bluuebunny/crossref_metadata_2025 huggingface dataset:
A história recente dos mestrados profissionais no Brasil
Authors: Neto Alexandre Shigunov
Published: December 2024

Este artigo apresenta uma análise preliminar da recente história dos Mestrados Profissionais no Brasil, em especial na Área 46 da CAPES. Expondo a produção e o perfil dos orientandos e orientadores dessa modalidade de pós-graduação. O estudo caracteriza-se como uma pesquisa do tipo Estado da Arte. A constituição dos dados foi realizada no Centro de Documentação em Ensino de Ciências (CEDOC), da Faculdade de Educação da Universidade Estadual de Campinas, nosso lócus documental é constituído por 1267 documentos (dissertações) que foram defendidas em cursos de Mestrados Profissionais na Área 46 da CAPES
The relationship between gender, educational background, and learning environment with nursing student’s anxiety
Authors: Simbolon Amelia Margaretha , Munthe Jesika Sari , Daeli Mikar Syah Idaman , Patrisia Ineke , Sinaga Chriska Roully Adeline
Published: December 2024

ABSTRACT Objectives: to identify variables associated with nursing students’ anxiety-related clinical practice. Methods: this study used a correlational quantitative descriptive design with the STROBE equator instrument. The population is 233 nursing students with a sample of 135. Data were collected from March to April 2022 using validated instruments. Results: the Chi-square test and the sig likelihood ratio on the gender, educational background, and learning environment is more than 0.05 so there is no significant relationship between the variables and student anxiety. Conclusions: students need to be prepared again before entering the practice field. Qualitative research is needed too.
Childbirth care by health professionals: conflicting practices in obstetrics
Authors: Mattei Greici Naiara , Lanzoni Gabriela Marcellino de Melo , Higashi Giovana Dorneles Callegaro , Schapko Taís Regina , Baggio Maria Aparecida
Published: December 2024

ABSTRACT Objectives: to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil. Methods: this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews. Results: limitations in physical infrastructure and management of care, along with the women’s limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process. Final Considerations: childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.
Prevalência e fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza
Authors: Luz Emanuelli Mancio Ferreira da , Munhoz Oclaris Lopes , Greco Patrícia Bitencourt Toscani , Morais Bruna Xavier , Camponogara Silviamar , Magnago Tânia Solange Bosi de Souza
Published: December 2024

RESUMO Objetivos: verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza. Métodos: estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada. Resultados: participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004). Conclusões: prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.
Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
Authors: Souza Janaina Fonseca Almeida , Silva Thales Philipe Rodrigues da , Duarte Camila Kümmel , Gryschek Anna Luiza de Fatima Pinho Lins , Duarte Elysângela Dittz , Matozinhos Fernanda Penido
Published: December 2024

ABSTRACT Objectives: to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage. Methods: systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines. Results: initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees. Conclusions: we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.
Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Authors: Vieira Ricardo Quintão , Balsanelli Alexandre Pazetto , Neves Vanessa Ribeiro
Published: December 2024

ABSTRACT Objectives: to analyze the editorial discourses of Acta Paulista de Enfermagem from 1988 to 2017. Methods: qualitative, historical, oral research, with interviews with the journal’s editors. Statements were categorized and presented in three decades, discussed from Foucault’s archaeological perspective. Results: seven statements presented three discourses. In the first decade, the discourse of knowledge registration and circulation presented statements of graduate studies and professional recognition. In the second decade, knowledge internationalization was added, with statements of business and editorial panopticism, selection criteria, indexing and digitalization. Finally, the discourse of shifting scientific assessment centrality was added with statements of preprint, open science, exclusive digitalization and mediatization of science. Final Considerations: the journal needed to adapt to form its official discourse, which made it possible, over the years, to change its initial peripheral position to a central one within scientific communication, supporting its panoptic role.
Conhecimentos, Atitudes e Práticas dos enfermeiros sobre colheita de hemocultura
Authors: Ruiz Juliana Silva , Frota Oleci Pereira , Ferreira Júnior Marcos Antonio
Published: December 2024

RESUMO Objetivos: investigar os conhecimentos, as atitudes e as práticas dos enfermeiros sobre a colheita de hemoculturas. Métodos: estudo transversal, desenvolvido em cinco hospitais públicos brasileiros, com 112 enfermeiros. Os dados foram coletados por questionário adaptado e analisados por estatística descritiva e inferencial. Resultados: enfermeiros que não se julgaram capazes de coletar hemoculturas tiveram 72% menos chance de realizar a colheita no sítio recomendado e 83% menos chance de utilizar assertivamente a mesma agulha da punção para inocular o sangue nos frascos. Enfermeiros que trabalham no pronto atendimento médico tiveram 75% menos chance de saber o benchmark internacionalmente da taxa de contaminação de hemoculturas e aqueles com menos de 5 anos na função diminuem em 79% a chance de assertividade nesta questão. Conclusões: há lacunas nos conhecimentos, atitudes e práticas dos enfermeiros sobre a colheita de hemoculturas. Padronização da técnica, educação periódica, supervisão e orientação da equipe de coleta e auditoria dos processos são estratégias de enfrentamento recomendadas.
Training profile of intensive care nurses in Brazil: cross-sectional study
Authors: Gomes Thais Oliveira , Girão Fernanda Berchelli , Santos Tágora do Lago , Silva Matheus Henrique , Portes Erika Azevedo , Melo Clayton Lima , Andrade Marcus Vinicius Melo de
Published: December 2024

ABSTRACT Objectives: to describe the training profile of Brazilian intensive care nurses. Methods: a cross-sectional study carried out in two stages: a structured, self-administered questionnaire; mapping of the national supply of lato sensu postgraduate courses. Data was collected on the sociodemographic profile, training process and characterization of the courses. Results: in the first stage, 202 respondents were obtained. The majority were women (79.2%), aged between 26 and 45 (80.7%), graduated less than 5 years ago (44%), through lato sensu postgraduate courses (55.5%), which were marked by the absence of laboratory practice (57.5%) and guided tours (42.5%). In the second stage, 457 courses were identified, with face-to-face teaching (58.9%), a workload of 360 to 420 hours (51.2%), a duration of up to 6 months (41.8%) and variation in the sub-area of training. Conclusions: there was a predominance of professionals graduating from lato sensu post-graduate courses, with essentially theoretical teaching and heterogeneity in terms of modality, workload and sub-area of training.
Cuidado respeitoso às parturientes com doença falciforme: estudo netnográfico
Authors: Souza Zannety Conceição Silva do Nascimento , Barrêto Luana Gabriella Pinheiro , Vale Paulo Roberto Lima Falcão do , Duarte Elysangela Dittz , Silva Cristiane dos Santos , Carvalho Evanilda Souza de Santana
Published: December 2024

RESUMO Objetivos: analisar os princípios do cuidado materno respeitoso em narrativas de parturientes com doença falciforme, relacionando-os com os Objetivos de Desenvolvimento Sustentável. Métodos: estudo netnográfico, com dois vídeos publicados em 2020. Análise iconográfica e temática dedutiva pela Respectful Maternity Care Charter, organizado no software MAXQDA. Resultados: princípios identificados foram direito: à liberdade contra danos e maus-tratos; à informação, consentimento informado, recusa de procedimentos médicos, respeito pelas escolhas e preferências da mulher incluindo acompanhante; ser considerada pessoa desde seu nascimento, com tratamento digno e respeitoso; saúde no mais alto nível possível; recém-nascido estar com seus pais ou responsáveis. Os Objetivos de Desenvolvimento Sustentável até 2030 para as mulheres não foram contemplados positivamente na experiência das parturientes. Considerações Finais: é oportuno que trabalhadores da saúde se qualifiquem para exercer o cuidado materno respeitoso, com escuta qualificada, compreensão, resolução das demandas singulares das parturientes com doença falciforme, buscando igualdade no atendimento às mulheres.
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Authors: Brandão Bianca Ferreira da Silva , Leão Eliseth Ribeiro
Published: December 2024

ABSTRACT Objectives: to develop a digital technological solution (prototype) for assessing patients with chronic pain. Methods: this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain. Results: the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results. Final Considerations: the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
Efetividade da técnica de Seldinger modificada para cateter central periférico em recém-nascidos: ensaio clínico randomizado
Authors: Secco Izabela Linha , Danski Mitzy Tannia Reichembach , Lenzi Luana , Pereira Higor Pacheco , Azevedo Juliana Szreider de , Pontes Letícia , Afonso Regiane Queiroz , Milani Camila Fernanda da Silva
Published: December 2024

RESUMO Objetivos: avaliar a efetividade do cateterismo central periférico entre a técnica de Seldinger modificada e a técnica convencional em recém-nascidos críticos. Métodos: ensaio clínico randomizado, não mascarado, realizado em um hospital público infantil. Participaram 111 neonatos com alocação randomizada, 56 no grupo controle (tecnologia convencional) e 55 no experimental (microintrodução). O sucesso e a ausência de complicações foram avaliados como desfechos primários. A escala de dor, dificuldade de hemostasia, tempo de procedimento e o número depunções foram considerados desfechos secundários. Resultados: não houve significância estatística entre os grupos, tanto para o sucesso (p=0,705), como ausência de complicações (p=0,347). No grupo experimental não foi observada menor pontuação da dor, melhora da hemostasia, aumento da assertividade com menos punções e redução do tempo de procedimento. Conclusões: a microintrodução não se mostrou como uma tecnologia insertora mais efetiva em comparação ao método tradicional. Registro Brasileiro de Ensaio Clínico: RBR-69vks36.
Software for the care of people with cardiovascular risk: construction and evidence of validity
Authors: Félix Nuno Damácio de Carvalho , Carneiro Raércia dos Santos , Pacheco Luis Filippe Rasia , Cunha Brenda Silva , Cruz Neto João , Boness Johann Aires , Gavazza Mariana Carvalho , Barros Alba Lúcia Bottura Leite de
Published: December 2024

ABSTRACT Objectives: to build and validate software for the care of people with cardiovascular risk. Methods: a methodological study, applied to software development, anchored in a nursing theory and classification system, in three stages: 1) requirements engineering; 2) software architecture and coding; and 3) testing and content validity by 12 experts in computer science, with a Content Validity Ratio score. Results: called e-TEORISC, in software format, for nursing care for people with cardiovascular risk, online and offline, containing a database linked to the Nursing Process stages. Experts considered that the attributes of functional suitability, performance efficiency, reliability, maintainability, usability, safety and portability obtained desirable scores. Conclusions: e-TEORISC has evidence of validity to instrumentalize care for people at cardiovascular risk, with potential for technology transfer to the Brazilian Health System.
USE OF DECELLULARIZED HUMAN AMNIOTIC MEMBRANE IN INTESTINAL ANASTOMOSES: A STUDY IN RATS TREATED WITH 5-FLUOROURACIL
Authors: FERRARIN Daniel Dantas , MALAFAIA Osvaldo , CZECZKO Nicolau Gregori , KUBRUSLY Luiz Fernando , SIGWALT Marcos Fabiano , SOUSA Eros Luiz de , REPKA João Carlos Domingues , CARON Pedro Henrique Lambach
Published: December 2024

ABSTRACT BACKGROUND: Nowdays, more relevant applications of perinatal derivatives, such as amniotic membrane (AM), are emerging in our environment as a source of biomaterials for use in different healing processes. The study of anastomosis healing associated with antimetabolic drugs such as 5-fluorouracil (5-FU) is a potential target of AM. AIMS: To evaluate the healing effects of AM in rats treated with 5-FU at a dose of 20 mg/kg on the seventh day of postoperative evolution, regarding the parameters percentage of type I collagen (mature), cell viability, microvascular density and formation of granulation tissue. METHODS: Thirty-two Wistar rats were used, submitted to colotomy and colorraphy, separated into four groups of eight, which received different treatments daily, intraperitoneally, until the day of sacrifice: saline solution (C), 20 mg/kg 5-FU, 20 mg/kg 5-FU and AM. RESULTS: Treatment with 20 mg/kg of 5-FU, on the seventh postoperative day, induced adverse effects on the anastomotic healing process, evidenced by a decrease in the percentage of type I (mature) collagen, cell viability, microvascular density, fibrin-leukocyte scab formation and angiofibroblast proliferation; the use of AM under these conditions induced an improvement in the percentage of type I (mature) collagen. CONCLUSIONS: Treatment with 20 mg/kg of 5-FU on the seventh postoperative day induced adverse effects on the anastomotic healing process, and the use of AM under these conditions induced an improvement in the percentage of type I (mature) collagen.
Phenological Restriction of the Oryza (v3) Model
Authors: Honorio Filho Gutemberg Resende , Heinemann Alexandre Bryan , Matta David Henriques da , Stone Luís Fernando , Cuadra Santiago Vianna , Steinmetz Silvio
Published: December 2024

Abstract Photoperiod sensitivity affects the rice development cycle and its flowering. Crop simulation models, such as ORYZA (v3), use equations that depend on two main parameters calibrated by the user: sensitivity to photoperiod and minimum optimal photoperiod. Day length, determined by latitude and day of the year, also affects crop development. This study explores the interaction of these parameters in the ORYZA (v3) phenological model. When the optimum minimum photoperiod is shorter than the day length, photoperiod sensitivity delay or inhibit flowering. To ensure a proper simulation, these parameters need to be adjusted to avoid excessive prolongation of the vegetative phase. If calibrated incorrectly, or if let in constant low photoperiod conditions, the plant may remain in the vegetative state. The model presents challenges with cultivars that are highly sensitive to photoperiod in conditions where day length is constantly longer than the ideal minimum photoperiod. This situation may generate uninterpretable results and complicate the calibration of parameters via optimization algorithms. Therefore, it is crucial to properly adjust the optimal minimum photoperiod based on latitude and limit photoperiod sensitivity to ensure accurate and precise simulations of flowering.
Repopulation of a 3D simulated periapical lesion cavity with dental pulp stem cell spheroids with triggered osteoblastic differentiation
Authors: Ribeiro Vítor Luís , Dernowsek Janaína A. , Fernandes Roger R. , Pitol Dimitrius L. , Issa João Paulo Mardegan , Mazzi-Chaves Jardel F. , Bombonato-Prado Karina Fittipaldi , Sousa-Neto Manoel Damião , Passos Geraldo Aleixo
Published: December 2024

Abstract We established a proof-of-concept model system for the biological healing of periapical lesions using stem cell spheroids. Mesenchymal stem cells from human exfoliated deciduous teeth (SHED) were cultured in a 2D monolayer and then as 3D multicellular spheroids. An image of a periapical lesion of an upper lateral incisor tooth was obtained by computed tomography and was used as a model for photopolymer resin 3D printing to generate a negative frame of the lesion. The negative model served to prepare a positive model of the periapical lesion cavity in an agarose gel. SHED that were cultured in monolayers or as spheroids were seeded in the positive lesion mold before or after osteoblastic differentiation. The results showed that compared to cells cultured in monolayers, spheroids exhibited uniform cellularity and a greater viability within the lesion cavity, which was accompanied by a temporal reduction in the expression of CD13, CD29, CD44, CD73, and CD90 mRNAs that are typically expressed by stem cells. Concomitantly, the expression of markers that characterize osteoblastic differentiation (RUNX2, ALP, and BGLAP) increased. These results provide a new perspective for regenerative endodontics with the use of SHED-derived spheroids to repair periapical lesions.
Biological Properties of Bioceramic Sealers on Osteoblastic Cells: A Comparative Study
Authors: Guerra Angelita Piovezana , Gregorio Danielle , Yamamoto Gean Carlos , Santos Nathalia Thalitha Bernardes dos , Poli-Frederico Regina Celia , Maia Luciana Prado
Published: December 2024

Abstract This study aimed to assess the biological properties of two ready-to-use bioceramic sealers (EndoSequence BC Sealer - EBCS; Bio-C Sealer - BCS) on osteoblastic lineage cells. MC3T3 osteoblast-like cells were exposed to extracts of bioceramic materials. Cytotoxicity was evaluated using the MTT method, genotoxicity was assessed by the micronucleus test and the expression of BMP1, BMP2 and ALP was measured by RT-qPCR, after 1, 3 and 7 days. Wound healing was monitored at 1, 2 and 3-day intervals using the scratch test. Statistical analysis involved a two-factor ANOVA, followed by the Tukey Test for multiple comparisons (α=0.05). Cytotoxicity assessment revealed no significant differences between the materials and the control group at any of the time points, indicating that neither material exhibited cytotoxic effects. However, both cements induced greater micronuclei formation compared to the control on days 1 and 7 (p<0.05) when evaluating genotoxicity. No significant differences between the groups were observed in wound healing at any of the time intervals. Both biomaterials upregulated the expression of BMP1, BMP2 and ALP. The two bioceramic sealers exhibited comparable biological properties, including cytocompatibility, promotion of wound healing, and upregulation of bone formation-related genes in osteoblast-like cells. While these results suggest the potential for safe clinical application, the observed genotoxicity warrants caution. Therefore, while the null hypothesis-that the two bioceramic sealers exhibit analogous properties-was accepted in terms of cytocompatibility and gene expression, further investigation is essential to fully ensure their safety and efficacy in bone-related procedures.
Does the pH of the grape seed extract interfere in the biomodification capacity of dentin collagen?
Authors: Lemos Marcelo Victor Sidou , Lourenço Gabriela Araújo , Pascoal Samuel Chillavert Dias , Mendes Talita Arrais Daniel , Santiago Sérgio Lima
Published: December 2024

Abstract The aim of this study was to verify the biomodifying action of 6.5% grape seed extract solutions, with different pH, when applied on dentin collagen. Dentin bars (1.7 mm x 6.0 mm x 0.5 mm) were demineralized for 5 hours in 10% phosphoric acid, and distributed into the following groups: acid solution (pH=4.42); neutral (pH=6.96); alkaline (pH=11.92) and distilled water (pH=6.75). Three-point flexural test (n=10) and mass variation (n=10) were assessed at different periods (baseline, after biomodification, 7 and 14 days of remineralizing solution storage). For qualitative analysis, similar dentin bars were prepared and analyzed using Fourier transform infrared spectroscopy (FT-IR) and Raman Spectroscopy (FT-Raman) before and after 1 hour of immersion in biomodifying solution with different pH. Data were subjected to Shapiro-Wilk normality tests, followed by two-way ANOVA for repeated measures and Tukey's post-test (p<0.05). Alkaline solution was effective in increasing the modulus of elasticity, showing a decrease after 7 days and subsequent stabilization after 14 days of storage. Acid solution group showed a greater increase in the modulus of elasticity immediately after biomodification, but it was not stable over storage. Regarding mass variation, only the acid solution showed an increase in mass after biomodification and 14 days of storage. In relation to FT-IR and FT-Raman, all solutions showed interaction with collagen at some level. Therefore, pH of the solution directly influences the action of the grape seed extract, with satisfactory results being found in both acidic and alkaline solutions.
Effect of argon plasma and dentin rehydration on bond strength of dental adhesives to etched dentin
Authors: Santos Daniela Bandeira dos , Araújo Neto Vitaliano Gomes de , Willers Amanda Endres , André Carolina Bosso , Giannini Marcelo
Published: December 2024

Abstract This study investigated the effects of nonthermal atmospheric pressure plasma (NAPP) application and dentin rehydration with water (REHY) on bond strength (BS) of adhesives. Three etch-and-rinse adhesives were tested: Scotchbond Multi-Purpose (SBM / water-based primer + adhesive resin), Gluma Bond Universal (GBU / single-bottle containing acetone as organic solvent) and Prime&Bond Universal (PBU / single-bottle containing propanol as organic solvent). Adhesives were applied: 1- to phosphoric acid-etched dentin (Control), 2- after NAPP application for 45 seconds to etched dentin or 3- after REHY with water (10 seconds) of plasma-treated etched dentin. BS was performed using human molars and microtensile test, in which specimens were tested after 24 hours or one year (n=6). BS data were analyzed by three-way mixed ANOVA and Bonferroni’s test (α=0.05). The morphology of etched dentin (n=3) and the dentin-adhesive interfaces (n=3) were evaluated using SEM. NAPP and REHY did not increase the BS of GBU and PBU. The BS of SBM to etched dentin not treated with NAPP (Control) reduced significantly after one year. The PBU adhesive showed the highest bond strength to dentin when the adhesives tested were applied after REHY. Phosphoric acid demineralized dentin to a depth of 5 mm that allowed the adhesive penetration into the dentinal tubules, forming the resin tags. Interfacial structures were maintained after one year. Argon plasma treatment was not beneficial in increasing the dentin bond strength of adhesives to etched-dentin at 24 hours. However, rehydration after plasma application prevented the bond strength reduction for three-step adhesive after one year.
Botulism outbreak in cattle due to ingestion of accidental deteriorated feed
Authors: Paz Milena Carolina , Moraes José Tiago Roza de , Molossi Franciéli Adriane , Martins Andressa da Silva , Silva Tamires Ataides , Marques Luciane Oliveira , Kowalski Ananda Paula , Borsanelli Ana Carolina , Panziera Welden , Driemeier David
Published: December 2024

ABSTRACT: Botulism is a condition caused by the ingestion of pre-formed toxins produced by the bacterium Clostridium botulinum. This study described an outbreak of type D botulism with a high mortality rate (67%) in a cattle herd, caused by the consumption of fermented silage. The affected cattle presented with a hyperacute to acute clinical course with progressive flaccid paralysis. Five animals underwent necropsy with no significant macroscopic and microscopic alterations. A most probable source of contamination was deemed to be an inadequately stored silage; although, the toxin was not detected in the feed. The diagnosis of botulism was based on both clinical and epidemiological findings and the detection of botulinum toxin in the intestinal contents of two of the affected cattle. The present study emphasized the high number of fatally affected cattle, an unusual source of botulinum toxin and the importance of proper management of animal feed supply.
Desigualdades sociales en la letalidad por COVID-19 en los pueblos indígenas de México
Authors: Medina-Gómez Oswaldo , Medina-Villegas Jordi Josué
Published: December 2024

Resumen El propósito del estudio fue estimar la letalidad por COVID-19 en la población indígena en México durante los años 2020 al 2022 considerando las características clínicas y sus condiciones sociales. Los datos procedían del Sistema de Vigilancia Epidemiológica de Enfermedades Respiratorias identificando a los casos positivos por COVID-19 entre la población indígena, se evaluó la letalidad de acuerdo con las condiciones clínicas y condiciones de vulnerabilidad por carencias sociales. El número de casos positivos de COVID-19 en población indígena representó el 0,7% del total de casos, la letalidad en población indígena fue de 9,8% en contraste del 4,6% en población no indígena. La letalidad fue mayor en los hombres, sin embargo, en contraste con la población no indígena, la asociación con diabetes, hipertensión, insuficiencia renal crónica, obesidad y tabaquismo fue menor en los indígenas. Una mayor vulnerabilidad de las condiciones sociales se presentó entre la población indígena en contraste con la no indígena, principalmente en el rezago por ingreso económico, educación y el acceso a servicios de salud.
Composição corporal versus resultados antropométricos dos indígenas Khisêdjê do Xingu - MT/Brasil
Authors: Mazzucchetti Lalucha , Galvão Patrícia Paiva de Oliveira , Tsutsui Mário Luiz da Silva , Santos Kennedy Maia dos , Rodrigues Douglas Antônio , Rabelo Vânia Fernandes , Gimeno Suely Godoy Agostinho
Published: December 2024

Resumo O estudo objetivou avaliar a composição corporal dos indígenas Khisêdjê residentes no Território Indígena do Xingu e compará-la com os resultados obtidos pela antropometria. Foram incluídos 179 indivíduos com idade ≥ 20 anos. O estado nutricional foi classificado segundo os pontos de corte propostos pela Organização Mundial da Saúde (1995). A composição corporal foi identificada por meio das medidas derivadas diretamente do aparelho de impedância bioelétrica tetrapolar (resistência - R, reactância - Xc e ângulo de fase -AF). Os dados foram analisados por meio do teste t de Student, teste qui-quadrado, coeficiente de Pearson e análise de variância. Dos avaliados, 57,0% foram homens e a idade média foi de 37,5 anos. Foi apresentado 48,0% de excesso de peso (índice de massa corpórea - IMC ≥ 25,0 kg/m2). Identificou-se correlação positiva entre o IMC com as medidas do perímetro da cintura e do braço e AF, e correlação inversa com as medidas de R e Xc. As médias das medidas de R e Xc reduziram com o aumento do IMC; em contrapartida, as médias do AF cresceram com o aumento do peso. Os resultados sugerem que a presença de excesso de peso entre os indígenas Khisêdjê se associou a maior quantidade de massa muscular.
Body composition versus anthropometric results of the Khisêdjê Indigenous of Xingu - MT/Brazil
Authors: Mazzucchetti Lalucha , Galvão Patrícia Paiva de Oliveira , Tsutsui Mário Luiz da Silva , Santos Kennedy Maia dos , Rodrigues Douglas Antônio , Rabelo Vânia Fernandes , Gimeno Suely Godoy Agostinho
Published: December 2024

Abstract This study aimed to evaluate the body composition of the Khisêdjê, an Indigenous people residing in the Xingu Indigenous Territory, and compare it to the results obtained by anthropometry. One hundred seventy-nine individuals aged above 20 of both genders were included. The nutritional status was classified per the cutoff proposed by the WHO (1995). The body composition was identified using measures derived directly from a bioelectrical impedance device (resistance - R, reactance - Xc, and phase angle - PA). Data were analyzed using the Student t-test, chi-square, Pearson correlation, and analysis of variance, and 57% of the sample was male. The mean age of the population was 37.5 years, and 48% of subjects had some overweight level (BMI ≥ 25,0 kg/m2). We identified a positive correlation between BMI with waist (WC) and arm (AC) circumference, and PA measurements, and an inverse correlation between BMI and R and Xc measurements. R and Xc mean values decreased with increasing BMI. In contrast, mean PA increased with greater weight. The results suggest that being overweight among the Khisêdjê Indigenous people was associated with higher muscle mass amounts.
Composición corporal versus resultados antropométricos de los indígenas Khisêdjê del Xingu - MT/Brasil
Authors: Mazzucchetti Lalucha , Galvão Patrícia Paiva de Oliveira , Tsutsui Mário Luiz da Silva , Santos Kennedy Maia dos , Rodrigues Douglas Antônio , Rabelo Vânia Fernandes , Gimeno Suely Godoy Agostinho
Published: December 2024

Resumen Este estudio tuvo como objetivo evaluar la composición corporal de los indígenas Khisêdjê que viven en el Territorio Indígena Xingu y compararla con los resultados obtenidos por antropometría. Se incluyeron 179 individuos con edad ≥ 20 años. El estado nutricional se clasificado según los puntos de corte propuestos por la Organización Mundial de la Salud (1995). La composición corporal se identificó mediante mediciones derivadas directamente del aparato de impedancia bioeléctrica tetrapolar (resistencia - R, reactancia - Xc y ángulo de fase - AF). Los datos se analizaron mediante la prueba t de Student, la prueba chi-cuadrado, el coeficiente de Pearson y el análisis de la varianza. El 57,0% de los evaluados eran hombres y la edad media era de 37,5 años. El 48,0% tenía sobrepeso (índice de masa corporal - IMC ≥ 25,0 kg/m2).Se identificó una correlación positiva entre el IMC y las mediciones del perímetro de la cintura y el brazo y la AF, y una correlación inversa con las mediciones de R y Xc. Las mediciones medias de R y Xc disminuyeron con el aumento del IMC; por otro lado, las medias de AF aumentaron con el aumento del peso. Los resultados sugieren que el sobrepeso entre los indígenas Khisêdjê estaba asociado a una mayor masa muscular.
Território Indígena do Xingu: perfil nutricional e metabólico de indígenas avaliados entre os anos de 2017 e 2019
Authors: Rodrigues Douglas A. , Haquim Vanessa Moreira , Mazzucchetti Lalucha , Lemos Pablo Natanael , Mendonça Sofia Beatriz Machado de
Published: December 2024

Resumo O estudo avaliou o perfil nutricional e metabólico da população adulta do Território Indígena do Xingu, de acordo com o sexo e o polo-base. Foi desenvolvido em 18 aldeias no período entre 2017 e 2019. A antropometria, os exames clínicos e físicos foram realizados in loco nos indivíduos maiores de 18 anos. Foram avaliados 1.598 indígenas, com média de 36,7 anos. Desses, 50,6% eram homens, 53,2% residiam no Polo Leonardo, 22,7% no Diauarum, 12,3% no Pavuru e 11,8% no Wawi. As mulheres apresentaram maior prevalência (p < 0,05) do que os homens, respectivamente, de baixo peso (2,0% vs 0,1%), eutrofia (46,1% vs 37,4%), obesidade central (63,4% vs 21,8%), baixo HDL colesterol (77,7% vs 72,9%) e síndrome metabólica (29,0% vs 23,5%). Em contrapartida, os homens apresentaram maior prevalência (p < 0,05) do que as mulheres, respectivamente, de sobrepeso (46,3% vs 37,5%), triglicerídeos elevados (34,5% vs 28,2%) e níveis pressóricos elevados (13,2% vs 8,6%). Os polos-base Leonardo e Wawi apresentaram os piores resultados nutricionais e cardiometabólicos. No geral, os indivíduos avaliados apresentaram elevada frequência de doenças não transmissíveis e risco cardiometabólico. Medidas urgentes precisam ser tomadas para controlar essa situação.
Desigualdade em saúde bucal: caracterização do povo indígena Xukuru do Ororubá, Pernambuco, Brasil
Authors: Mauricio Herika de Arruda , Fávaro Thatiana Regina , Moreira Rafael da Silveira
Published: December 2024

Resumo O objetivo deste artigo é caracterizar indígenas de 18 a 23 anos de idade da etnia Xukuru do Ororubá, Pernambuco, Brasil, quanto à utilização de serviços odontológicos, autopercepção da saúde bucal, práticas de higiene bucal e experiência de cárie, aspectos socioeconômicos e demográficos. Estudo de corte transversal de base populacional, aninhado a um estudo de coorte iniciado em 2010, desenvolvido na referida terra indígena em 2018. Exames bucais e questionários foram conduzidos com 131 indígenas. Os dados foram coletados por meio do software Epi-Info e o programa estatístico SPSS 20.0 foi aplicado na estatística descritiva. Para comparar os resultados de experiência de cárie obtidos com a Pesquisa Nacional de Saúde Bucal (SB Brasil 2010), utilizou-se o software R. A experiência de cárie verificada pelo Índice CPO-D obteve média 7,4, com a média dos componentes do índice correspondentes a 22,8 para elementos dentários hígidos, 2,4 para cariados, 0,2 para obturados/cariados, 3,5 para obturados e 1,4 para perdidos. A condição de saúde bucal dos indígenas se caracteriza por expressiva desigualdade quando comparada aos resultados de levantamento epidemiológico realizado no país envolvendo outros grupos populacionais.
Rios de conhecimentos: demarcando a ciência com as vozes indígenas
Authors: Almeida Diádiney Helena de
Published: December 2024

Resumo Parte deste texto desaguou numa palestra apresentada na abertura da 20ª Semana Nacional de Ciência e Tecnologia da Fundação Oswaldo Cruz em outubro de 2023. Trata-se da reflexão de uma historiadora indígena sobre sua trajetória profissional, considerando o racismo vigente na comunidade científica e os caminhos que os rios de conhecimentos indígenas têm percorrido na busca pela demarcação da escrita como um campo pela garantia dos direitos garantidos na Constituição Federal de 1988, constituindo um espaço de resistência pela continuidade das existências plurais dos povos indígenas do Brasil.
First Indigenous Health Forum: Construction and spreading of the Indigenous Health Agenda in the 1990s
Authors: Abrunhosa Marcela Alves , Machado Felipe Rangel de Souza , Pontes Ana Lúcia de Moura , Santos Ricardo Ventura
Published: December 2024

Abstract The Indigenous Health Conferences (IHC) have been the political spaces for expressing and consolidating ideas and proposals. However, in 1993, the “First Indigenous Health Forum” was held a few months before the second IHC. With a historical approach, this paper aimed to understand the organization and impacts of this Forum in the construction of Brazilian Indigenous Health policies during the 1990s. We analyzed an unpublished set of documents organized as a Dossier by Dr. István Varga and deposited in the University of São Paulo’s library. We discuss that a strong connection with the First Indigenous Health Forum was established between the first and second IHC. The argumentative structures and proposals formulated in the First Indigenous Health Forum were reinforced during the subsequent events culminating in the Second IHC.
The meanings of differential health care given by health professionals of the Alto Rio Negro DSEI-AM, Brazil
Authors: Feitosa Maria Rosineide Gama , Pontes Ana Lucia de Moura
Published: December 2024

Abstract This article discusses the meanings of differentiated health care guideline given by health professionals from the Indigenous Health Multidisciplinary Team (EMSI) who work at the Alto Rio Negro Special Indigenous Health District (DSEI-ARN). This exploratory, descriptive, analytical, and qualitative study conducted 15 semi-structured interviews with professionals from the Indigenous Health Multidisciplinary Teams of the DSEI-ARN, which were submitted to content analysis. The four meaning cores identified from the analyses were: Differentiated care as a way of providing primary care in the territory; Actions conducted under the population’s cultural differences; Self-care, traditional medicine, and the construction of therapeutic itineraries; and Professionals’ challenges and difficulties in addressing traditional indigenous health care. In the professionals’ perspective, differentiated health care is linked to the conditions for working in this primary care type. For their performance, they refer to the need to respect the cultural differences of the Indigenous population. Professionals recognize the use and effectiveness of Indigenous practices, knowledge, and regional specificities.
Condiciones de vida, nutrición y salud materno-infantil en el pueblo indígena Baniwa, noroeste amazónico, Brasil
Authors: Santos Junior Hernane Guimarães dos , Ferreira Aline Alves , Souza Mirian Carvalho de , Garnelo Luiza
Published: December 2024

Resumen Las encuestas epidemiológicas por grupos étnicos son escasas en Brasil. Las condiciones de salud y nutrición de los pueblos indígenas que enfrentan situaciones de inequidades y desigualdades sociales influyen negativamente en sus indicadores de salud. Este estudio es la investigación más extensa sobre el tema jamás realizada sobre la etnia Baniwa, una de las más numerosas del país. La encuesta tuvo como objetivo analizar las condiciones de vida y el perfil nutricional de niños menores de 60 meses y mujeres entre 14 y 49 años de la etnia Baniwa, residentes en el noroeste del estado de Amazonas, en la Tierra Indígena Alto Río Negro, frontera zona entre Brasil, Colombia y Venezuela. Los resultados muestran alta prevalencia de desnutrición crónica en un 52,5% (IC95% 48,9-56,1) y anemia en un 68,3% (IC95% 64-5-71,8) de los niños menores de 60 meses, además de sobrepeso en un 26,3% (IC95% 18,4-27,0) y anemia en el 52,3% (IC95% 43,6-53,6) de las mujeres. Las situaciones de inseguridad alimentaria observadas están vinculadas a malas condiciones de ingresos y saneamiento. La magnitud de estas condiciones expresa la baja efectividad de las acciones de atención primaria ofrecidas por el sistema de salud, con un porcentaje importante de hospitalizaciones resultantes de condiciones sensibles a la atención básica en el nivel de atención primaria.
Desafíos para la implementación de servicios obstétricos culturalmente competentes en un contexto indígena de México
Authors: Juárez-Ramírez Clara
Published: December 2024

Resumen La atención a la salud obstétrica de mujeres indígenas continúa siendo un grave problema en los países de ingresos bajos con gran diversidad cultural y pasado colonial. El trabajo de los profesionales de la salud para prevenir complicaciones que deriven en muertes maternas es primordial, sin embargo, en estos contextos se enfrentan a grandes desafíos para implementar servicios culturalmente competentes. El objetivo de este artículo es presentar hallazgos de un estudio etnográfico que buscó documentar la experiencia de profesionales de la salud atendiendo servicios obstétricos, con la intención de mostrar la complejidad de los contextos socioculturales donde desempeñan su labor.
Crescimento físico no primeiro ano de vida de crianças Terena residentes em área urbana: um estudo longitudinal
Authors: Bresan Deise , Leite Maurício Soares , Ferreira Aline Alves , Cury Elenir Rose Jardim
Published: December 2024

Resumo O objetivo do estudo foi avaliar o estado nutricional antropométrico e o crescimento físico de crianças Terena residentes na área urbana de Campo Grande, Mato Grosso do Sul, no primeiro ano de vida. Participaram da pesquisa crianças nascidas de junho de 2017 a julho de 2018 (n = 42). As curvas de crescimento foram construídas por modelos aditivos generalizados mistos. Aos 12 meses, 4,8% das crianças apresentaram baixa E/I. Segundo o índice de massa corporal para a idade, o sobrepeso atingiu 15,0% das meninas aos 12 meses e a obesidade 4,8% dos meninos e meninas nessa idade. A curva de comprimento das crianças Terena não alcançou a mediana da população de referência. A curva de peso e índice da massa corporal para a idade, especialmente entre as meninas, seguiram, em geral, uma trajetória superior à mediana de referência. As curvas de crescimento Terena registram um crescimento linear médio inferior ao esperado e um ganho de peso superior ao da mediana de referência. Esse perfil é compatível com a persistência de condições desfavoráveis ao crescimento e à nutrição infantis e com um acelerado processo de transição alimentar e nutricional, em que a dimensão racial das iniquidades em saúde não pode ser desconsiderada.
Physical growth in the first year of life of Terena Indigenous children living in an urban zone: longitudinal study
Authors: Bresan Deise , Leite Maurício Soares , Ferreira Aline Alves , Cury Elenir Rose Jardim
Published: December 2024

Abstract The present study aimed to assess the anthropometric nutrition status and physical growth of Terena Indigenous children living in an urban zone of the city of Campo Grande, Mato Grosso do Sul, Brazil, in their first year of life. Children who were born between June 2017 and July 2018 (n = 42) participated in the study. In total, 4.8% of the children presented a low height for age (H/A) in the 12th month of life. According to body mass index (BMI) for age, overweight affected 15.0% of the individuals belonging to the female sex at the age of 12 months, and obesity was observed in 4.8% of the children belonging to both sexes at this same age. Terena Indigenous children’s length curve failed to reach the median value recorded for the reference population. Weight and body mass index curves for age, mainly among individuals belonging to the female sex, were often above the reference median value. The Terena growth curves recorded an average linear growth of lower than expected and a weight gain of higher than the reference median. This profile is compatible with the persistence of unfavorable conditions for children’s growth and nutrition, as well as with an accelerated process of food and nutritional transition, where the racial dimension of health inequities cannot be disregarded.
Crecimiento físico en el primer año de vida de niños Terena residentes en zonas urbanas: un estudio longitudinal
Authors: Bresan Deise , Leite Maurício Soares , Ferreira Aline Alves , Cury Elenir Rose Jardim
Published: December 2024

Resumen Este estudio tuvo como objetivo evaluar el estado nutricional antropométrico y el crecimiento físico de los niños Terena residentes en el área urbana de Campo Grande, Mato Grosso do Sul, Brasil, en el primer año de vida. Participaron del estudio niños nacidos entre junio de 2017 y julio de 2018 (n = 42). Los datos se recopilaron durante visitas domiciliarias en el 1º, 6º y 12º mes de vida del niño. Las curvas de crecimiento se construyeron utilizando modelos mixtos aditivos generalizados. A los 12 meses, el 4,8% de los niños tenían T/E baja. Según el índice de masa corporal por edad, el sobrepeso afectaba al 15,0% de las niñas a los 12 meses y la obesidad afectaba al 4,8% de los niños y niñas de esta edad. La curva de talla de los niños Terena no alcanzó la mediana de la población de referencia. La curva de peso y del índice de masa corporal por edad, especialmente entre las niñas, siguió en general una trayectoria superior a la mediana de referencia. Las curvas de crecimiento de Terena registran un crecimiento lineal medio inferior al esperado y una ganancia de peso superior a la mediana de referencia. Este perfil es compatible con la persistencia de condiciones desfavorables para el crecimiento y la nutrición infantil y con un proceso acelerado de transición alimentaria y nutricional, donde no se puede desconocer la dimensión racial de las inequidades en salud.
Fatores associados ao óbito em gestantes e puérperas indígenas e não indígenas hospitalizadas por COVID-19, no Brasil
Authors: Moura Adryelle Katheline D’Elia de , Freitas Glênio Alves de , Pícoli Renata Palópoli
Published: December 2024

Resumo O objetivo deste manuscrito é analisar a associação entre as características sociodemográficas e de hospitalização com o desfecho de gestantes e puérperas indígenas e não indígenas e fatores associados aos óbitos entre as indígenas hospitalizadas por Síndrome Respiratória Aguda Grave (SRAG) pela COVID-19, no Brasil. Trata-se de estudo transversal e analítico, com dados secundários de gestantes e puérperas em idade reprodutiva, classificadas em raça/cor da pele (indígena e não indígena), extraídos do Observatório Obstétrico, que usa dados do Sistema de Informação de Vigilância Epidemiológica da Gripe. Foram analisadas as variáveis com o desfecho, por meio do teste do qui-quadrado ou Exato de Fisher e realizada regressão logística para os fatores associados ao óbito de indígenas. A maior proporção de óbito ocorreu entre as mulheres não indígenas que estavam no 2º trimestre de gestação (99,7%), residiam em zona urbana/periurbana (99,8%) e nas regiões Sul/Sudeste (99,8%) e Nordeste (99,5%). As indígenas que residiam em zona rural e nas regiões Norte e Centro-Oeste, possuem maiores chances de óbito, quando comparada às indígenas da zona urbana e das regiões Sul/Sudeste.