Authors: Araujo Alex Viana de , Vieira Fernanda David , Manfroi Edi Cristina
Published: September 2023

Abstract In order to understand the phenomenon in the work context of Higher Education Institutions, this systematic literature review analyzed the national publications in the period between 2011 and 2021. The survey of the academic production occurred in the CAPES Periodicals, SciELO, Regional Portal of the Virtual Health Library (VHL) and Pepsic. Only 35 articles met the inclusion criteria. The majority addressed subjects related to the mental health of public employees in the academic environment were: productivity and common mental disorders, mental suffering/illness, other mental disorders, burnout syndrome, work context and mental health. Moreover, the results point to a greater number of publications in the year 2020, concentrated in health area journals, empirical, quantitative studies, carried out mostly in public educational institutions, preferably with professors, with predominance in the southeastern region of the country. There are gaps by region, theme and professional category, which requires greater research efforts in the area to better understand the theme.