bluuebunny/crossref_metadata_2025 huggingface dataset:
Sex and slaughter weight on carcass traits and non-carcass components of horses
Authors: Hernández-Briano Pedro , Carrillo-Muro Octavio , Rivera-Villegas Alejandro , López-Carlos Marco Antonio , Méndez-Llorente Fabiola , Aguilera-Soto Jairo Iván , Flores Carlos Fernando Aréchiga
Published: July 2022

ABSTRACT: The study evaluated the effect of sex and slaughter weight on carcass traits and non-carcass components of 1,489 horses (739 geldings and 750 females, classified into eight groups according to their weight). Data were analyzed under a completely randomized design. Geldings had a higher (P < 0.05) hot carcass yield (HCY) and cold carcass yield (CCY) than females; however, fat yellowness values (b*) were greater (P < 0.05) in females. Slaughter weight (SW) affected the carcass characteristics. Hot carcass weight (HCW), cold carcass weight (CCW), HCY, and CCY increased (P < 0.05) in accordance with slaughter weight, while cool loss percentage (CL%) was lower (P < 0.05) in horses weighing more than 300 kg. In addition, the non-carcass components decreased (P < 0.05) as the weight of the horses increased. In conclusion, sex and body weight are factors to consider in the production of equine meat since they affect carcass characteristics and non-carcass components.
Association between the consumption of sugar-sweetened beverages and food markers: National Dietary Survey 2008-2009
Authors: Mastrangelo Maria Eliza de Mattos Tobler , Araujo Marina Campos , Castro Maria Beatriz Trindade de
Published: July 2022

Abstract We aimed to analyze the association between sugar-sweetened beverage (SSB) consumption with healthy food markers (HFM) and unhealthy food markers (UFM) as well as their impact on these markers in the Brazilian population’s diet. Food consumption during two nonconsecutive days of food records of individuals aged ten years or over were investigated in the National Dietary Survey 2008-2009 (n = 32,900) and the caloric contributions of HFM and UFM were distributed according to the categories of SSB consumption. Multiple linear regression was applied to analyze the associations between the consumption of SSB and the impact of a 50% reduction in portion size and dietary markers. The contribution of energy from HFM was higher among individuals who did not consume SSB. A 50% reduction in the average portion of SSB in the population would imply a 6% decrease in energy contribution to the diet and 12% decrease in total energy from added sugar. It would increase the consumption of HFM and dietary fiber by 7g and 4g, respectively. A 50% reduction in SSB serving size is a strategy that could improve the quality of the diet, increase the consumption of HFM and fiber and reduce the consumption of sugar and UFM.
Serious games for sex education of adolescents and youth: integrative literature review
Authors: Alencar Nadyelle Elias Santos , Pinto Maria Aparecida Oliveira , Leite Nicácio Torres , Vieira Claudia Maria da Silva
Published: July 2022

Abstract This study aims to map educational games related to the sexuality of adolescents/young people, based on publications that occurred over the last decade (2011 to 2020). An integrative review was performed in the Web of Science, SCOPUS, MEDLINE/PubMed, and LILACS databases in September 2020, with the final inclusion of 16 studies. Games developed on four continents were identified, predominantly in high-income countries, with the United States of America and Brazil being those that published the most. The tools consisted mostly of videogames and digital games, with the adoption of simulated scenarios and plots. Regarding development, there was a preference for the participatory construction mode, while some also underwent a validation process. The tools addressed several areas of human sexuality and demonstrated a positive potential for use, with educational gains and changes in habits, but their results need to be carefully considered. Only the effects of three games were evaluated by randomized controlled trials.
Repercussões para o trabalho, a saúde e as relações familiares dos policiais feridos por arma de fogo em face
Authors: Maia Adriane Batista Pires , Assis Simone Gonçalves de , Minayo Maria Cecília de Souza
Published: July 2022

Resumo O objetivo deste artigo é identificar o perfil dos pacientes operados em decorrência de ferimentos na face por arma de fogo (FAF), a distribuição anatômica destes ferimentos e conhecer as repercussões sobre a saúde, o trabalho e as relações familiares dos policiais atingidos. Foi realizado um estudo epidemiológico retrospectivo a partir de dados secundários referentes aos policiais militares que foram operados no Hospital Central da Polícia Militar do Rio de Janeiro em decorrência de FAF em face, no período de junho de 2003 a dezembro de 2020 (N=87). Agregam-se dados de abordagem qualitativa oriundas de respostas abertas e fechadas fruto de aplicação de questionário (N=37) posteriormente aos ferimentos, indagando sobre as repercussões do acidente violento vivido para o exercício do trabalho, na família e para a saúde do policial. O perfil dos policiais operados evidencia: sexo masculino, idade média de 34,9 anos, praças e feridos em serviço. As fraturas mandibulares foram as mais encontradas. Houve piora nas condições de saúde física após os ferimentos com aumento de casos de hipertensão, insônia (59,4%) e cefaleia (51,3%). Os danos nas relações familiares demonstraram uma maior tendência de autoisolamento do policial e sentimento de medo vivenciada por seus parentes.
Pressão expiratória máxima é boa preditora de incidência da síndrome de fragilidade em homens idosos
Authors: Santos Ariana Oliveira , Fernandes Marcos Henrique , Pedreira Rhaine Borges Santos , Brito Thaís Alves , Coqueiro Raildo da Silva , Carneiro José Ailton Oliveira
Published: July 2022

Resumo O objetivo deste artigo é investigar a associação entre a Pressão Inspiratória Máxima (PImáx) e Pressão Expiratória Máxima (PEmáx) com a incidência da síndrome de fragilidade (SF), além de testar a capacidade preditiva da PImáx e PEmáx em discriminar a SF em idosos, de acordo com o sexo. Estudo longitudinal com cinco anos de seguimento (2014-2019), realizado com 104 idosos cadastrados na Estratégia Saúde da Família de um município da Bahia. A incidência da síndrome de fragilidade foi diagnosticada de acordo os critérios propostos por Fried et al., utilizando dados de 2019, após cinco anos de seguimento. A PImáx e PEmáx foram avaliadas conforme recomendações da Sociedade Brasileira de Pneumologia e Tisiologia em 2014 (linha de base). A incidência total da SF foi de 16,3% (IC95%: 9,2-23,6), sendo 13,6% (IC95%: 4,56-22,55) no sexo feminino e 20,0% (IC95%: 7,85-32,15) no sexo masculino. Os valores médios da PImáx e PEmáx foram, respectivamente, 60,8±21,2 cmH2O e 76,7±23,1 cmH2O no sexo feminino, e 79,5±27,0 cmH2Oe 114,7±29,8 cmH2O no sexo masculino. A SF esteve associada à PEmáx em idosos do sexo masculino (RR ajustado: 0,96; IC95%: 0,95-0,98; p-valor: 0,002), indicando que o aumento de 1 cmH2O da PEmáx reduz em 4% o risco de desenvolver a síndrome de fragilidade.
O uso do misoprostol na interrupção da gestação: revisão de estudos realizados no Brasil
Authors: Machado Leticia Oening , Taquette Stella Regina
Published: July 2022

Resumo O uso do misoprostol com finalidade abortiva é um fenômeno observado no Brasil desde o final da década de 1980. O medicamento começou a ser utilizado nessa época para autoindução do aborto, quando passou a ser comercializado para o tratamento de úlcera péptica. Seu acesso foi restringido a partir de 1998, porém o fármaco continua sendo comercializado na ilegalidade. O objetivo desse artigo é sintetizar o conhecimento produzido em pesquisas no Brasil sobre o aborto induzido e o uso do misoprostol. Foi realizada uma revisão integrativa de estudos originais feitos no Brasil e publicados em revistas indexadas nas bases SciELO, PubMed e Lilacs. Foram encontrados 68 títulos e incluídos 28 artigos na revisão. A maioria das mulheres que induz a interrupção da gestação é jovem e o faz antes das 15 semanas de gestação. A taxa de utilização do misoprostol variou entre 89% e 36%. Esse medicamento é eficaz para a interrupção da gestação no primeiro trimestre e apresenta baixa taxa de complicações. Contudo, quanto mais vulnerável socialmente a mulher, maiores os riscos para a saúde no processo do abortamento. Conclui-se que a compra do misoprostol como abortivo é facilitada, apesar de proibida, e suas complicações estão associadas ao contexto de vulnerabilidade da gestante.
The use of misoprostol in the termination of pregnancy: a review of studies carried
Authors: Machado Leticia Oening , Taquette Stella Regina
Published: July 2022

Abstract The use of misoprostol for abortifacient purposes is a phenomenon observed in Brazil since the late 1980s. The drug started to be used at that time for self-induced abortion, when it began to be commercialized for the treatment of peptic ulcer. Its access was restricted from 1998 onwards, but the drug continues to be commercialized illegally. The objective of this article is to summarize the knowledge produced by research in Brazil about induced abortion and the use of misoprostol. An integrative review of original studies carried out in Brazil and published in journals indexed in SciELO, PubMed and Lilacs databases was performed. The search found 68 titles, and 28 articles were included in the review. Most women who induced pregnancy interruption were young and did it before 15 gestational weeks. The rate of misoprostol use ranged from 89% to 36%. This drug is effective for terminating pregnancy in the first trimester and has a low rate of complications. However, the more socially vulnerable the woman is, the greater are the health risks in the abortion process. The conclusion is that the purchase of misoprostol as an abortifacient is facilitated, despite it being prohibited, and its complications are associated with the context of vulnerability of the pregnant woman.
Transplante de células-tronco hematopoiéticas: iniquidades na distribuição em território brasileiro, 2001 a 2020
Authors: Magedanz Lucas , Leal Jessica Vick de Oliveira , Santos Brenda Leandro dos , Brito Evelin Soares de , Saavedra Pamela Alejandra Escalante , Soares Letícia Santana da Silva , D’Oliveira Letícia da Costa Lima , Galato Dayani
Published: July 2022

Resumo O objetivo deste artigo é descrever a distribuição de Centros Transplantadores (CTs) e transplantes de células-tronco hematopoiéticas (TCTH) no território brasileiro. Estudo descritivo, que reúne informações sobre a distribuição CTs e o número de procedimentos realizados entre 2001 e 2020, a partir das fontes dos dados: Sociedade Brasileira de Terapia celular e Transplantes de Medula Óssea (SBTMO); Associação Brasileira de Transplante de Órgãos (ABTO); Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH/SUS); e Ministério da Saúde (MS). Foram identificados 86 CTs, com predominância na região Sudeste do país (64%). A região Norte não possui CTs. No período contabilizaram-se mais de 30 mil procedimentos, concentrados nas regiões Sudeste e Sul. O TCTH do tipo alogênico foi prevalente. Constataram-se divergências entre os números de transplantes realizados a depender da fonte consultada. Apesar do crescimento do número de procedimentos no período do estudo, tanto a distribuição de CTs quanto o número de TCTHs se concentrou em regiões mais desenvolvidas. Essa heterogeneidade pode ter propiciado iniquidades no acesso ao tratamento pela população.
Determinants of preterm birth: proposal for a hierarchical theoretical model
Authors: Rocha Aline dos Santos , Falcão Ila Rocha , Teixeira Camila Silveira Silva , Alves Flávia Jôse Oliveira , Ferreira Andrêa Jacqueline Fortes , Silva Natanael de Jesus , Almeida Marcia Furquim de , Ribeiro-Silva Rita de Cássia
Published: July 2022

Abstract Preterm birth (PB) is a syndrome resulting from a complex relationship between multiple factors which do not have fully understood relationships and causality. This article discusses a hierarchical theoretical model of PB determinants, considering maternal characteristics such as sociodemographic, psychosocial, nutritional, behavioral and biological aspects, traditionally associated with increased risk of PB. The variables were distributed in six dimensions within three hierarchical levels (distal, intermediate and proximal). In this model, the socioeconomic determinants of the mother, family, household and neighborhood play indirect effects on PB through variables at the intermediate level, which in turn affect biological risk factors at the proximal level that have a direct effect on PB. The study presents a hierarchical theoretical model of the factors involved in the PB determination chain and their interrelationships. Understanding these interrelationships is an important step in trying to break the causal chain that makes some women vulnerable to preterm birth.
The evolution of nutrition intervention during the COVID-19 pandemic
Authors: Ramirez-Vega Dixia , Salinas-Cortes Monica , Melendez-Coral Melissa , Cordell Geoffrey A. , Rodriguez-Garcia Aida
Published: July 2022

Abstract COVID-19 has challenged health professionals in widely divergent areas, including innovation of practice, communication, multidisciplinary activities, broader use of technology, and adaptability. The role of the dietitian and other health professionals in dealing with the evolving crisis might be considered essential in treating patients. Given the limited access to various food options, nutrition screening and assessment deserves a high priority to complete a comprehensive nutrition evaluation, identify nutrition risks, prioritize care, and provide early nutrition intervention and support to all patients with or who have had, COVID-19 and are experiencing ongoing symptoms. Such an intervention would benefit the patients and the health system by reducing the length of hospital stay, ameliorating further complications, limiting hospital readmission, enhancing recovery, and assisting in the management of comorbidities and their metabolic alterations. This brief overview outlines the essential role of nutrition intervention and support as part of an integrated, multidisciplinary treatment program for the care of COVID-19 patients during the pandemic. Restrictive movements have changed consultative approaches, and the importance of Telenutrition for the effective communication of health status and recommendations.
La gramática corporal y sus significados: una etnografía del contexto clínico sobre el lenguaje y la afasia motora en un hospital de la Ciudad de México
Authors: Taylor Tomas Loza , Maya Alfredo Paulo
Published: July 2022

Resumen El presente texto es el resultado de una investigación etnográfica en el servicio de rehabilitación neurológica en el Centro de Atención de Salud Mental y Neurológica en la Ciudad de México. Este trabajo centra su problemática en dilucidar cómo se reconstruye el lenguaje corporal de las personas con afasia motora y qué sentidos generan. El análisis de la información recopilada nos llevó a identificar que la rehabilitación del lenguaje reconstruye una gramática corporal y emplea a la capacidad de narrar con el fin de restaurar el lenguaje y la comunicación. En ese sentido, retomamos la noción de franjas de actividad de Goffman, de embodiment de Csordas y de polifonía de Bajtín, para comprender la construcción discursiva del lenguaje que se introyecta en el cuerpo y se reproduce durante la interacción clínica. La metodología empleada fue la realización de una etnografía del contexto clínico que emplea a las narrativas como herramienta idónea para describir el sentido construido entre terapeutas y personas afectadas con afasia motora.
Body grammar and its meanings: an ethnography of the clinical context on language, and motor aphasia in a hospital in Mexico City
Authors: Taylor Tomas Loza , Maya Alfredo Paulo
Published: July 2022

Abstract This text is the result of an ethnographic research conducted in the neurological rehabilitation service at the Center for Mental and Neurological Health Care in Mexico City. This work focuses its problematic on elucidating how the body language of people with motor aphasia is reconstructed and what senses they generate. The analysis of the collected information led us to identify that language rehabilitation reconstructs a body grammar and uses the ability to narrate in order to restore language and communication. In this sense, we follow Goffman’s notion of strip of activity, Csordas’ embodiment and Bakhtin’s polyphony, in order to understand the discursive construction of language that is introjected into the body and reproduced during clinical interaction. The employed methodology was an ethnography of the clinical context using narratives as a suitable tool to describe the meaning constructed between therapists and people affected with motor aphasia.
Diagnosis and treatment of syphilis in pregnant women at the services of Primary Care
Authors: Paula Mariane Andreza de , Simões Luana Andrade , Mendes Jullye Campos , Vieira Ed Wilson , Matozinhos Fernanda Penido , Silva Tércia Moreira Ribeiro da
Published: July 2022

Abstract The aim of this article is to evaluate the conditions of Primary Care (PC) services in Brazil as regards the availability of quick tests (QTs) for early diagnoses and of Benzylpenicillin (BZP) for the treatment of pregnant women with syphilis. This was a cross-sectional study, conducted with data from PC services that participated in the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB, in Portuguese). The services where QTs were not readily available or where BZP was not available in a sufficient quantity were categorized as “inadequate”, while those where the QTs were readily available and BZP was found in sufficient quantities were categorized as “adequate”. A bivariate analysis and Odds Ratio (OR) estimates, together with their respective 95% confidence intervals (CI), were performed. The sample included 20,286 PC services from regions throughout the country. The prevalence of services with inadequate conditions for the diagnosis and treatment of syphilis was 47.7%. The Midwest region and non-capital cities presented the highest prevalence rates for PC services with inadequate conditions for the diagnosis and treatment of syphilis in pregnant women (p<0.05). Differences in the regions and locations of the PC services impact the availability of QTs and BZP.
Recent trends in cesarean section reduction in extreme south of Brazil: a reality only in the public sector?
Authors: Marmitt Luana Patrícia , Machado Adriana Kramer Fiala , Cesar Juraci Almeida
Published: July 2022

Abstract This study aimed to describe changes in cesarean section (C-section) prevalence from 2007 to 2019, in public and private sectors, according to maternal characteristics. We included all puerperal women who gave birth in Rio Grande, Rio Grande do Sul, Brazil, at years 2007, 2010, 2013, 2016 and 2019. A questionnaire was applied up to 48 hours after delivery. We assessed C-section rates over time and described the prevalence according to independent variables. Poisson regression was used. A total of 12.415 puerperal women were included. The prevalence of C-section increased between 2007-2013 (from 51.2% to 61.2%) and decreased between 2013-2019 (48.9% in 2019). This decrease was observed only in the public sector and was higher among the youngest (-10.0 percentual points) and high educated women (-10.3 percentual points). While in the private sector C-section occurrence increased even more (95.7% in 2019). In the public sector, women that were older, with a partner, primiparous, who performed prenatal care in the private system and with adequate prenatal assistance presented higher prevalence of C-section. In the private sector the prevalence was high independently of the maternal characteristics. In order to reduce C-section rates, efficient delivery care policies mainly focused on the private sector are necessary.
Reasons behind declining of cases during the COVID-19 wavelets in Pakistan: public healthcare system or government smart lockdown policy?
Authors: Abbas Asad , Mannan Abdul
Published: July 2022

Abstract The latest statistics show that COVID-19 is still very active, and cases are on the rise across various countries and regions. On the other hand, statistics from Pakistan show a declining trend, especially during the first wave of the COVID-19 pandemic. To understand this declining trend and answering our established question, “What are the reasons behind the decline of the COVID-19 cases in Pakistan - public healthcare facilities or government smart lockdown policy?” narrative literature-based evidence collected from government official websites, reports and also Google Scholar. Our findings suggest that the government’s innovative smart lockdown strategy and its execution at the right time with the consensus of all stakeholders accompanied with the observing of COVID-19 standard operation procedures resulted in controlling the pandemic. Effective smart lockdown policy allows the government to identify shortcomings of and improve the capabilities of healthcare for the continuation of balanced socio-economic activities to avoid future spread-out of the pandemic in the time of crisis under national and World Health Organization guidelines.
Atenção primária à saúde infantil: a maior avaliação de base populacional da história do SUS
Authors: Pinto Luiz Felipe , Caldas Ana Luiza Ferreira Rodrigues
Published: July 2022

Resumo Desde 2019, o IBGE vem ocupando no cenário da avaliação de políticas públicas no Brasil um local de protagonismo. Após a Pesquisa Nacional de Saúde (PNS) avaliar os serviços de atenção primária no Sistema Único de Saúde (SUS) prestados aos adultos, em 2022 a Pesquisa Nacional por Amostra de Domicílios Contínua (PNAD-C) investigou o cuidado infantil. Para isso, utilizou uma das versões do Primary Care Assessment Tool (PCAT), desenvolvido e disseminado por Starfield e Shi para avaliar a existência e extensão dos atributos dos serviços de atenção primária à saúde (APS). O público-alvo pesquisado incluiu crianças menores de 13 anos, e os questionários foram respondidos por seus responsáveis/cuidadores. Contemplou todas as 27 unidades da federação do país, em amostras aleatórias probabilísticas, desdobrando-se ainda pelas regiões metropolitanas e capitais do Brasil. Trata-se do maior inquérito domiciliar sobre avaliação da saúde infantil já realizado no Brasil. A partir da PNS-2019 e da PNAD-C em 2022, o IBGE inaugura seu maior legado para a atenção primária à saúde no Brasil no que se refere à avaliação dos usuários do SUS, com todas as unidades da federação (re)conhecendo como a sociedade brasileira avalia os serviços de saúde no primeiro nível de atenção.
Perceived coronavirus health risk associated with students’ life satisfaction: the role of trust in government policies
Authors: Abbas Asad , Ar Anil Yasin , Fard Rozita Ghaffari , Mannan Abdul , Hosseini Samira
Published: July 2022

Abstract This study investigates whether trust in government policies has a mediation effect between the students’ perception of COVID-19 health risk and their life satisfaction. In order to test the mediation effect, this study utilizes data collected from undergraduate students at Tecnológico de Monterrey in Mexico by means of online survey. The survey yielded 95 usable data out of 97. The valid results were tested via generalized linear model (GLM) Mediation approach for the mediation. Empirical findings of Delta method affirm the mediation (estimate = 0.4445, β = 0.474, z = 3.699, p < .001) role of trust in government as a mediator between students’ perception of COVID-19 health risk and their life satisfaction. In other words, Mexican undergraduate students are of the view that trusting government plays a crucial role as a mediator between their perception of coronavirus health risk and life satisfaction. These findings may guide the governments’ policy making efforts and motivate them to support their initiatives with trust-building efforts.
The training of a new social-responsible generation of health professionals with a patient-centered vision
Authors: Lopez Mildred , Pérez-Villalobos Cristhian , Suárez Daniel , Ar Anil Yasin
Published: July 2022

Abstract The challenges that Latin America faces in health are deeply related to others, such as access to clean water, the right to education, and housing. Health professionals that work in an environment where the population faces constant barriers to accessing care in the public health system or has limited resources to pay for it in a private sector will face an ethical dilemma, the question of how to honor the call to care for patients when there is not enough support system or infrastructure to do so. Within the schools of medicine and health sciences, the question is how to train students to face or resolve these conflicts. The social responsibility approach is a proposal that allows the alignment of education for health professionals and health systems to contribute to the creation of an effective, equitable, and sustainable system. The present article aims to discuss this problem from the importance of training health professionals, ethical and committed to their communities, that have the skills and attitudes to implement a patient-centered vision. The involvement of universities and training institutions of the next generation of health professionals cannot be postponed.
Results and effects of patients who have recovered from COVID-19: identifying the relationship with risk factors and comorbidities
Authors: Almeida Lucivalda Viegas de , Garcia-Araujo Adriana , Lopez Mildred , Rocha Daniel Santos , Mendes Renata Gonçalves , Borghi-Silva Audrey , Dibai-Filho Almir Vieira , Dibai Daniela Bassi
Published: July 2022

Abstract The number of deaths from COVID-19 is closely associated with multimorbidities. This study aimed to review the clinical and functional conditions of patients who recovered from COVID-19. Additionally, identify the relationship with risk factors and comorbidities. Systemic arterial hypertension (SAH) was more frequently observed in patients with severe COVID-19. Diabetes mellitus (DM) is one of the comorbidities that has contributed the most to the increase in the number of hospitalizations due to complications and the number of deaths due to infection by COVID-19. Obesity has been shown to be a risk factor for hospitalization in patients with COVID-19 under 60 years of age. Most survivors of COVID-19 suffer primarily from muscle fatigue or weakness. In addition, patients who were more seriously ill during their hospital stay have greater impairment of functional capacity, pulmonary diffusion and fatigue symptoms, and are the main target population for long-term recovery interventions. To optimize the post-hospitalization rehabilitation of patients after discharge from COVID-19, the need for multidisciplinary work in rehabilitation, the reinforcement of public policies to ensure equity in access to the public health system and training should be considered of the health team in view of the new demands and realities generated by COVID-19.
Série histórica de atendimentos de urgência odontológica no Brasil entre 2008 e 2015
Authors: Frichembruder Karla , Prass Taiane Schaedler , Hugo Fernando Neves
Published: July 2022

Resumo A utilização dos serviços de atenção às urgências odontológicas é moldada pelas condições sociais, epidemiológicas e de organização dos serviços de saúde. Visando avaliar os indicadores específicos de urgência na rede de atenção para compreensão do acesso realizado e desempenho, foi realizado um estudo de série temporal dos atendimentos de urgência odontológica segundo os códigos de atendimento por estabelecimentos de saúde no Brasil no período de 2008 a 2015. Os estabelecimentos foram agrupados em seu total e segundo os pontos de atenção primária e secundária, este subdividido em atenção secundária especializada e hospitalar. O grupo da atenção primária respondeu por 72,75% dos atendimentos de urgência e a média da taxa padronizada do total de urgências foi de 0,04 atendimentos por habitante. Foi encontrado padrão de estabilidade no total de atendimentos por urgência odontológica para o total de estabelecimentos e de crescimento na atenção primária (5,58%/ano). Os resultados ressaltam a participação dos serviços de atenção primária na atenção às urgências odontológicas, seguida dos grupos atenção secundária especializada e hospitalar, alinhando-se ao pressuposto da relação inversa entre capacidade de atendimento de urgência odontológica e a densidade tecnológica.
Prevalence of self-medication and associated factors in adolescents aged 18-19 years: the 1997/1998 cohort in São Luís-MA, Brazil
Authors: Godinho Joseane Lima Prado , Magalhães Elma Izze da Silva , Santos Alcione Miranda dos , Pinho Judith Rafaelle Oliveira , Chagas Deysianne Costa das , Ribeiro Cecília Cláudia Costa , Britto Maria Helena Seabra Soares de , Alves Maria Teresa Seabra Soares de Britto e
Published: July 2022

Abstract This article aims to assess the prevalence and factors associated with self-medication in adolescents. Cross-sectional study, nested in cohort, with 2,515 adolescents aged 18-19 years born in São Luís-MA. The use of medication in the last 15 days without a medical prescription or by a qualified professional was considered self-medication. Factors associated with self-medication were evaluated using Poisson regression with robust variances and hierarchical selection of variables. Medicines were used in the last 15 days by 48.05% of adolescents. Among these, 70.09% use it without a prescription or indication from another health professional. The most used medications for self-medication were “over the counter” (93.68%). Self-medication was positively associated with female gender (PR: 1.41; 95%CI: 1.25-1.59), screen time ≥5h/day (PR: 1.32; 95%CI: 1.05-1.67) and self-reported diagnosis of allergic rhinitis (PR: 1.19; 95%CI: 1.02-1.39); however, negatively associated with self-satisfaction with health (PR: 0.79; 95%CI: 0.67-0.94) and hospitalization in the previous year (PR: 0.70; 95%CI: 0.50-0.97). Self-medication was common among adolescents and to reduce this practice, greater attention should be given to women, individuals with intense exposure to meshes and allergic diseases.
Variação temporal da ocorrência do excesso de peso e da obesidade abdominal em adolescentes da cidade de Salvador, Bahia, Brasil
Authors: Damascena Nadjane Ferreira , Costa Priscila Ribas de Farias , Queiroz Valterlinda Alves de Oliveira , Santana Mônica Leila Portela de , Pinto Elizabete de Jesus , Pitangueira Jacqueline Costa Dias , Silva Rita de Cássia Ribeiro , Assis Ana Marlúcia , Machado Maria Ester Pereira da Conceição
Published: July 2022

Resumo O objetivo do estudo foi analisar a variação temporal da ocorrência do excesso de peso e da obesidade abdominal em adolescentes de escolas públicas de uma capital do nordeste brasileiro. Trata-se de um estudo incluindo informações de três levantamentos transversais realizados nos anos de 2001, 2009 e 2017, com 2.496 escolares de 10 a 18 anos de ambos os sexos, residentes na cidade de Salvador, Bahia. O excesso de peso foi avaliado por meio do Índice de Massa Corpórea para idade (IMC/I) e obesidade abdominal foi avaliada pela circunferência da cintura e razão cintura-estatura. A regressão Pooled OLS (Ordinary Least Squares), de efeito constante foi utilizada para avaliar a variação dos indicadores antropométricos ao longo do período. Os resultados deste estudo indicam que a prevalência de excesso de peso cresceu 103% e os indicadores da obesidade abdominal cresceram 153% e 142%, respectivamente no período analisado. Aumento na média do Índice de Massa Corpórea e da Razão cintura estatura foi maior entre as adolescentes e da média do IMC e da circunferência da cintura entre aqueles de 14 a 18 anos de idade. Conclui-se que houve expressivo crescimento nas prevalências do excesso de peso e da obesidade abdominal no período de 2001 a 2017 entre os adolescentes da cidade de Salvador.
Health promotion practices as resistance and counter-conduct to neoliberal governmentality
Authors: Mattioni Fernanda Carlise , Silveira Roberta de Pinho , Souza Camilo Darsie de , Rocha Cristianne Maria Famer
Published: July 2022

Abstract This article analyzes the discourses within Health Promotion (HP) practices in Primary Health Care (PHC) that constitute actions of resistance and counter-conduct to the neoliberal governmentality inscribed in these tools. Drawing upon descriptive and exploratory field research, together with a qualitative approach, we interviewed 23 PHC workers in a municipality in southern Brazil. The results point out possibilities to enhance HP in PHC: strengthening training activities within health units; problematizing Social Determinants of Health (SDH); methods to encourage participation; collectivization of health demands; appreciation and reinforcement of achievements and collective actions; recovery of the local community’s culture and habits; and HP advocacy in PHC.
Molecular docking studies and evaluation of the antiretroviral activity and cytotoxicity of the species Lafoensia pacari Saint-Hilaire
Authors: Fonseca S. A. , Cunha A. L. , Lima F. C. A. , Silva M. S. Cruz e , Silva K.W. L. , Araújo M. V. , Moreira M. S. A. , Bento E. S. , Sabino A. R. , Rocha T. J. M. , Ferreira R. C. S. , Costa J. G. da , Santos A. F. , Santana A. E. G.
Published: July 2022

Abstract Interest in antiviral plant species has grown exponentially and some have been reported to have anti-HIV properties. This research aims to perform the bio-guided phytochemical fractionation by antiretroviral activity of Lafoensia pacari stem barks. This in vitro experimental study involved the preparation of plant material, obtention of ethanolic extract, fractionation, purification, identification and quantification of fractions, acid-base extraction, nuclear magnetic resonance, HIV-1 RT inhibition test and molecular docking studies. From the bio-guided fractionation by the antiretroviral activity there was a higher activity in the acetanolic subfractions, highlighting the acetate subfraction – neutrals with 60.98% of RT inhibition and ellagic acid with 88.61% of RT inhibition and absence of cytotoxicity. The macrophage lineage cytotoxicity assay showed that the chloroform fraction was more toxic than the acetate fraction. The analysis of the J-resolved spectrum in the aromatic region showed a singlet at 7.48 and 6.93 ppm which was identified as ellagic acid and gallic acid, respectively. The 5TIQ enzyme obtained better affinity parameter with the ellagic acid ligand, which was confirmed by the HSQC-1H-13C spectra. Gallic acid was also favorable to form interaction with the 5TIQ enzyme, being confirmed through the HSQC-1H-13C spectrum. From the PreADMET evaluation it was found that ellagic acid is a promising molecule for its RT inhibition activity and pharmacokinetic and toxicity parameters.
Life tables of the ladybird beetles Harmonia axyridis, Cycloneda sanguinea and Hippodamia convergens reared on the greenbug Schizaphis graminum
Authors: Santos-Cividanes T. M. , Cividanes F. J. , Souza L. S. , Matos S. T. S. , Ramos T. O.
Published: July 2022

Abstract The Asian lady beetle Harmonia axyridis (Coleoptera: Coccinellidae) is a biological control agent that also may adversely impact other coccinellid species. Life table parameters were used to assess the population growth potential and the effects of interspecific competition between the invasive lady beetle H. axyridis and the native coccinellids Hippodamia convergens and Cycloneda sanguinea (Coleoptera: Coccinellidae) under laboratory conditions at 25 °C, using Schizaphis graminum (Hemiptera: Aphididae) as prey. The effects of the abiotic factors air temperature and humidity on these coccinellids by conducting a survey in a sorghum crop under average conditions of 18.1 °C and 53.5%, respectively, were also assessed. Fecundity was higher in C. sanguinea (1021.0 eggs per female) and H. axyridis (1029.2 eggs per female) than in H. convergens (484.5 eggs per female). The majority of the life table parameters showed no significant differences. The instantaneous rates of population increase (rm) of C. sanguinea, H. axyridis, and H. convergens were 0.195, 0.198, and 0.194 d–1, respectively. Based on the life table parameters obtained in this study, all three species of Coccinellidae showed a similar capacity to control a S. graminum population.
Revisão taxonômica de Psalidodon eigenmanniorum (Cope) com base em análises morfométrica, merística e padrão de colorido (Characiformes: Characidae)
Authors: Santos Arthur A. C. dos , Bertaco Vinicius A. , Lucena Carlos A. S de
Published: July 2022

RESUMO A identidade de Psalidodon eigenmanniorum (Cope, 1894) e a possibilidade de se constituir em mais de uma espécie é testada através de análises da morfometria (19 medidas), dos caracteres merísticos (14 contagens) e do padrão de colorido de 705 exemplares provenientes dos sistemas dos rios Tramandaí/Mampituba, da laguna dos Patos e drenagem do baixo rio Uruguai. Foram diafanizados e corados 40 exemplares. Os dados morfométricos foram utilizados na Análise de Componentes Principais, Análise Discriminante, Morfometria Geométrica e Função Discriminante. As análises foram feitas considerando os sexos em separado dentro de cada sistema hidrográfico, bem como comparando as populações entre os sistemas hidrográficos e finalmente no conjunto de sistemas representando a área de ocorrência da espécie. A partir dos dados analisados não foram encontradas diferenças entre os sexos. Os resultados mostraram variação morfológica que não sustenta o reconhecimento de possíveis espécies crípticas. A variação encontrada nos dados merísticos, morfométricos e no padrão de colorido justifica a redescrição da espécie. Os resultados das comparações entre as populações indicaram variações nesses caracteres indicando que a espécie possui considerável plasticidade fenotípica.
Impacto da internacionalização na necessidade de capital de giro das empresas brasileiras
Authors: Rosa Arthur A. S. , Forti Cristiano A. B. , Dias Vitor F. M. B.
Published: July 2022

Resumo Objetivo: O objetivo deste estudo foi analisar os efeitos dos períodos de crise na relação entre internacionalização e necessidade de capital de giro (NCG), no período de 2010 a 2018, tendo como amostra as empresas brasileiras de capital aberto. Originalidade/valor: O artigo contribui para a literatura por abordar um tema ainda pouco explorado no que tange à relação entre NCG e internacionalização, além de analisar a influência da crise econômica nessa relação, utilizando, para tanto, três proxies para internacionalização para fins de robustez dos resultados. Design/metodologia/abordagem: Para alcançar o objetivo, usou-se uma regressão pelo método dos momentos generalizado (GMM) com dados em painel. Para isso, foram utilizadas três base de dados para a coleta dos dados: Economatica, Comissão de Valores Mobiliários (CVM) e J. P. Morgan. Resultados: Constatou-se que as empresas brasileiras mais internacionalizadas tendem a ter uma maior NCG e utilizam o estoque como forma de proteção de possíveis imprevistos oriundos de processos de importação. Além disso, a internacionalização se mostra como uma forma de as empresas manterem seu nível de atividade em período de crise nacional.
Hybrid multicriteria and economic engineering model to support decision in fleet management
Authors: Dantas Régis F.
Published: July 2022

Abstract Purpose: To provide the decision-making agency with a hybrid composite model for a qualified decision and maximize the quality of public management when challenged by the tradeoff between own and leased fleet. Originality/value: The proposed methodology innovates by integrating a framework based on a set of quantitative and qualitative criteria, increasing accuracy of the decision-making process regarding the management of the Ceára Public Safety Secretary’s fleet. With a multicriteria model, one can understand and identify the fundamental criteria in terms of management to select alternatives and avoid making these decisions based only on experience or feeling. Design/methodology/approach: To support the decision-making process regarding the choice or combination between own and leased fleet, optimal solutions are built using a hybrid model that combines techniques from the multi-attribute utility theory (Maut) models of economic engineering with the help of the total cost of ownership (TCO). The alternatives are weighted (considered) qualitatively and quantitatively through the proposed model. Findings: The results confirm the compatibility between the methods used, providing the agency with a methodological tool that qualifies the decision based on a model that reveals the decision-makers’ preferences in terms of relevant attributes to good management, while respecting budgetary constraints.
Modelo híbrido multicritério e de engenharia econômica para suporte à decisão na gestão de frota
Authors: Dantas Régis F.
Published: July 2022

Resumo Objetivo: Dotar o órgão decisor com um modelo híbrido composto para decisão qualificada e maximizar a qualidade da gestão pública ante o tradeoff entre frota própria e locada. Originalidade/valor: A metodologia proposta inova ao integrar um framework baseado em um conjunto de critérios quantitativos e qualitativos, aumentando a precisão do processo de tomada de decisão sobre a gestão da frota da Secretaria da Segurança Pública do Ceará. Com modelo multicritério, podem-se compreender e identificar os critérios fundamentais em termos de gestão para selecionar alternativas e evitar tomar essas decisões com base apenas na experiência ou no feeling. Design/metodologia/abordagem: Para apoio à tomada de decisão quanto à escolha ou ao mix entre frota própria e locada, soluções ótimas são construídas com uso de um modelo híbrido que combina técnicas dos modelos de utilidade multiatributo (multi-attribute utility theory – Maut) e de engenharia econômica e com auxílio do custo total de propriedade (total cost of ownership – TCO). As alternativas são ponderadas qualitativa e quantitativamente por meio do modelo proposto. Resultados: Os resultados confirmam a compatibilidade entre os métodos utilizados, dotando o órgão de uma ferramenta metodológica que qualifica a decisão com base em um modelo que revela as preferências dos decisores em termos de atributos relevantes para uma boa gestão, respeitando as restrições orçamentárias.
CARREIRA E REMUNERAÇÃO DO MAGISTÉRIO ESTADUAL DO RIO GRANDE DO SUL
Authors: Trein Laura Dexheimer , Farenzena Nalú
Published: July 2022

Resumo Neste texto, analisam-se a carreira e a remuneração do magistério da rede estadual de ensino do Rio Grande do Sul por meio de dados do período de 2010 a 2019, sendo considerados, para fundamentar a análise, elementos teóricos e normativos referentes à profissionalização e à valorização do magistério, bem como outros, de natureza contextual, das finanças do governo estadual. Apresenta-se uma caracterização da composição do magistério, sua alocação nos diferentes pontos da carreira e a dinâmica dos vencimentos em função do plano de carreira. A desvalorização do magistério estadual expressa-se no aumento da contratação de professores temporários, na não efetivação de promoções, no descumprimento do pagamento do piso salarial profissional nacional e no parcelamento dos salários.
CAREER AND REMUNERATION OF THE PUBLIC TEACHERS OF RIO GRANDE DO SUL
Authors: Trein Laura Dexheimer , Farenzena Nalú
Published: July 2022

Abstract This text analyzes the career and remuneration of teachers, working in the state education network of Rio Grande do Sul, based on data from 2010 to 2019. The analysis is based on theoretical and normative elements related to the professionalization and valorization of teachers, as well as others, of contextual nature, of the state government finances. It presents a characterization of the composition of the teaching staff, its allocation at different stages in the career and the dynamics of salaries according to the career plan. The devaluation of the state teachers is showed in the increase in the hiring of temporary teachers, in the non-execution of promotions, in the noncompliance with the payment of the national professional minimum wage, and the deferring of full paychecks through the strategy of paying salaries in installments.
Depressive symptoms and associated factors in older people during the COVID-19 pandemic in the city of São Paulo-SP
Authors: Fhon Jack Roberto Silva , Costa Priscila Conceição da , Cardoso Tatiane Santos , Lima Eveline Fontes Costa , Püschel Vilanice Alves de Araújo
Published: July 2022

Abstract Objective To determine the presence of depressive symptoms and their associated factors in the elderly living in the city of São Paulo during the isolation of the covid-19 pandemic. Method This is a quantitative, descriptive and cross-sectional study carried out with 411 elderly people living in the city of São Paulo. Demographic profile instruments, the Geriatric Depression Scale and a list of physical and psychological symptoms and substance use were used. Results There was a predominance of females, between 60 and 69 years old, with a partner, higher education, and with no change in income. In addition, not having a partner (p=0,02), psychological symptoms such as lack of hope (p=0,001), fear (p=0,008) and desire to die (p=0,003), and physical symptoms such as tremor (p=0,03) and tiredness (p<0,0001) were associated with depressive symptoms. On the other hand, not using illegal substances (p=0,03) was considered a protective factor against the presence of these symptoms. Conclusion It is necessary to be alert to any signs or symptoms that may indicate some mental suffering, suggesting the adoption of socialization measures.
Considerations on the design of indirect supports in reinforced concrete beams
Authors: Celestino Mateus Araújo de Souza , Horowitz Bernardo
Published: July 2022

abstract: Indirect supports consist of beams being supported by others beams, demanding the presence of a hanger reinforcement, required by ABNT NBR 6118, that will act as a tie hanging the applied load from the supported beam to the upper chord of the supporting beam. Therefore, the present work, through the study of experimental results in the literature, aims to present recommendations for the design of indirect supports and hanger reinforcements in reinforced concrete beams. Through a parametric analysis, was obtained an equation that calculates the load to be suspended as a function of the dimensions of the beams. It was observed that in some cases the reinforcement can be dispensed. The hanger reinforcement must be added to the shear reinforcement and in the case of regions where there is a torsional moment acting on the support beam, it was noticed that only the inner legs of the support beam stirrups collaborate to hang the load.