bluuebunny/crossref_metadata_2025 huggingface dataset:
Fatores associados à ocorrência de parto em posição vertical no Brasil
Authors: Martins Neto Carlos , Campelo Cleber Lopes , Lima Janielle Ferreira de Brito , Mendes Karla Danielle Silva Marques , Mouzinho Leandro Saldanha Nunes , Santos Alcione Miranda dos , Thomaz Erika Barbara Abreu Fonseca
Published: December 2022

RESUMO Objetivo: Identificar os fatores associados aos partos na posição vertical realizados em hospitais vinculados à Rede Cegonha no Brasil. Métodos: Estudo transversal com 3.073 parturientes que tiveram parto vaginal em 606 estabelecimentos de saúde no Brasil, localizados em regiões de saúde com plano de ação regional aprovado na Rede Cegonha. Foram avaliadas características socioeconômicas, demográficas e obstétricas das parturientes, aspectos organizacionais e de gestão das maternidades e processos de trabalho na atenção ao parto. Modelo de regressão logística multivariada com abordagem hierarquizada foi ajustado para identificar as variáveis associadas ao parto na posição vertical (desfecho), estimando-se odds ratio (OR) com nível de significância de 5%. Resultados: Do total de parturientes avaliadas, 6,7% das mulheres tiveram parto na posição vertical. Estiveram associados à maior chance de ocorrência do parto na posição vertical: ser preta (OR=2,07); ter 13 ou mais anos de estudo (OR=3,20); parir em hospital de alto risco (OR=1,58); parir em quartos PPP (que dispunham de assistência ao trabalho de parto, parto e puerpério no mesmo ambiente) em centros obstétricos (OR=2,07) ou em centros de parto normal intra-hospitalares (OR=1,62); ser assistida por enfermeiro obstetra (OR=1,64) ou por obstetriz (OR=7,62) quando comparado ao médico; receber massagem durante o trabalho de parto e parto (OR=1,91); utilizar banqueta (OR=4,35) e entre mulheres que não pediram/não receberem analgesia (OR=3,33). Conclusão: O parto na posição vertical é um evento relacionado a aspectos raciais e à escolaridade da parturiente, sendo estimulado em estabelecimentos de saúde onde estão implantadas boas práticas de assistência ao parto, com ambiência adequada e com equipes multiprofissionais contendo obstetriz e enfermeiro obstetra.
Trabalho infantil no estado do Amazonas: a invisibilidade do sistema de notificação
Authors: Oliveira Nathália França de , Sá Emerson Victor Hugo Costa de , Lombardi Tommaso , Rabelo Regiane da Silva
Published: December 2022

RESUMO Objetivo: Descrever as características dos casos notificados de trabalho infantil em geral e comparar dados oficiais notificados de trabalho infantil com dados de exploração sexual e acidentes de trabalho envolvendo crianças e adolescentes entre 2017 e 2021. Métodos: Estudo descritivo com base nos dados do Sistema de Informação de Agravos de Notificação sobre trabalho infantil, acidente de trabalho e exploração sexual de crianças e adolescentes com idades entre 5 e 17 anos. Foram calculadas taxas de notificação anuais dos agravos e agregadas por mesorregião do estado do Amazonas. Resultados: No período de 2017 a 2021, houve 312 notificações de situações envolvendo trabalho infantil, sendo 46,8% com crianças e 53,2% com adolescentes. Dessas notificações, 20 correspondiam ao trabalho infantil propriamente dito, 141 de exploração sexual infantojuvenil e 151 casos de acidente de trabalho envolvendo crianças e adolescentes. As mesorregiões sul e centro foram as que mais subnotificaram exploração sexual infantojuvenil como trabalho infantil. Já as mesorregiões sudoeste e sul foram as que mais sub-registraram acidentes de trabalho envolvendo crianças e adolescentes como trabalho infantil. Conclusão: O trabalho infantil no Amazonas decorre basicamente de exploração sexual e, mesmo subnotificado, é de ocorrência frequente, porém desigual entre as regiões. O enfrentamento do agravo no estado passa, obrigatoriamente, pelo aperfeiçoamento do sistema de informação a fim conhecer a real dimensão do problema para, então, definir medidas e logística de intervenção.
Relações Pessoa-Cidade: Mobilidade Urbana e Qualidade de Vida em Porto Alegre (RS)
Authors: Parenza Lutiely Neves , Câmara Sheila Gonçalves
Published: December 2022

Resumo A estrutura e o planejamento dos espaços urbanos influenciam a relação pessoa-cidade, na qual a mobilidade urbana representa um importante fator, que impacta diretamente a qualidade de vida dos habitantes, pois implica acesso aos bens e serviços da cidade. Este estudo transversal buscou avaliar os preditores de percepção de qualidade de vida em três grupos de usuários, de acordo com seu modal de transporte prioritário (G1 - veículo particular/aplicativo de carros, G2 - transporte público coletivo e G3 - bicicleta/caminhada). Os participantes foram 417 moradores da cidade de Porto Alegre (RS), com idade entre 18 e 60 anos, pedestres ou que se utilizem de equipamentos de transporte urbano em sua rotina semanal. Os instrumentos contemplaram os blocos: dados sociodemográficos; percepção de qualidade de vida; meios de transporte e avaliação objetiva e afetiva da cidade. A análise de dados foi realizada utilizando-se regressão linear múltipla. Como resultados, foram obtidos três modelos, um para cada grupo. Todos apresentaram, como preditores de percepção de qualidade de vida, motivos para o uso do transporte prioritário e avaliação objetiva da cidade. Os preditores diferentes entre os grupos foram a idade mais elevada (G1); o fato de ter nascido na cidade e uma avaliação afetiva positiva da cidade (G2); e a experiência de relacionamento social devido ao meio de transporte (G3). O estudo contribuiu para um melhor entendimento dos fatores relacionados à mobilidade urbana que influenciam a percepção de qualidade de vida em centros urbanos.
Narcolepsia na Infância: A Atuação Multidisciplinar com a Psicologia do Sono do Diagnóstico ao Tratamento em um Relato de Caso
Authors: Medeiros Melka Rodrigues Braúna , Silva Ralina Carla Lopes Martins da , Almondes Katie Moraes de
Published: December 2022

Resumo A narcolepsia, distúrbio neurológico crônico caracterizado pela sonolência diurna excessiva, pode ser associada à cataplexia, fragmentação do sono, alucinações relacionadas ao sono e paralisia do sono. Frequentemente, é confundida com outros transtornos, como Transtorno do Déficit de Atenção com Hiperatividade (TDAH), epilepsia e até esquizofrenia, assim, por vezes, é diagnosticada inadequadamente. Objetiva-se relatar o diagnóstico diferencial bem-sucedido da narcolepsia na infância e suas dificuldades, realizado por uma equipe multidisciplinar, enfocando a atuação da psicologia do sono em avaliação e intervenção. Um menino de 10 anos foi recebido no Ambulatório de Narcolepsia e Apneia do Sono Infantil (AMBNAP), alocado no Hospital Universitário Onofre Lopes da Universidade Federal do Rio Grande do Norte (UFRN) com queixas de sonolência diurna excessiva, sono fragmentado e episódios de perda de tônus muscular. Foi submetido a entrevistas psiquiátrica e psicológica pormenorizadas, a exames, aplicação de escalas específicas para rastreio e diagnóstico de transtornos de sono e diário de sono, solicitação de recursos de mídia e de relatório escolar e avaliação neurológica. A partir da investigação multidisciplinar, o diagnóstico foi de Narcolepsia e Síndrome da Apneia Obstrutiva do Sono (SAOS). O paciente foi submetido a técnicas da Terapia Cognitivo-Comportamental (TCC) e segue em acompanhamento, apresentando resultados satisfatórios. Este estudo evidencia que uma equipe multidisciplinar especializada na área de sono atuando em conjunto com a Psicologia do Sono oportuniza o diagnóstico e intervenções precoces eficazes para o tratamento do distúrbio do sono na infância.
Experiences and challenges faced by nursing professionals in care for patients with COVID-19
Authors: Hagopian Ellen Maria , Freitas Genival Fernandes de , Taffner Viviane Barreré Martin , Mello Fabio Soares de , Rodrigues Margarete Maria , Oliveira Marcus Vinicius de Lima
Published: December 2022

ABSTRACT Objectives: Understand the perception during the care work of nursing professionals who work in inpatient units in the care of patients with a confirmed diagnosis of COVID-19 and describe the experience and challenges of their work in this area of work. Method: Exploratory, descriptive, qualitative study. The interviews were individual, carried out in person. Socio demographic data were previously collected through a self-applied questionnaire. Results: The sample consisted of 25nursing professionals, 84% nurses and16% nursing technicians. From the analysis of the content of the participants' speeches, six thematic categories were constructed:Uncertainty and fear of anything new and of the unknown; Personal and social challenges working with COVID-19; The relevance of human and material resources, linked to permanent in-service education for coping; Ambiguity of feelings of the participants in the face of expressions of support or prejudice on the part of the community; Reactions of health professionals to non-compliance with the recommendation of social distancing by the population; Insufficient professional training to face the pandemic. Conclusion: The experiences and challenges that emerged in this research unfold in different ways, such as fear of the unknown, social and personal challenges to be overcome, as well as the impact of social behavior on the lives of nursing professionals and even the issue of training and professional preparation to face the pandemic.
Construção e validação de cenário de simulação clínica sobre o cuidado com o coto umbilical
Authors: Pinto Ingrid Rosane , Silva Jéssica Aparecida da , Ruiz Mariana Torreglosa , Manzan Letícia Oliveira , Barboza Fábio Renato , Oliveira Jacqueline Faria de , Oliveira Karoline Faria de , Fonseca Luciana Mara Monti
Published: December 2022

RESUMO Objetivo: Desenvolver e validar cenário de simulação clínica para ensino de puérperas e familiares sobre cuidados com o coto umbilical do recém-nascido. Método: Estudo metodológico em duas fases: 1 - construção de checklist do procedimento de higienização do coto umbilical, elaboração e validação semântica do caso clínico com 11 experts em simulação e área materno-infantil; 2 - desenvolvimento e validação do cenário junto a 11 experts em simulação e em neonatologia/pediatria. O Índice de Validade de Conteúdo de 0,8 foi adotado como relevante alcance de concordância. Resultados: Após construção do caso, realizou-se validação, aprovada por 100% dos experts. Todos itens do cenário simulado obtiveram escores de concordância superiores a 0,91. Conclusão: O cenário validado pode ser utilizado em diferentes contextos: ensino da Enfermagem Neonatal, capacitação de equipes e, aprendizagem de puérperas e familiares, alvos do estudo. Vistos benefícios da simulação, acredita-se na sua contribuição para melhoria assistencial e cuidado seguro.
Influence of functional health literacy on adherence to antidepressant treatment
Authors: Sá Alessandro Magon de , Casagrande Vanessa , Chagas Eduardo Federighi Baisi , Pinheiro Osni Lázaro
Published: December 2022

ABSTRACT Objective To verify the influence of patients’ level of functional health literacy on adherence to antidepressant treatment. Method Cross-sectional study, carried out in pharmacies of the Municipal Health Department of Marília-SP, in 2020/2021. The functional literacy questionnaire verified the numerical and interpretative skills of patients, in the face of texts related to the health area. The adherence to the treatment was verified using the Morisky therapeutic adherence scale, and the data were analyzed by Anova-one-way and Kruskal-Wallis tests. Results A total of 150 patients participated in the study, most of them showed failures in adherence and an inadequate level of functional health literacy. However, there was no correlation between functional health literacy and treatment adherence. Conclusion Although no correlation was found between the variables, there is a need for greater investments in terms of adherence to the treatment, with strategies that consider the level of functional health literacy in these patients.
Influência do letramento funcional em saúde na adesão ao tratamento com antidepressivos
Authors: Sá Alessandro Magon de , Casagrande Vanessa , Chagas Eduardo Federighi Baisi , Pinheiro Osni Lázaro
Published: December 2022

RESUMO Objetivo Verificar a influência do nível de letramento funcional em saúde dos pacientes na adesão ao tratamento com antidepressivos. Método Estudo transversal, realizado nas farmácias da Secretaria Municipal de Saúde de Marília-SP, em 2020/2021. O questionário de letramento funcional verificou as habilidades numéricas e de interpretação dos pacientes, diante de textos relacionados à área de saúde. A adesão ao tratamento foi verificada pela escala de adesão terapêutica de Morisky, e os dados foram analisados por Anova-one-way e teste de Kruskal-Wallis. Resultados Participaram do estudo 150 pacientes, cuja maioria apresentou falhas na adesão e nível inadequado de letramento funcional em saúde, entretanto, não houve correlação entre letramento funcional em saúde e adesão ao tratamento. Conclusão Embora não tenha sido encontrada correlação entre as variáveis, há a necessidade de maiores investimentos em relação à adesão ao tratamento, com estratégias que considerem o nível de letramento funcional em saúde, nestes pacientes.
Experienced concept of breast cancer survivors: directions for nursing and health care
Authors: Viana Suellen Fernanda de Souza , Souza Ívis Emília de Oliveira , Paiva Andyara do Carmo Pinto Coelho , Chagas Marléa Crescêncio , Pacheco Zuleyce Maria Lessa , Nascimento Rômulo Cândido Nogueira do , Amorim Thaís Vasconselos
Published: December 2022

ABSTRACT Objective To unveil the existential movement of being a woman survivor of breast cancer. Method Qualitative, phenomenological, with Heideggerian analytics from 15 interviews, between October2020 and January2021 in a teaching hospital in Minas Gerais. The construction of seven Meaning Units was followed by comprehensive methodical moments. Results The being-there-woman-survivor-of-breast-cancer showed itself in the ways of being of everyday life, occupied in manuality of tasks inside and outside the home, moved by impersonality and impropriety. The fear of death, gossip, curiosity and ambiguity were revealed that led to decadence, experienced in the world of treatment and follow-up, enabling being-with. The anguish that announced itself fleetingly was followed by the decadence that most of the time the presence remains. Conclusion The need to structure a specialized and interdisciplinary line of care is reinforced, in which care centered on active and qualified listening encompasses multidimensionality, envisioning women in aspects that permeate cancer survival.
Urban mobility indicators in the Metropolitan Region of São Paulo based on the Origin and Destination Metro survey
Authors: Pilotto Angela Seixas , Novaski Mariana Araújo de Matos
Published: December 2022

Abstract The results of the 2017 Origin and Destination (OD) Metro survey for the Metropolitan Region of São Paulo (acronym in Portuguese: RMSP) were published in 2019. Through a spatial analysis of open data from the OD survey, this article aims to identify characteristics of the daily commuting performed by RMSP residents, investigating spatial patterns of travel time, mode choice, motorization rate, mobility and immobility index, considering population distribution according to different income ranges and disaggregated by OD zone. The 2017 results are compared to those of 2007 to investigate what changed and what remained during the decade.
Landscape-innovation-policy: counter-hegemonic practices at the Cícero Guedes Camp (MST)
Authors: Rodi Vanessa Sartori , Andrade Rubens de
Published: December 2022

Abstract Since colonization in Brazil, populations resistant to its agrarian model have fought for the right to land, alternative agricultural production, and usufruct of the landscape. Such prerogatives indicate the possibility of hybrid landscapes in the rural sphere and show horizons that favor healthy production, non-exploitation of rural workers, and policies that contribute to resolving inequalities in the countryside. The struggle of the Landless Rural Workers Movement (MST) is discussed in this article, focusing on the landscapes they inhabit and on their ways of taking possession of such landscapes. Our reflection is based on the analysis of the Cícero Guedes (MST) camp, grounded on the Performance Assessment of the Built Environment, with readings from the innovation matrix in relation to the territory to see how it can affect the movement’s landscapes.
Federalismo fiscal, dignidade da pessoa humana e o financiamento da saúde pública no Litoral Sul da Bahia
Authors: Portella André , Silva Carine Santos
Published: December 2022

Resumo Este artigo tem como objetivo analisar a realidade do financiamento da saúde pública, com especial atenção à situação dos municípios do território de identidade Litoral Sul da Bahia, à luz da disciplina constitucional sobre o direito à saúde. Para tanto, será exposta a organização político-administrativa do Estado brasileiro, a ser entendida como meio pelo qual se deve garantir a efetividade dos direitos fundamentais, sempre pautada pelo princípio da dignidade humana. Toda a análise da realidade do financiamento público da saúde será realizada com base em dados empíricos de arrecadação e despesa, sobretudo, referentes aos municípios que integram o território de identidade Litoral Sul da Bahia.
Acesso universal e igualitário? O desafio na oferta do aborto previsto em lei pelo Sistema Único de Saúde
Authors: Jacobs Marina Gasino , Boing Alexandra Crispim
Published: December 2022

Resumo O aborto é tipificado no Código Penal brasileiro, entretanto, há casos em que ele não é punível. Nesses casos, o serviço deve ser ofertado no Sistema Único de Saúde (SUS), seguindo os princípios de igualdade de assistência e universalidade de acesso. No entanto, está concentrado em poucos hospitais de grandes centros urbanos, limitando o acesso. As limitações institucionais da oferta refletem desafios próprios do SUS e são acrescidas de estigmatização do procedimento, impondo barreiras adicionais ao acesso. Neste ensaio, a oferta do aborto previsto em lei no país é abordada a partir da lógica de organização do SUS e dos marcos normativos que a tangem. Em seguida, à luz de experiências e recomendações internacionais, são discutidas possibilidades de expansão da oferta e facilitação do acesso. Conclui-se que o Brasil seria capaz de oferecer de forma segura na atenção primária o aborto previsto em lei, utilizando-se de sua capilaridade para ampliar a acessibilidade geográfica, evitando o não acesso por indisponibilidade. A não garantia de acesso pode levar à busca por meios inseguros de interromper a gravidez, além de violar direitos de preservação da vida, da dignidade e da liberdade.
Regionalização e Rede de Atenção à Saúde em Mato Grosso
Authors: Martinelli Nereide Lúcia , Costa Alane Andréa Souza , Scatena João Henrique G. , Soares Nina Rosa Ferreira , Charbel Simone Carvalho , Castro Marta de Lima , Spinelli Maria Angelica dos Santos , Mota Virgínia de Albuquerque , Silva Lidiane Mara de Ávila e
Published: December 2022

Resumo Este estudo analisa a estruturação da Rede de Atenção à Saúde nas regiões de saúde do estado de Mato Grosso, considerando as ações planejadas nos instrumentos de gestão do governo do estado e da Secretaria de Estado de Saúde (SES), nos anos de 2012 a 2017, em conformidade com as diretrizes da Portaria MS/GM nº 4.279, de 30 de dezembro de 2010, que orienta o processo de conformação das redes de atenção à saúde no âmbito do Sistema Único de Saúde (SUS). Trata-se de estudo qualitativo, de natureza exploratório-descritiva, do tipo documental, que analisou os documentos públicos referentes ao planejamento do governo na especificidade do setor de saúde, o que inclui o Plano Plurianual, o Plano Estadual de Saúde e o Plano Estratégico da SES. Os achados do estudo mostram que, embora algumas ações/atividades relacionadas às diretrizes da portaria estivessem contempladas nos documentos pesquisados, ainda não foram suficientes para o estabelecimento de uma rede de atenção regionalizada de qualidade e para o fortalecimento da Atenção Primária à Saúde (APS) com capacidade de ser coordenadora do cuidado e ordenadora da rede no estado de Mato Grosso.
Exclusive breastfeeding frequency at 30 days of life: review of longitudinal studies
Authors: Mosquera Paola Soledad , Lourenço Bárbara Hatzlhoffer , Cardoso Marly Augusto
Published: December 2022

Abstract Early life feeding can affect children’s development and survival. Adherence to breastfeeding practices and regular monitoring is essential. This study aims to conduct an integrative review of longitudinal studies on the frequency of exclusive breastfeeding (EBF) at 30 days of life. Articles were retrieved from the PubMed and LILACS databases. The combination of descriptors used was: “prospective study” and “breast feeding.” The search was limited to articles published between 2015 and 2020 in English, Spanish, and Portuguese. We selected 17 original studies. Despite their methodological differences regarding sample size and type, follow-up period, and EBF definition and measurement method, results indicated a high rate of breastfeeding initiation (≥86%) and a wide variation in the occurrence of EBF at 30 days of life (4.5% - 86%) with substantial decline (<60%) in 63% of the investigated areas. These results are far from complying with the recommendation from the World Health Organization of maintaining EBF up to the sixth month of a child’s life and point to the need for further investigations with a standardized methodology to allow for comparisons within and between countries, aiming at planning actions which support breastfeeding.
Psychosocial needs of Spanish schoolchildren with visual impairment: a mixed methods research
Authors: Álamo-Martín María Teresa del , Pérez-Curiel María del Henar , Vallelado-Álvarez Ana Isabel
Published: December 2022

Abstract This study investigates the psychosocial needs of a group of schoolchildren with visual impairments. Based on a CUAN+CUAL mixed methods, it analyzed 26 children, with and without visual impairment, who attended a pediatric ophthalmology consultation with their parents. Several descriptive, mean and variance tests of independence between variables were performed using Pearson’s Chi-square (χ²) and Mann-Whitney U tests. The interviews conducted with the children and/or parents on the impact of their visual impairment on education, leisure activities and peer interaction, as well as the feelings derived from the impairment, underwent discourse analysis. Results show that schoolchildren with severe visual impairments experience greater difficulties regarding physical and emotional well-being, school performance, and peer interaction when compared with those without. These findings suggest the importance of developing comprehensive and joint health and socio-educational interventions to improve these areas.
The coordination role of Rio Grande do Norte state government in response to covid-19: Innovation in times of crisis?
Authors: Gomes Sandra , Silva André Luís Nogueira da , Segatto Catarina Ianni , Santos Anderson
Published: December 2022

Abstract From a case study of the State of Rio Grande do Norte, in Brazil, this article discusses the role of states in coordinating healthcare with its local governments in the context of the new coronavirus pandemic. The absence of federal government initiatives in responding to the pandemic in Brazil have been acknowledged by several specialists as an unprecedented event in the Brazilian federation, breaking with a recurrent pattern of national coordination and regulation by different governments since the 1988 Constitution. In this sense, states and municipalities had to adopt their own initiatives to respond to the pandemic. Qualitative research based on the collection of documents (local media, epidemiological reports, and state regulations) and in-depth interviews with state and municipal managers reveals significant changes in the state-municipal relationship throughout the pandemic period in Rio Grande do Norte, a state historically characterized by the lack of state coordination. The pandemic, thus, functioned as an exogenous shock, which induced changes in the pattern of state coordination in healthcare. It is unclear, however, whether these changes are one-off or permanent since the weight of increasing returns - a specification of a path dependency process - seem to work as a mechanism producing inertial dynamics of difficult disruption with the past.
A atuação coordenadora do governo do Rio Grande do Norte no combate à covid-19: inovação em tempos de crise?
Authors: Gomes Sandra , Silva André Luís Nogueira da , Segatto Catarina Ianni , Santos Anderson
Published: December 2022

Resumo A partir de um estudo de caso do Rio Grande do Norte, este artigo discute o papel dos estados na coordenação da saúde durante a pandemia do novo coronavírus. A ausência de coordenação federal no enfrentamento do surto pandêmico no Brasil tem sido compreendida por diversos analistas como algo inédito na federação brasileira, rompendo com um padrão recorrente de normatização e indução nacional por diferentes governos desde a Constituição de 1988. Nesse sentido, estados e municípios passaram a adotar iniciativas próprias para o enfrentamento da pandemia. A partir de uma pesquisa qualitativa baseada em dados documentais - mídia local, boletins epidemiológicos e regulamentações estaduais - e em entrevistas semiestruturadas com gestores estaduais e municipais, foi possível identificar mudanças na relação estado-municípios durante a pandemia no Rio Grande do Norte, caso marcado, historicamente, pela ausência de cooperação estadual. A pandemia, dessa forma, funcionou como um choque exógeno, que induziu uma mudança no padrão de atuação do governo estadual na saúde. Não está claro, porém, se essas alterações são pontuais ou permanentes, na medida em que o peso do autorreforço - especificação dos efeitos do legado histórico - atua como um mecanismo que produz dinâmicas inerciais de difícil rompimento com o passado.
Planos Municipais de Saúde do Estado do Tocantins: uma análise com foco no enfrentamento da obesidade
Authors: Klein Salete Teresinha Rauber , Silva Kellen Cristine , Santos Marta Azevedo dos , Silva Lorenna Martins da , Pinto Sônia Lopes
Published: December 2022

Resumo O objetivo deste estudo foi avaliar a abrangência do enfrentamento da obesidade nos Planos Municipais de Saúde (PMS) do Estado do Tocantins, dado que, diante da crescente prevalência da obesidade no Brasil, seu enfrentamento deveria estar no foco de ação da saúde pública e previsto nos instrumentos de gestão. Trata-se de um estudo qualitativo, com análise documental, que analisou os PMS no período de vigência de 2018 a 2021 nos 139 municípios desse estado. Foram selecionados dezessete termos relacionados à obesidade e verificada a frequência e contexto nos PMS. Do total de 139 PMS, foram avaliados 129 (92,8%). Os termos “academia da saúde” e “Sisvan” foram os mais frequentes, e “obesidade” apareceu em apenas 28% dos planos, totalizando 71 citações. Destas, somente 32,4% relacionavam-se diretamente com o enfrentamento da doença, com destaque nas regiões de saúde Bico do Papagaio e Médio Norte Araguaia. Os contextos relevantes de abordagem da obesidade mais frequentes foram a caracterização da situação epidemiológica, quadros de metas de ações e indicadores. Concluiu-se que o enfrentamento da obesidade pactuado nos PMS está ausente em mais de 70% dos municípios do Tocantins, e que ações de direcionamento para inclusão dessa doença dentro dos instrumentos de gestão são urgentes.
Prevention of “dangerous games” on the Internet: the experience of the DimiCuida Institute line of action in digital environments
Authors: Deslandes Suely , Coutinho Tiago
Published: December 2022

Abstract “Dangerous games” (“online challenges”) are part of the digital culture, attracting thousands of children and adolescents and causing severe damage to their health. This study aimed to analyze the experience of the DimiCuida Institute (DCI) in Fortaleza, state of Ceará, Brazil, a pioneering initiative to prevent online challenges, disseminated in different Web 2.0 environments, which can harm young people’s health. The specific objectives of this study sought to analyze the emergence of the Institute; identify the main partners involved in its network, assess the digital and analog environments in which they operate; and understand the prevention strategies developed. This is a case study based on document analysis. Our data, extracted from several digital platforms, was processed with Atlas Ti and subjected to thematic analysis. The DCI emerges from the existential and political resignification of a bereavement experience and is characterized by emphasizing alternatives to online activities, especially focusing on schools and their agents. Since this is still a field under construction and without previous references for lines of action, the prevention carried out in digital environments scarcely explores the language and resources of the Internet, betting on parental control and scarcely considering the experiences of the body and identity performances involved in the challenges.
Rooting of mini-cuttings and quality of plantlets of Cordia trichotoma
Authors: Avinio Renata Smith , Malheiros Angélica Costa , Maculan Luciane Grendene , Gazzana Denise , Lencina Kelen Haygert , Tonetto Thaíse da Silva , Bisognin Dilson Antônio
Published: December 2022

Abstract The objective of this work was to evaluate the effects of indolebutyric acid (IBA) concentration, substrate composition and volume, and propagule type on the adventitious rooting and quality of Cordia trichotoma plantlets produced by mini-cuttings. Mini-cuttings were evaluated for rooting percentage and root number and length at 30 and 60 days of cultivation. Plantlets were evaluated for shoot height and stem diameter at 30, 60, 90, and 120 days of cultivation. The Dickson quality index, number of leaves, and fresh and dry weights of shoots and roots were also determined at 120 days of cultivation. The experiments were carried out in a completely randomized design, with six replicates, in a greenhouse, evaluating different concentrations of IBA, substrate composition and volume, and propagule type for adventitious rooting. Plantlets of C. trichotoma can be produced with quality and proper rooting from mini-cuttings with one or two buds or multiple buds (apical) when treated with 3,000 mg L-1 IBA and planted in 110 cm3 tubes containing equal proportions of substrate and vermiculite.
Forage potential of sugarcane cultivars in the Caparaó “Capixaba” region
Authors: Pereira Marcia Braga , Araujo Junior Luis Moreira de , Carvajal Liana Niyireth Valero , Capelini Vinicius Agnolette , Dalvi Leandro Pin
Published: December 2022

Abstract The objective of this work was to evaluate the quantitative characteristics of stems and forage production of sugarcane cultivars for use as dairy cattle feed in the Caparaó “Capixaba” region, located in the state of Espírito Santo, Brazil. The RB867515, RB835486, RB855536, SP801842, and Palito cultivars were evaluated under field conditions. RB867515 stood out for the highest values of stem productivity (269.09±45.90 Mg ha-1) and juice (339.92±52.90 L Mg-1), also showing the highest total soluble solids (°Brix) values, being, therefore, the cultivar with the greatest forage potential for the region.
Expression of self-incompatibility in Coffea canephora genotypes grown in the western Amazon
Authors: Depolo Rodrigo Prado , Rocha Rodrigo Barros , Souza Carolina Augusto de , Santos Maurício Reginaldo Alves dos , Espindula Marcelo Curitiba , Teixeira Alexsandro Lara
Published: December 2022

Abstract The objective of this work was to characterize the expression of gametophytic self-incompatibility in a Coffea canephora breeding population, to assist in the management and development of new cultivars. For that purpose, 550 in vitro pollinations were carried out among 62 parent plants, of which 27 were from the conilon botanical variety and 35 from the robusta. Thirty-two genotypes compatible with all previously known testers were identified, suggesting the existence of new compatibility groups. From these results, hybridizations were carried out in a complete diallel design with reciprocal crosses to characterize new test plants. Based on the compatibility response with the test plants, the genotypes were clustered into the six following groups: group I, 11 (17.74%) genotypes; group II, 13 (20.97%); group III, 6 (9.68%); group IV, 9 (14.52%); group V, 8 (12.90%); and group VI, 15 (24.19%). The genotypes of the botanical variety robusta show a higher frequency of plants in compatibility group VI and a greater genetic variability, whereas those of the conilon variety have a higher frequency of plants in compatibility group II. The identification of new compatibility groups assists in new management practices that seek to increase the efficiency of pollination by favoring, through natural means, fully compatible crosses.
An Unusual Cause of Nephrotic Syndrome Accompanying Hematuria: Endocarditis-associated Glomerulonephritis
Authors: TANER Sevgin , AYDENİZ Cihan , DEMİR Hüsnü
Published: December 2022

Endocarditis-associated glomerulonephritis (EGN), a specific sub-subtype of post-infectious glomerulonephritis (PIGN) is very rare in children. Nephrotic syndrome is a rare presentation for EGN with a reported frequency of 6%. In this case, an 8-year-old girl patient presented with nephrotic syndrome accompanying hematuria is mentioned. She was hospitalized with fever, mild azotemia, acute phase elevation and hypocomplementemia. Aggregatibacter Actinomycetemcomitans has grown in blood culture. Echocardiogram revealed third-degree tricuspid regurgitation and vegetations on the tricuspid valve. She was commenced on ceftriaxone therapy with a diagnose of EGN. At the end of the six-week treatment, the patient was discharged with normal laboratory values except for non-nephrotic proteinuria. Cardiac vegetations had completely disappeared. PIGN is still an important cause of morbidity for developing countries. EGN is rarely seen especially in childhood with the presence of predisposing conditions. With timely diagnosis and correct treatment, satisfactory results are possible in terms of kidney health.
Üç Padişah Dönemine Tanıklık Eden Âlim, Şâir, Mutasavvıf Rızâî Mahmud Baba Efendi’nin Vakıfları
Authors: MAYDAER Saadet
Published: December 2022

Rızâî Mahmud Baba Efendi XVI. asırda yaşamış, mutasavvıf, âlim, şâir ve hattat olarak tanınmıştır. Farklı alanlarda temayüz eden yeteneklerinin yanı sıra Rüstem Paşa’ya yakınlığı da saray çevresinde itibarlı bir konuma erişmesine katkıda bulunmuştur. Üç padişah dönemi boyunca korumayı başardığı etkin nüfuzu yaşamı boyunca saygın ve meşhur bir isim haline gelmesini sağlamıştır. Böylece hem çağdaşları hem de daha sonraki biyografi yazarlarının ilgisini çekmiş ve şâir tezkirelerinden, ulemâ biyografilerine hatta seyahatnamelere kadar çok sayıda eserde kendisinden önemli bir kişilik olarak bahsedilmiştir.
Bu çalışmada Rızâî Mahmud Baba Efendi’nin bugüne kadar ele alınmamış Cemaziyelahir 988/Temmuz 1580 tarihinde ölümünden sonra tüm mal varlığı için vasi olarak tayin ettiği Hoca Sadeddin Efendi’nin vekili aracılığıyla düzenlettirilen vakfiyesi ve vakıflarına dair elde edilebilen veriler değerlendirilmeye çalışılacaktır.
Intervention effects in Catalan agrammatism
Authors: Salmons Io , Gavarró Anna
Published: December 2022

The goal of the present study is to test the agrammatic comprehension of clitic left dislocation and contrastive focus in Catalan, in order to evaluate the Generalised Minimality hypothesis of Grillo (2009). According to this hypothesis, the comprehension deficit observed in agrammatism is the result of the underspecification of scope-discourse features giving rise to generalised intervention effects. We conducted two sentence-picture matching tasks to assess the comprehension of clitic left dislocation and contrastive focus with nine and seven Broca’s aphasic subjects, respectively, as well as control participants. The results show that the comprehension of SVO sentences and object clitics was preserved, whereas the comprehension of object dislocations and object focalisations was compromised. These findings are consistent with the analysis of the deficit as an instance of generalised intervention effects. Yet, we also examined the prediction that a relevant syntactic feature mismatch between the subject and the object would suffice to block generalised minimality effects; in particular, the number features of subject and object were controlled for. The agrammatic subjects’ performance on mismatched sentences did not differ from their performance on sentences where the subject and the object were matched in number. These findings call the hypothesis into question and stress the need for future research.
ISSUES OF TRANSFORMATION OF THE INSTITUTION OF PUBLIC SERVICE IN RUSSIA
Authors:   Southwest State University, Borenstein A. L. , Pozdnyakova E. V. ,   Southwest State University
Published: December 2022

Introduction: the article is devoted to a comprehensive study of the formation and functioning of the public service in the Russian state. Purpose: to identify the problems of the transformation of the state and municipal service institution from historical, legal, and law enforcement perspectives. Methods: historical, formal logical, methods of comparative law, analogy, induction. Results: the formation and development of the public service in the country was negatively influenced by the tendency toward the dominance of the centralized state, present at different stages of Russia’s historical development. Given the absence of its own method and the complex nature of relations regulated by state service law, it cannot be considered an independent branch of Russian law. Being two sides of the same coin, the principles of differentiation and interaction are natural components of the single process of the public administration system development, permanently requiring improvement and refinement. Personnel policy in the field of public service has major shortcomings, including those related to the selection of candidates, the lack of proper monetary incentives for employees, gender imbalance. Conclusions: in the modern legal doctrine, it is necessary to clarify the place of public service through defining it as a subbranch of administrative law. One of the most important tasks facing the Russian legislator is to develop a special system of constructive interaction of public services of various levels in order to ensure the extensive and diversified development of the constituent entities of the Russian Federation by formalizing the principles of the delimitation of powers of public services. The problems of personnel policy with regard to public servants could be solved by improving the procedure for the selection of candidates, reviewing the procedure for remunerative incentives, and normalizing the gender structure of the human resources.
КОНСТИТУЦИОННО-ПРАВОВОЕ РЕГУЛИРОВАНИЕ СТАТУСА РЕЛИГИОЗНЫХ СЛУЖИТЕЛЕЙ
Authors:   Volga-Vyatka Institute (branch) of Kutafin Moscow State Law University, Pibaev I. A.
Published: December 2022

Introduction: religious ministers are a special category of persons, often having a special status regulated not only by internal norms of religious organizations (e.g. those provided in sacred texts) but also by legal rules of the state. Purpose: to analyze the provisions of the constitutions of the UN member states and a number of basic laws of the constituent entities of federal states, to identify the features of the constitutional regulation of the status of religious ministers, the reasons for etatization and ‘constitutional silence’. Methods: the research mainly relies on the comparative legal method, used when analyzing the constitutions and laws of 193 countries (cross-study); the systematization method was employed to develop the author's classification of the identified norms into groups. Results: the analysis showed a terminological diversity in the texts of the constitutions; when studying the issue in question, it is advisable to use the term ‘religious minister’ as it allows covering this category of persons to the greatest extent possible. The author has identified six groups of norms reflecting the status of religious ministers: the norms governing participation in the management of state affairs; norms blurring the boundaries between secular and religious regulation; norms establishing privileges for clerics; norms ensuring the autonomy of religious associations; norms that regulate the exercise of freedom of religion through spiritual mentors; norms limiting the civil legal capacity of religious ministers and determining the legal force of religious rites and sacraments. The paper explains why some ‘standard norms’ have been established, including those forbidding religious ministers from participation in the management of state affairs. Conclusion: the author reveals the reasons behind the ‘constitutional silence’ and etatization of the norms on religious ministers in the constitutions, and also offers the ways to differentiate the status of clerics in the structure of constitutions.
Реальна ли стена фильтров?
Authors: Брунс Алекс
Published: December 2022

Проблема влияния идеологически ангажированных эхо-камер и пузырей фильтров на характер публичных дискуссий давно вызывает огромное беспокойство. Оправданна ли эта тревога, или она просто отвлекает нас от более серьезных проблем? Аксель Брунс утверждает, что воздействие эхо-камер и пузырей фильтров очень сильно преувеличено. Эта тема порождена моральной паникой по поводу роли в обществе сетевых социальных медиа. Наша одержимость понятиями камер и пузырей и глубоко укоренившаяся привычка винить в политической дестабилизации сетевые платформы и лежащие в их основе алгоритмы отодвигают на задний план гораздо более существенные проблемы, связанные с ростом в демократических обществах популизма и сверхполяризации. Взвешивая доказательства в пользу и против существования эхо-камер и пузырей фильтров, Брунс убедительно показывает, почему нам следует переключить внимание на более насущные вопросы. Эта актуальная книга будет интересна социологам, исследователям медиа, культурологам, а также всем, кого беспокоят вызовы, с которыми сталкиваются публичные обсуждения и демократический процесс как таковой.
[RETRACTED] Detection of phospho IRF3and p65 in PBMCs by flow cytometry v2
Authors: Bausch Andrea
Published: December 2022

[RETRACTED]

This protocol describes a method to detect phosphorylated IRF3 and phosphorylated p65 (subunit of NFkB) in PBMCs by flow cytometry. An extracellular staining to identify different immune subsets is followed by an intracellular staining steps for the detection of phospho proteins
Security by Design Decisions für Automatisierungssysteme
Authors: Fluchs Sarah , Tastan Emre , Mertens Martin , Ritter Jochen , Horch Alexander , Drath Rainer , Fay Alexander
Published: December 2022

Um das Design von Automatisierungssystemen noch beeinflussen zu können, müssen Security-Entscheidungen früh während des Automation-Engineering-Workflows getroffen werden („Security by Design“). Doch die beteiligten Ingenieurinnen und Ingenieure wissen oft gar nicht, welche Security-Entscheidungen sie wann treffen müssten – oder mit ihren Design-Festlegungen implizit sowieso treffen. Das vorgestellte „Automation Security by Design Decisions“-Konzept baut auf Security- Entscheidungen als zentralem Element auf und bevorzugt Security-Maßnahmen, die durch die Nutzung  systemimmanenter Eigenschaften anstatt zusätzlicher Security-Lösungen umsetzbar sind. Diese systematische Entscheidungsfindung befähigt Ingenieurinnen und Ingenieure der am Automation-Engineering-Workflow beteiligten Gewerke, „ihre“ Security-Entscheidungen auch ohne dediziertes Security-Knowhow selbst zu treffen.
Emergency Department visits due to firework accidents in the Reykjavik capital area from 2010 to 2022
Authors:   Faculty of Medicine, University of Iceland, Ólafsson Björn Vilhelm , Björnsson Hjalti Már ,   Faculty of Medicine, University of Iceland, Department of Emergency Medicine, Landspitali – The National University Hospital of Iceland.
Published: December 2022

BACKGROUND: Public use of fireworks is widespread in Iceland, and unfortunately associated with injuries. No prior comprehensive research has been done on firework accidents in Iceland. The goal of this study was to gather information about the extent, cause, and impact of firework accidents in the Reykjavik capital area. METHODS: Text search was conducted in medical records to find visits to the Emergency Department (ED) resulting from fireworks accidents over the period December 2010 to January 2022. Medical records were reviewed for details of events and injury. RESULTS: Over the period 248 patients came to the ED after a firework related injury, 73% male. The age range was from 9 months to 79 years of age. Children were 114, 12 were younger than 6 years. There where overall 54 secondary accidents. In total 96 (39%) accidents were traced to a faulty firework. Rockets caused the most accidents 56 (23%), cakes 43 (17%) and handheld candles 32 (13%). Type of firework was not reported in 62 (25%) cases. 157 sustained a burn injury, of which 104 where on hands. Eye injury was found on 67 patients and 97 individuals had open wounds. 22 where admitted to the hospital for a total of 91 days. Nobody died but at least 13 sustained permanent physical impairment due to fireworks. CONCLUSIONS: Over the past decade, 21 patients on average presented to the ED annually with firework injury. 73% of those injured by fireworks are male. Children make up one half of the injured and one child 5 years of age or younger sustains a firework injury every year on average. Preventive measures against firework accidents should be expanded and more restrictive regulations on their use should be considered.
Low Complexity Linear Detectors for Massive MIMO with Several Antenna Array Configurations: A Comparative Study
Authors:   Department of Electrical Engineering, October 6 University, October 6, Egypt, Elhefnawy Mohammed , Albreem Mahmoud A.
Published: December 2022

In Multiple-Input Multiple-Output (MIMO), there is multi-user interference because of the limited number of antennas at the Base Station (BS). Deploying more antenna elements at the BS to decrease the multi-user interference is a costly solution. Therefore, changing the configuration of antenna arrays at the BS is implemented as an alternative. In this paper, the impact of BS antenna array configurations on the performance of massive MIMO detection techniques is investigated where four different antenna array configurations are implemented at the BS: Uniform Linear Array (ULA), Uniform Rectangular Planar Array (URPA), Uniform Circular Array (UCA) and Uniform Circular Planar Array (UCPA). The performance of the massive MIMO system is based on the millimeter wave (mmWave) channel that depends on the array response vector of the BS antenna array configuration. To the best of our knowledge, this is the first paper to investigate the impact of antenna array configurations at the BS on the performance and the computational complexity of massive MIMO detection techniques. Numerical results show that the implementation of URPA at the BS with MMSE detection algorithm can achieve the best performance of BER=10−4 at SNR = 9dB. The deployment of the UCA at the BS with the successive over-relaxation (SOR), the Gauss-Seidel (GS), and the conjugate-gradient (CG) detection methods provides a performance of BER=10−4 at SNR = 12dB when the number of iterations equals eight. In the case of using the UCA at BS with the Richardson (RI) detection method, the number of iterations is required to be increased to achieve the same performance. To achieve BER=10−4, the detector based on the CG method has the lowest computational complexity while the RI method has the highest complexity.