bluuebunny/crossref_metadata_2025 huggingface dataset:
Protic ion-crosslinked polymer ionic liquid (PIL) based on linear oligomers
Authors:   Institute of Macromolecular Chemistry of NAS of Ukraine, 48 Kharkivske shose, Kyiv, 02155, Ukraine, GUMENNA M.A. , STRYUTSKY A.V. ,   Institute of Macromolecular Chemistry of NAS of Ukraine, 48 Kharkivske shose, Kyiv, 02155, Ukraine, SOBKO O.O. ,   Institute of Macromolecular Chemistry of NAS of Ukraine, 48 Kharkivske shose, Kyiv, 02155, Ukraine, KOZACHUK D.V. ,   Institute of Macromolecular Chemistry of NAS of Ukraine, 48 Kharkivske shose, Kyiv, 02155, Ukraine, KRAVCHENKO V.V. ,   L.M. Litvinenko Institute of Physical-organic Chemistry and Coal Chemistry of the NAS of Ukraine, Kharkivsʹke shose, 50, 02155, Kyiv, Ukraine, KOVALENKO L.L. ,   V.I. Vernadsky Institute of General and Inorganic Chemistry of the NAS of Ukraine, Academician Palladin Ave., 32/34, 03142, Kyiv, Ukraine, TRACHEVSKY V.V. ,   Center for Collective Use of Scientific Equipment “EPR Spectroscopy”, Institute for Sorption and Problems of Endoecology, NAS of Ukraine, Henerala Naumova St., 13, 03164, Kyiv, Ukraine, SHEVCHENKO V.V. ,   Institute of Macromolecular Chemistry of NAS of Ukraine, 48 Kharkivske shose, Kyiv, 02155, Ukraine
Published: May 2023

A method for the synthesis of a protic ion-crosslinked polymeric ionic liquid (PIL) which turns into a liquid state at a temperature below 50 °C using a reaction of basic and acidic linear oligomers was developed. The product of interaction of α,ω-diglycidyl ester of oligoethylene oxide MM 1000 with an excess of 1-(3-aminopropyl)imidazole (PEO–2Im) was used as the basic oligomer. It contains two types of basic centers with a significant difference in basicity (aliphatic secondary amino groups and imidazole heterocycles), as well as secondary hydroxyl groups at the ends of oligoether chain. A linear oligomer with terminal sulfonic acid groups (PEO–2SO3H) was obtained by the interaction of of oligoethylene oxide MM 1000 with 2-sulfobenzoic acid cyclic anhydride. Protic ion-crosslinked PIL was synthesized by completely neutralization of basic centers of oligomer PEO–2Im by acidic oligomer PEO–2SO3H at their molar ratio 1:2 respectively. The structure of the obtained PIL was characterized by FTIR and 1Н NMR- spectroscopy methods. According to DSC, the synthesized ion-crosslinked PIL contains two types of crystalline formations with melting temperatures of 36,3 °C and 45,8 °C formed by fragments of oligoethylene oxide during the transfer of protons between different types of ion centers. Determined by the TGA method the temperature of the onset of decomposition, which corresponds to 5% mass loss, is 265 °C. The proton conductivity of the ion-crosslinked PIL was studied by the DRS method in anhydrous conditions in the temperature range from 40 to 100 °C. At a temperature of 100 °C, the proton conductivity is 3,1·10-4 S/cm. The achieved values of proton conductivity and thermal stability make the obtained compound promising as a proton-conducting medium for various electrochemical devices.
Calidad microbiológica de las dietas enterales distribuidas en un hospital periférico de Costa Rica
Authors: Ravery Morovati Aria , Coto Varela Rocío , Arias Echandi María Laura
Published: May 2023

La nutrición enteral se define como el apoyo nutricional dado a pacientes hospitalarios que no son capaces de recibir, por vía oral, al menos dos tercios de sus requerimientos energéticos diarios con el fin de alcanzar un nivel nutricional satisfactorio. Las fórmulas enterales pueden dividirse en dos grandes grupos de acuerdo a la materia prima usada en su formulación, las formulaciones comerciales estériles y las preparadas a partir de ingredientes. Ambos tipos pueden ser una fuente potencial de contaminación microbiológica para los pacientes.El objetivo de este trabajo es evaluar la presencia de indicadores de higiene, contaminación fecal, así como la presencia de Escherichia coli (E. coli), Salmonella spp y Listeria monocytogenes en fórmulas enterales artesanales y comerciales distribuidas en un hospital periférico.  Para tal efecto, se analizaron 43 muestras de alimentación enteral, 39,5% correspondieron a muestras artesanales y 60,5% a comerciales.  Más de un 60% de las muestras artesanales y un 46% de las muestras comerciales mostraron defectos en higiene y contaminación fecal.  Con el fin de conocer el origen de la contaminación se analizaron 3 muestras de agua, así como 10 utensilios utilizados para la preparación y distribución de las fórmulas.  El análisis microbiológico del agua resultó negativo para Coliformes totales, fecales y E. coli. El 90 % de los utensilios mostró contaminación con Coliformes totales y 30% con E. coli.  Es evidente la contaminación bacteriana que poseen las fórmulas evaluadas,  por lo que resulta urgente aumentar y asegurar la higiene durante su preparación y manejo.
Partnerstwo Wschodnie jako ukoronowanie polskich starań o utworzenie Wschodniego Wymiaru UE
Authors:   Uniwersytet Mikołaja Kopernika w Toruniu, Czechowska Lucyna
Published: May 2023

The aim of the article is to analyse Polish aspirations to create Eastern Dimension of the EU, which has finally succeed in May 2009, when the Eastern Partnership was inaugurated. The author presents Polish proposals addressed to Brussels between 1998 and 2008 (The Eastern policy of the European Union in the enlargement perspective – Polish side of view 2001; non-paper Wider Europe 2003; The New Neighbours – a framework for relations. Proposals from Poland 2003; The Neighbourhood Instrument – the Polish standpoint 2003; the European Neighbourhood Policy – Eastern Dimension 2006; Polish-Swedish Proposal. Eastern Partnership 2008). Then, compares its content with actual solutions adopted by the European Union in a form of the European Commission Communications (Wider Europe III 2003; European Neighbourhood Policy V 2004; Commission proposal for a Regulation establishing a European Neighbourhood and Partnership Instrument X 2004; On strengthening the European Neighbourhood Policy XII 2006; A Strong European Neighbourhood Policy XII 2007; Eastern Partnership XII 2008).
Ukraina w Europejskiej Polityce Sąsiedztwa Unii Europejskiej i inicjatywie Partnerstwa Wschodniego
Authors:   Uniwersytet Mikołaja Kopernika, Kaja-Pilas Ewa
Published: May 2023

The aim of this paper is an attempt to show the place of Ukraine in the European Union’s foreign policy, with particular emphasis on its position in the European Neighbourhood Policy and Eastern Partnership. The paper focuses on the general approach of these two initiatives, presents the responses of Ukraine to their announcement by the European Union and shows Ukraine’s place in both initiatives. moreover, has been described Ukrainian-EU dialogue on the establishment of Free Trade Zone, a dialogue on visa facilitation and cooperation of the European Union and Ukraine in the field of foreign policy, security and defense.
A história da formação profissional de enfermeiras obstétricas em Minas Gerais (1957-1999): uma análise genealógica
Authors: Schreck Rafaela Siqueira Costa , Silva Kênia Lara da
Published: May 2023

RESUMO Objetivos: analisar a formação profissional de enfermeiras obstétricas, em Minas Gerais, entre 1957 e 1999, segundo os princípios genealógicos. Métodos: estudo qualitativo interpretativo, fundamentado na pesquisa histórica com análise genealógica. Os dados foram obtidos por pesquisa documental e história oral, com seis participantes, e submetidos à análise do discurso. Resultados: recompõem o percurso genealógico da formação profissional das enfermeiras obstétricas mineiras. Os discursos revelam privação do campo de atuação prática na formação das profissionais e importância da articulação da Escola de Enfermagem da Universidade Federal de Minas Gerais e do Hospital Sofia Feldman para ensino e atuação da enfermagem obstétrica. Identificou-se que a formação, no cenário nacional, evoluiu de uma iniciativa periférica da Escola de Enfermagem Carlos Chagas para a centralidade e capilaridade. Considerações Finais: desvelou-se a trajetória histórica singular da formação profissional de enfermeiras obstétricas, em Minas Gerais, marcada por rupturas, articulações institucionais, jogos de enfrentamento e interesse.
Preceptorship contributions to the development of clinical and managerial skills in nursing residency
Authors: Araújo Mayssa da Conceição , Peduzzi Marina , Mazzi Nathália Romeu de , Souza Camila Mendes da Silva , Leonello Valéria Marli
Published: May 2023

ABSTRACT Objectives: to analyze the experience of resident nurses with preceptorship contributions to the development of common clinical and managerial skills acquired in pedagogical projects. Methods: exploratory qualitative research developed in two stages: document analysis of pedagogical projects and semi-structured interviews with residents. Content analysis was carried out based on the framework of the nurse’s work process and skills. Results: the pedagogical projects of the three programs foresee the development of common skills, mostly clinical and only two managerial skills. The 22 residents reported the contributions of preceptorship in the development of competences centered on clinical practice, focusing on technical procedures disjointed from clinical reasoning and the managerial dimension of the nurse’s work. Final Considerations: it is necessary to train preceptors and involve all social actors linked to residency programs to expand preceptorship potential.
Contribuições da preceptoria para o desenvolvimento de competências clínicas e gerenciais na residência em enfermagem
Authors: Araújo Mayssa da Conceição , Peduzzi Marina , Mazzi Nathália Romeu de , Souza Camila Mendes da Silva , Leonello Valéria Marli
Published: May 2023

RESUMO Objetivos: analisar a experiência de enfermeiros residentes com as contribuições da preceptoria para o desenvolvimento das competências clínicas e gerenciais comuns previstas nos projetos pedagógicos. Métodos: pesquisa qualitativa exploratória desenvolvida em duas etapas: análise documental dos projetos pedagógicos e entrevista semiestruturada com residentes. Realizou-se análise de conteúdo fundamentada no referencial do processo de trabalho do enfermeiro e de competências. Resultados: os projetos pedagógicos dos três programas preveem o desenvolvimento de competências comuns majoritariamente clínicas e apenas duas competências gerenciais. Os 22 residentes relataram as contribuições da preceptoria no desenvolvimento de competências centradas na prática clínica, com foco em procedimentos técnicos separados do raciocínio clínico e da dimensão gerencial do trabalho do enfermeiro. Considerações Finais: faz-se necessária a formação dos preceptores e o envolvimento de todos os atores sociais vinculados aos programas de residência para ampliar o potencial da preceptoria.
Security as a key factor for the smart city, citizens’ trust, and the use of technologies
Authors: Romani Giulie Furtani , Pinochet Luis Hernan Contreras , Pardim Vanessa Itacaramby , Souza Cesar Alexandre de
Published: May 2023

Abstract Smart cities are growing around the world, driven by technological innovations. With them come several opportunities and new threats to our security and privacy in this interconnected reality. This study investigates citizens’ perception of security and trust in technologies and how they affect the propensity to use them and, consequently, life in the smart city. Therefore, a survey was conducted (n = 601) using the PLS-SEM method to test the formulated hypotheses. The results obtained confirm that the proposed model proves to be consistent. The relationships between ‘trust and subjective security’ and ‘objective security and data privacy’ obtained stronger relationships, confirming the strong influence of the ‘tangible’ and ‘intangible’ barriers of the perception of security. Thus, to obtain and maintain users’ trust, the institutions behind the technologies need to be attentive to the opinion of their users and society to keep a good reputation and a positive perception of security. The users’ opinion is a crucial component of smart cities’ entire base, closely linked to technology, and presents as a fundamental concern for governments and entities that seek to implement concept solutions and applications.
A política e a administração afetam o desempenho da inovação? Uma análise comparativa
Authors: Cavalcante Pedro Luiz Costa
Published: May 2023

Resumo O objetivo principal do artigo é analisar os efeitos da política e da capacidade administrativa sobre o desempenho inovador dos países. A pesquisa examina comparativamente possíveis correlações entre democracia, competição política, desigualdade de renda, capacidade burocrática e corrupção/transparência com os resultados de inovação dos países. As variáveis dependentes são três indicadores de desempenho dos Índices de Inovação Global (GII). Após apresentar a teoria e a análise descritiva dos dados das variáveis da pesquisa, o trabalho emprega modelos de regressão multivariada para testar as hipóteses. A análise empírica reforçou que as dimensões política e administrativa são relevantes para entender as realizações dos sistemas nacionais de inovação. No entanto, democracia, qualidade da burocracia e corrupção/transparência não são fatores influentes nas performances inovadoras dos países como supõem os pressupostos normativos. Por outro lado, a competição política e a desigualdade impactam consideravelmente a forma como as economias estão inovando. Em conclusão, o artigo trouxe descobertas originais e interessantes que colocam em perspectiva a afirmação de que existe um caminho único ou regra geral para o crescimento da inovação. Consequentemente, as inferências fornecem subsídios para acadêmicos e atores envolvidos, públicos e privados, para melhorar os debates e decisões sobre as prioridades das ações governamentais em tempos de formulação de políticas baseadas em evidências.
Protocol for in vitro rooting ofPyruscomunnisrootstocks
Authors: Nadal Michele Carla , Machado Otávio Bernardes , Araújo Ronilson Carlos , Rodrigues Filipe Almendagna , Rufato Leo , Dória Joyce , Pasqual Moacir
Published: May 2023

ABSTRACT: Effective protocols for in vitro rooting for woody fruit trees are still a challenge for in vitro seedling production, especially when there is a need to insert new cultivars or rootstocks. These protocols are essential to accelerate studies in plant breeding programs and for seedling distribution. This study evaluated the use of 6-Benzylaminopurine (IBA) in in vitro rooting of Pyruscomunnis rootstocks, clones ‘OHxF87’ and Pyrodwarf. Explant exposure times (0, 24, 48, 72, and 96 hours) to 20 mg L-1 IBA were tested for in vitro rooting. The exposure to IBA resulted in rooting rates above 80%, surpassing some results reported in the literature. The 24-hour treatment provided 81,81% survival, leading to an average growth of five roots with 19 mm length, for ‘OHxF87’ rootstock. The same exposure time resulted in the highest survival rate (75%) and the highest mean root number, seven roots per plant with 10 mm length, for ‘PDW’ rootstock. Root formation did not occur in the absence of synthetic auxin. Therefore, it can be concluded that a 24-hour exposure at 20 mg L-1 IBA was sufficient to promote in vitro rooting in ‘OHxF87’ and Pyrodwarf rootstocks’.
Brucella spp. detection in blood, semen and vaginal swabs in dogs from the urban area of Cuiabá/MT, Brazil
Authors: Dias Sara Maria Dantas da Nóbrega , Cruz Thalita Priscila Peres Seabra da , Kuczmarski Antônio Henrique , Nakazato Luciano , Dutra Valeria , Paz Regina Célia Rodrigues da
Published: May 2023

ABSTRACT: Brucellosis is a chronic contagious infectious zoonosis that affects the reproductive system of animals, causing economic and health losses. This study diagnosed Brucella spp. in commercial kennels, comparing PCR positivity in different biological samples (blood, semen, and vaginal secretion), as well as correlating these findings with reproductive indices. Hence, we analyzed dogs from kennels in the neighboring cities of Cuiabá and Várzea Grande/MT, Brazil. The reproductive histories of the animals were obtained and blood samples were collected from all animals (n=35); in addition, semen samples were collected from males (n=9) and vaginal swabs were collected from females (n=24) to perform polymerase chain reactions (PCR) for brucellosis. The findings indicated that vaginal swab PCR is an effective test to identify Brucella spp. For males, there were more positive results when testing blood samples, possibly because the male animals were at the beginning stage of infection.
Reasons for and consequences of tooth loss in adults and elderly people in Brazil: a qualitative metasynthesis
Authors: Cortez Gabriel Fernandes Pellegrini , Barbosa Gabriela Zanchi , Tôrres Luísa Helena do Nascimento , Unfer Beatriz
Published: May 2023

Abstract The objective was to analyze and systematize evidence reported in qualitative studies on the reasons and consequences of tooth loss in adults and elderly people in Brazil. A systematic review of the literature on qualitative research methods and a meta synthesis of the results were performed. The study population consisted of adults over 18 years of age and elderly people in Brazil. Searches were performed in the BVS, PubMed, Scopus, Web of Science, BBO, Embase, EBSCO and SciELO databases. The thematic synthesis identified 8 analytical themes regarding reasons for tooth loss and 3 analytical themes regarding consequences of tooth loss. Dental pain, care model, financial situation and desire for prosthetic rehabilitation were determining factors for extractions. There was recognition of negligence in oral care, and the naturalness of tooth loss was linked to old age. Missing teeth caused psychological and physiological impacts. It is imperative to verify whether the factors that cause tooth loss persist, and how much those factors influence decisions to extract teeth among current young and adult populations. It is necessary to change the care model through the inclusion and qualification of oral health care for the young and elderly adult populations; otherwise, the model of dental mutilation and the culture of edentulism will persist.
Surveillance and high vaccination coverage: how Portugal overcame the collapse and regained control of the pandemic
Authors: Barros Sandra Garrido de , Cruz Denise Nogueira , Souza Jamacy Costa , Silva Livia Angeli , Guimarães Maria Clara da Silva , Rezende Morena Morais , Paim Jairnilson , Vieira-da-Silva Ligia Maria
Published: May 2023

Abstract The uncertainties about COVID-19 require evaluating national responses to identify successes and failures in the pandemic control. This article analyzes Portugal´s response, particularly the contribution of its health and surveillance systems in dealing with the pandemic. An integrative literature review was conducted, including consultations of observatories, documents, and institutional websites. Portugal´s response was agile and showed unified technical and political coordination, including surveillance structure using telemedicine. The reopening was supported by high testing and low positivity rates and strict rules. However, the relaxation of measures as of November/2020 resulted in an increase in cases, collapsing the health system. The response involved a consistent surveillance strategy with innovative monitoring tools, which, combined with high population adherence to vaccination, led to overcoming that moment and kept hospitalization and death rates at new disease waves at low levels. Thus, the Portuguese case discloses the risks of disease resurgence with the flexibility of measures and the population´s exhaustion in the face of restrictive measures and new variants, but also the importance of articulation between technical coordination, the political sphere, and the scientific committee.
Permanent health education actions in pandemic times: priorities in state and national contingency plans
Authors: Vieira Silvana Lima , Souza Suelen Guedes , Figueiredo Camila Fonseca , Santos Vitória Valéria Cristo , Santos Thadeu Borges Souza , Duarte Joseane Aparecida , Pinto Isabela Cardoso de Matos
Published: May 2023

Abstract Objective: to assess permanent health education actions regarding the national and state contingency plans to face the COVID-19 pandemic in Brazil. Method: documentary research, using 54 plans in the initial and final versions, published between January 2020 and May 2021. The content analysis included the identification and systematization of proposals aimed at training and reorganizing the work process, as well as physical and mental health care of health workers. Results: the actions were focused on training workers with an emphasis on flu syndrome, infection risk control measures and knowledge about biosafety. Few plans addressed the teams’ working hours and work process, promotion and assistance to the workers’ mental health, mainly in the hospital environment. Conclusion: the superficiality regarding the approach to permanent education actions in contingency plans need to include actions in the strategic agenda of the Ministry of Health and State and Municipal Health Secretariats, with the qualification of workers to face this and other epidemics. They propose the adoption of health protection and promotion measures in daily health work management within the scope of the SUS.
The burden of Noncommunicable Diseases in Portuguese Language Countries
Authors: Malta Deborah Carvalho , Gomes Crizian Saar , Veloso Guilherme Augusto , Souza Juliana Bottoni de , Oliveira Patrícia Pereira Vasconcelos de , Ferreira Albano Vicente Lopes , Nagavi Mohsen , Ferrinho Paulo , Freitas Paula Carvalho de , Ribeiro Antônio Luiz Pinho
Published: May 2023

Abstract The present study analyzed trends in premature mortality from Noncommunicable diseases (NCDs) between 1990 and 2019, the projections up to 2030, and the risk factors (RFs) attributable to these diseases in the Community of Portuguese Language Countries (CPLP). Estimates from the Global Burden of Disease (GBD) study and the analysis of the burden of premature mortality due to NCDs were used for nine CPLP countries, applying age-standardized rates, using RStudio. Portugal, Brazil, Equatorial Guinea, Angola, and Guinea Bissau showed declining premature mortality rates caused by NCDs, while East Timor, Cape Verde, São Tomé and Príncipe, and Mozambique showed an increase in rates. Projections indicate that none of the countries is expected to achieve the goals of reducing premature mortality due to NCDs by one third by 2030. The attributable burden of disease showed that the most important RFs in 2019 were: high systolic blood pressure (SBP), tobacco, dietary risks, high body mass index (BMI), and air pollution. It can therefore be concluded that there are profound differences in the burden of NCDs among the countries, with better results in Portugal and Brazil, and that no CPLP country is likely to reach the NCD reduction target by 2030.
Effects of the COVID-19 pandemic on health surveillance work
Authors: Araújo Patrícia Sodré , Souza Gisélia Santana , Costa Ediná Alves , Souza Mariluce Karla Bomfim de , Lima Yara Oyram Ramos
Published: May 2023

Abstract The COVID-19 pandemic has challenged managers and exposed weaknesses in health systems. In Brazil, the pandemic emerged amid difficulties to work in the Brazilian Unified Health System (SUS) and in health surveillance (HS). The purpose of this article is to analyze the effects of COVID-19 on the organization, working conditions, management, and performance of HS, according to the perception of capital city managers from three regions of Brazil. This is an exploratory, descriptive research with qualitative analysis. The Iramuteq software was used in the treatment of the textual corpus and analysis of descending hierarchical classification, which generated four classes: characteristics of HS work during the pandemic (39.9%), HS organization and working conditions during the pandemic (12.3%), effects of the pandemic on work (34.4%), and the class of the health protection of workers and the population (13.4%). HS implemented remote work, expanded work shifts, and diversified its actions. However, it faced difficulties with personnel, infrastructure, and insufficient training. The present study also pointed out the potential for joint actions concerning HS.
Gestão estadual da atenção primária à saúde em resposta à COVID-19 na Bahia, Brasil
Authors: Aleluia Ítalo Ricardo Santos , Vilasbôas Ana Luiza Queiroz , Pereira Gabriela Evangelista , Nunes Fabiely Gomes da Silva , Pereira Rosana Aquino Guimarães , Nunes Cristiane Abdon , Prado Nília Maria de Brito Lima
Published: May 2023

Resumo Análise da gestão estadual da atenção primária à saúde (APS) em resposta à pandemia de COVID-19 na Bahia. Estudo de caso de natureza qualitativa mediante entrevistas com gestores e documentos normativos analisados segundo as categorias de projeto e capacidade de governo. Proposições estaduais de APS foram debatidas na Comissão Intergestores Bipartite e no Comitê Operacional de Emergência em Saúde Pública. O conteúdo propositivo do projeto da APS concentrou-se na definição de ações específicas de gestão da crise sanitária junto aos municípios. O apoio institucional do estado aos municípios modulou as relações interfederativas e foi determinante na elaboração dos planos municipais de contingência, da capacitação das equipes, produção e difusão de normas técnicas. A capacidade do governo estadual foi condicionada pelo grau de autonomia municipal e disponibilidade de referências técnicas estaduais nas regiões. O estado fortaleceu parcerias institucionais para interlocução com gestores municipais, mas não foram identificados mecanismos de articulação com o nível federal e o controle social. Este estudo contribui para a análise do papel dos estados na formulação e implementação de ações de APS mediadas por relações interfederativas em contextos de emergência em saúde pública.
State management of primary health care in response to COVID-19 in Bahia, Brazil
Authors: Aleluia Ítalo Ricardo Santos , Vilasbôas Ana Luiza Queiroz , Pereira Gabriela Evangelista , Nunes Fabiely Gomes da Silva , Pereira Rosana Aquino Guimarães , Nunes Cristiane Abdon , Prado Nília Maria de Brito Lima
Published: May 2023

Abstract This is an analysis of state management of Primary Health Care in response to the COVID-19 pandemic in Bahia. It is a qualitative case study with interviews with managers and regulatory documents analyzed according to the categories of government project and government capacity. State PHC proposals were debated in the Bipartite Intermanagerial Commission and in the Public Health Operational Emergency Committee. The scope of the PHC project focused on the definition of specific actions to manage the health crisis with the municipalities. The institutional support of the state to the municipalities modulated inter-federative relations and was decisive in the elaboration of municipal contingency plans, training of teams and production and dissemination of technical standards. The capacity of the state government was dependent upon the degree of municipal autonomy and the availability of state technical references in the regions. The state strengthened institutional partnerships for dialogue with municipal managers, but mechanisms for articulation with the federal level and social control were not identified. This study contributes to the analysis of the role of states in the formulation and implementation of PHC actions mediated by inter-federative relationships in emergency public health contexts.
Drugs for rheumatoid arthritis provided by the Unified Health System in 2019 in Brazil: a cohort study
Authors: Oliveira Ana Liani Beisl , Lima Elisangela Costa , Campos Mônica , Luiza Vera Lucia
Published: May 2023

Abstract This study analyzes supply characteristics and factors associated with the treatment of rheumatoid arthritis in Brazil, with a focus on disease course-modifying biological drugs (bioDMARDs). A retrospective study was conducted with secondary data from the Outpatient Information System of the Unified Health System. Patients aged 16 years or older who were treated in 2019 were eligible. The analyses were performed with exposure factors in relation to the outcomes: bioDMARD use and population size. The study included 155,679 patients, 84.6% of whom were women. There was a greater exchange of bioDMARDs and a greater supply of rheumatologists in the larger municipalities (more than 500,000 inhabitants). Almost 40% of the patients used bioDMARDs, and they showed greater adherence to treatment (57.0% versus 64%, p=0.001). The dispensing of bioDMARDs occurred in more than one-third of the patients treated for rheumatoid arthritis (RA) in Brazil and was associated with a higher percentage of availability of rheumatologists and larger population size.
Congenital zika syndrome and family impacts: an integrative review
Authors: Melo Ana Paula Lopes de , Lyra Tereza Maciel , Barbosa Jessyka Mary Vasconcelos , Araújo Thália Velho Barreto de
Published: May 2023

Abstract In 2015, a range of congenital anomalies resulting from mother-to-child transmission of the zika virus emerged. Later called congenital zika syndrome (CZS), the condition includes microcephaly. Since then, around 4,000 children have been affected in 27 countries, with Brazil accounting for the largest proportion of cases. Family caregivers have also been affected. This study analyzes the literature on caregivers of children with CZS and how the disease has affected their everyday lives. We conducted an integrative review using the PubMed, Virtual Health Library, and Embase databases. Thirty-one articles were identified for analysis after screening. The findings were grouped into four categories: a) social impacts - changes in family relationships, life projects, and social life; b) subjective impacts - feelings of resilience, loneliness, grief, overburdening, fear, uncertainty, and spirituality and religion; c) economic and material impacts - loss of income, increased household expenses, change of residence, and unemployment; and d) health impacts - service unpreparedness, selflessness, self-care, changes in nutritional and sleep patterns, and mental health problems, including stress, anxiety and depression.
O estreito acesso das Pessoas com Deficiência aos serviços de saúde em uma capital nordestina
Authors: Farias Tássia Mayra Oliveira , Albuquerque Maria do Socorro Veloso de , Oliveira Raquel Santos , Lyra Tereza Maciel , Miranda Gabriella Morais Duarte , Oliveira Pollyana Ribas de
Published: May 2023

Resumo Analisou-se, a partir das dimensões disponibilidade-acomodação e adequação, o acesso das Pessoas com Deficiência (PcD) aos serviços de atenção especializada. Trata-se de estudo de caso de abordagem qualitativa com triangulação de fontes a partir de pesquisa documental, dados dos Sistemas de Informações em Saúde e entrevistas semiestruturadas com gestores, profissionais de saúde e PcD. Observou-se a ampliação de serviços de reabilitação no Recife, embora não tenha sido possível analisar a capacidade de produção de tais serviços. Os achados apontam para a existência de barreiras arquitetônicas e urbanísticas e insuficiência de recursos nos serviços estudados. Ademais, há um longo tempo de espera para atenção especializada e um difícil acesso às tecnologias assistivas. Pôde-se observar ainda que os profissionais têm baixa qualificação para atender às necessidades das PcD e não se tem instituído um processo de educação permanente para os trabalhadores dos diversos níveis de complexidade. Conclui-se que a instituição da Politica Municipal de Atenção Integral à Saúde da PcD não foi suficiente para garantir o acesso aos serviços de saúde com continuidade do cuidado, considerando a permanência da fragmentação da rede de atenção, ferindo, assim, o direito à saúde deste segmento.
Organização da atenção e vigilância em saúde na atenção primária frente à COVID-19 em municípios do Nordeste brasileiro
Authors: Prado Nília Maria de Brito Lima , Vilasbôas Ana Luiza Queiroz , Nunes Cristiane Abdon , Aleluia Ítalo Ricardo Santos , Aquino Rosana
Published: May 2023

Resumo O estudo objetivou analisar a organização e o desenvolvimento das ações de vigilância e atenção na APS, desde o arcabouço normativo até a execução das ações sanitárias nos territórios de abrangência das equipes de saúde. Estudo exploratório, analítico-descritivo, de natureza qualitativa, de casos múltiplos em três municípios-sede de região de saúde na Bahia. Foram feitas 75 entrevistas e análise documental. Os resultados consideraram a lógica de organização tecnológica e o desenvolvimento das ações de atenção e vigilância em saúde pelas equipes no nível local. No caso do M1, constatou-se uma concepção bem definida sobre a integração das ações, com vistas à organização do processo de trabalho das equipes. Contudo, não houve aumento da capacidade técnica dos distritos sanitários para apoiar as ações de vigilância junto às equipes. Em M2 e M3, a demora na definição da APS como porta de entrada e a priorização de serviço central de telemonitoramento realizado pela vigilância municipal reforçou a fragmentação das ações, revelando um baixo protagonismo da APS nas respostas. Diretrizes políticas e técnicas e condições estruturais mostraram-se fundamentais para a reorganização do trabalho, de modo a fomentar arranjos permanentes que promovam condições e incentivem a colaboração intersetorial.
Características do trabalho do agente comunitário de saúde na pandemia de COVID-19 em municípios do Nordeste brasileiro
Authors: França Camila de Jesus , Nunes Cristiane Abdon , Vilasbôas Ana Luiza Queiroz , Aleluia Ítalo Ricardo Santos , Aquino Rosana , Nunes Fabiely Gomes da Silva , Prado Nilia Maria de Brito Lima
Published: May 2023

Resumo Os agentes comunitários de saúde (ACS) compuseram uma força de trabalho na linha de frente dos sistemas de saúde no combate a COVID-19. O trabalho identificou as condições estruturais para organização e caracterização do trabalho dos ACS em três municípios do Nordeste brasileiro no período pandêmico. Realizou-se um estudo qualitativo de casos múltiplos. Foram entrevistados 28 sujeitos entre agentes comunitários e gestores municipais. A produção dos dados cotejou as entrevistas com a análise documental. As categorias operacionais que emergiram da análise dos dados foram: condições estruturais e características das atividades. Os resultados deste estudo revelaram escassez nas condições estruturais das unidades de saúde, que durante a pandemia passou por adaptações improvisadas em seus espaços internos. Quanto às características do trabalho, evidenciaram-se ações permeadas por aspectos burocráticos de cunho administrativo no interior das unidades de saúde, acarretando o esvaziamento de sua função vincular de articulação territorial e mobilização comunitária. Assim, as alterações em seu trabalho podem ser vistas como sinalizadores da fragilização do sistema de saúde e, especialmente, da atenção primária à saúde.
Satisfação profissional na enfermagem durante a pandemia de COVID-19
Authors: Pirino Manuela Vilas Boas , Nascimento Sobrinho Carlito Lopes , Dini Ariane Polidoro
Published: May 2023

Objetivo: avaliar a satisfação com o trabalho de profissionais de enfermagem que atuaram na assistência e na gestão, durante a pandemia de COVID-19. Método: estudo epidemiológico de corte transversal. Participaram 334 profissionais de enfermagem de um hospital de ensino. Foram calculadas as frequências absolutas e relativas das variáveis qualitativas e as médias das variáveis numéricas. Foram comparadas as médias dos resultados dos domínios da escala de satisfação profissional (Job Satisfaction Survey) com variáveis sociodemográficas-laborais. Foram aplicados os testes t de Student, Mann-Whitney, Anova seguidos de pós-teste de Tukey, Kruskal-Wallis ou Dunn, para verificar a significância estatística dos resultados com nível crítico de 0,05. Resultados: 90 profissionais demonstraram-se satisfeitos com o trabalho, três profissionais demonstraram-se insatisfeitos e 241 profissionais demonstraram-se ambivalentes. Conclusão: foi evidenciada uma ambivalência dos trabalhadores de enfermagem em relação à sua satisfação com o trabalho, durante o período da pandemia de COVID-19. Os achados indicam um caminho para que gerentes e formuladores de política em saúde façam investimentos em planos de carreira e ambiente de trabalho que melhorem as condições de trabalho dos trabalhadores de enfermagem.
Fatores promotores e ameaçadores da Esperança em cuidadores de crianças com condições crônicas
Authors: Henriques Nayara Luiza , Silva Juliana Barony da , Charepe Zaida Borges , Braga Patrícia Pinto , Duarte Elysângela Dittz
Published: May 2023

Objetivo: identificar quais são os fatores promotores e ameaçadores da Esperança em cuidadores familiares de crianças de 2 a 3 anos com condições crônicas. Método: estudo qualitativo, incluindo 46 cuidadores familiares de crianças com condição crônica de 2 a 3 anos egressas de duas Unidades de Terapia Intensiva Neonatal. A coleta de dados se deu por meio de entrevista semiestruturada orientada pelo Modelo de Intervenção em Ajuda Mútua Promotor de Esperança. Os dados foram submetidos à análise temática dedutiva. Resultados: foram identificados como fatores promotores da Esperança: A experiência compartilhada com membros da rede de apoio social; A relação com a criança; Melhora clínica da criança; Espiritualidade; Orientação positiva para o futuro. Foram identificados como fatores ameaçadores da Esperança: Relações conflituosas e descrença da criança por pessoas próximas; Incertezas sobre o futuro; Inseguranças sobre a capacidade de prestar os cuidados à criança. Conclusão: os fatores ameaçadores da Esperança geraram sofrimento, dor, angústia, ansiedade e solidão nos cuidadores. Os fatores promotores da Esperança geraram conforto, motivação, força e alegria. Os achados possibilitam que Enfermeiros reconheçam as potencialidades e fragilidades dos cuidadores e promovam a adoção de comportamentos promotores de Esperança em cuidadores de crianças com condições crônicas.
Variables tecnológicas predictoras del estrés académico en estudiantes de Enfermería en tiempos de COVID-19
Authors: Zeladita-Huaman Jhon Alex , Huyhua-Gutierrez Sonia Celedonia , Castillo-Parra Henry , Zegarra-Chapoñan Roberto , Tejada-Muñoz Sonia , Díaz-Manchay Rosa Jeuna
Published: May 2023

Objetivo: analizar cuáles son las variables tecnológicas, derivadas del uso de dispositivo electrónico, predicen el estrés académico, y sus dimensiones en estudiantes de enfermería. Método: estudio transversal de tipo analítico, realizado en 796 estudiantes de seis universidades de Perú. Se empleó la escala SISCO y para el análisis se estimaron cuatro modelos de regresión logística, con selección de variables por pasos. Resultados: entre los participantes, 87,6% presentaron un nivel alto de estrés académico; el tiempo de uso del dispositivo electrónico, el brillo de la pantalla, la edad y el sexo, estuvieron asociados con el estrés académico y sus tres dimensiones; la posición de uso del dispositivo electrónico estuvo asociada con la escala total y con las dimensiones estresores y reacciones. Finalmente, la distancia entre el rostro y el dispositivo electrónico estuvo asociada con la escala total y la dimensión reacciones. Conclusión: las variables tecnológicas y las características sociodemográficas predicen el estrés académico en estudiantes de enfermería. Se sugiere optimizar el tiempo de uso de las computadoras, regular el brillo de la pantalla, evitar sentarse en posiciones inadecuadas y vigilar la distancia, con la finalidad de reducir el estrés académico durante la enseñanza a distancia.
Technological variables predictors of academic stress in nursing students in times of COVID-19
Authors: Zeladita-Huaman Jhon Alex , Huyhua-Gutierrez Sonia Celedonia , Castillo-Parra Henry , Zegarra-Chapoñan Roberto , Tejada-Muñoz Sonia , Díaz-Manchay Rosa Jeuna
Published: May 2023

Objective: to analyze which technological variables, derived from the use of electronic devices, predict academic stress and its dimensions in Nursing students. Method: analytical cross-sectional study carried out with a total of 796 students from six universities in Peru. The SISCO scale was used and four logistic regression models were estimated for the analysis, with selection of variables in stages. Results: among the participants, 87.6% had a high level of academic stress; time using the electronic device, screen brightness, age and sex were associated with academic stress and its three dimensions; the position of using the electronic device was associated with the total scale and the stressors and reactions dimensions. Finally, the distance between the face and the electronic device was associated with the total scale and size of reactions. Conclusion: technological variables and sociodemographic characteristics predict academic stress in nursing students. It is suggested to optimize the time of use of computers, regulate the brightness of the screen, avoid sitting in inappropriate positions and pay attention to the distance, in order to reduce academic stress during distance learning.
Factores determinantes del éxito en la carrera de enfermeras actuantes en tecnología de reproducción asistida
Authors: Li Wang , Honggui Wen , Hong Peng , Hong Luo
Published: May 2023

Objetivo: examinar la relación entre éxito en la carrera y ambiente de trabajo con enfermeras actuantes en tecnología de reproducción asistida (TRA), e identificar factores que afectan su éxito en la carrera. Método: estudio transversal realizado en 53 centros de fertilidad de 26 provincias en la China Continental. Datos recolectados utilizando cuestionario de datos demográficos, un Cuestionario de Competencias de TRA para Enfermeras Especializadas, la Career-Success Scale (Escala de éxito profesional) y la Nursing Work Environment Scale (Escala del entorno de trabajo de enfermería). Se aplicó estadística inferencial y descriptiva. Resultados: 597 enfermeras actuantes en TRA participaron en nuestra encuesta, entregando 555 cuestionarios válidos. Los puntajes generales promedio de éxito en la carrera y ambiente de trabajo fueron 3,75 (desviación estándar, [DE]=1,01) y 3,42 (DE=0,77) respectivamente. Se observó fuerte correlación positiva entre éxito en la carrera y ambiente de trabajo (r=0,742; p<0,01). La regresión múltiple mostró que la concurrencia a conferencias académicas, atención psicológica, desarrollo profesional, apoyo y cuidado, salario y bienestar constituyeron factores significantes con influencia en el éxito en la carrera. Conclusión: la concurrencia a conferencias académicas, atención psicológica y ambiente de trabajo guardan relación positiva con el éxito en la carrera. Los gestores deberían considerar formas de abordar tales factores.
Factors that affect career success of nurses who practice in assisted reproductive technology
Authors: Li Wang , Honggui Wen , Hong Peng , Hong Luo
Published: May 2023

Objective: to examine the relationship between career success and work environment of nurses who practice in assisted reproductive technology and to identify factors that affect career success. Method: a cross-sectional study conducted in 53 fertility centres in 26 provinces in mainland China. Data were collected using a demographic data questionnaire, a specialised nursing competence questionnaire, the Career-Success Scale, and the Nursing Work Environment Scale. Descriptive and inferential statistics were applied. Results: 597 assisted reproductive technology nurses participated in our survey, and 555 valid questionnaires were collected. Theoverall mean scores for career success and work environment were 3.75 [standard deviation (SD) = 1.01] and 3.42 (SD = 0.77) respectively. There was a strong positive correlation between career success and work environment (r = 0.742, p < 0.01). Multiple regression showed that attending academic conferences, psychological care, professional development, support and care, salary, and welfare were significant factors that influence career success. Conclusion: attending academic conferences, psychological care, and work environment are positively related to career success. Administrators should consider ways to address these factors.
Autocuidado digital no manejo de distúrbios musculoesqueléticos de coluna: revisão sistemática e metanálise
Authors: Cargnin Zulamar Aguiar , Schneider Dulcinéia Ghizoni , Rosa-Junior Joanito Niquini
Published: May 2023

Objetivo: analisar a efetividade do autocuidado digital no manejo da dor e incapacidade funcional em pessoas com distúrbios musculoesqueléticos de coluna. Método: revisão sistemática da literatura, desenvolvida com o checklist PRISMA, de ensaios clínicos randomizados de pessoas com distúrbios musculoesqueléticos de coluna e intervenções digitais acessadas por computador, smartphones ou outro dispositivo portátil. Bases pesquisadas: National Library of Medicine, Excerpta Médica dataBASE, SciVerse Scopus, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Science Citation Indexes, Cummulative Index to Nursing and Allied Health Literature e Physiotherapy Evidence Database. Síntese dos resultados descritiva e por metanálises (modelo de efeitos fixos) com o software Review Manager. Qualidade metodológica avaliada pela escala Physiotherapy Evidence Database. Resultados: selecionaram-se 25 ensaios (5142 participantes) que revelaram melhoras estatisticamente significativas (p<0,05) em 54% (12/22) nos níveis de dor e 47% (10/21) na incapacidade funcional no grupo intervenção. As metanálises mostraram efeitos moderados na intensidade da dor e pequenos na incapacidade funcional. Houve predominância de estudos de média qualidade. Conclusão: intervenções de cuidados digitais mostraram resultado benéfico na intensidade da dor e na incapacidade funcional principalmente para dor lombar crônica. Evidenciam-se os cuidados digitais como promissores para apoiar o autogerenciamento das condições musculoesqueléticas de coluna. Registro PROSPERO CRD42021282102.
Factors associated with the SARS-CoV-2 infection among health professionals from university hospitals
Authors: Cunha Quézia Boeira da , Freitas Etiane de Oliveira , Pai Daiane Dal , Santos José Luís Guedes dos , Lourenção Luciano Garcia , Silva Rosângela Marion da , Magnago Tânia Solange Bosi de Souza , Miranda Fernanda Moura D’Almeida , Camponogara Silviamar
Published: May 2023

Objective: to investigate factors associated with the SARS-CoV-2 infection among health professionals from university hospitals. Method: a multicenter, mixed approach study with concomitant incorporated strategy, carried out with 559 professionals in the quantitative stage, and 599 in the qualitative stage. Four data collection instruments were used, applied by means of an electronic form. The quantitative analysis was performed with descriptive and inferential statistics and the qualitative data were processed by means of content analysis. Results: the factors associated with the infection were as follows: performance of the RT-PCR test (p<0.001) and units offering care to COVID-19 patients (p=0.028). Having symptoms increased 5.63 times the prevalence of infection and adhering to social distancing most of the time in private life reduced it by 53.9%. The qualitative data evidenced difficulties faced by the professionals: scarcity and low quality of Personal Protective Equipment, work overload, physical distancing at work, inadequate processes and routines and lack of a mass screening and testing policy. Conclusion: the factors associated with the SARS-CoV-2 infection among health professionals were mostly related to occupational issues.