bluuebunny/crossref_metadata_2025 huggingface dataset:
Perfil formativo dos enfermeiros intensivistas no Brasil: estudo transversal
Authors: Gomes Thais Oliveira , Girão Fernanda Berchelli , Santos Tágora do Lago , Silva Matheus Henrique , Portes Erika Azevedo , Melo Clayton Lima , Andrade Marcus Vinicius Melo de
Published: December 2024

RESUMO Objetivos: descrever o perfil formativo dos enfermeiros intensivistas brasileiros. Métodos: estudo transversal realizado em duas etapas: questionário estruturado e autoaplicável; mapeamento da oferta nacional de cursos de pós-graduação lato sensu. Coletou-se dados sobre o perfil sociodemográfico, processo de formação e caracterização dos cursos. Resultados: na primeira etapa, obteve-se 202 respondentes. A maioria eram mulheres (79,2%), com idade entre 26 e 45 anos (80,7%), formadas há menos de 5 anos (44%), através de pós-graduação lato sensu (55,5%), sendo esse último aspecto marcado pela ausência de práticas em laboratórios (57,5%) e visitas guiadas (42,5%). Na segunda etapa, identificou-se 457 cursos, na modalidade de ensino presencial (58,9%), carga horária de 360 até 420 horas (51,2%), duração de até 6 meses (41,8%) e variação na subárea de formação. Conclusões: observou-se a predominância de profissionais que se formam em cursos de pós-graduação lato sensu, com ensino essencialmente teórico e heterogeneidade quanto à modalidade, carga horária e subárea de formação.
Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Authors: Camparoto Camila Wohlenberg , Haddad Maria do Carmo Fernandez Lourenço , Teston Elen Ferraz , Reis Pamela dos , Marcon Sonia Silva
Published: December 2024

ABSTRACT Objectives: to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care. Methods: this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis. Results: according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges. Final Considerations: the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.
Perspectiva de enfermeiros sobre o uso do telemonitoramento no acompanhamento de pessoas com diabetes e hipertensão
Authors: Camparoto Camila Wohlenberg , Haddad Maria do Carmo Fernandez Lourenço , Teston Elen Ferraz , Reis Pamela dos , Marcon Sonia Silva
Published: December 2024

RESUMO Objetivos: compreender a perspectiva de enfermeiros sobre o uso do telemonitoramento no acompanhamento de pessoas com diabetes mellitus tipo 2 e hipertensão arterial na atenção primária. Métodos: pesquisa qualitativa com dezesseis enfermeiros de oito municípios do Paraná. Os dados foram coletados entre novembro de 2022 e janeiro de 2023, mediante entrevistas presenciais ou remotas, audiogravadas, previamente agendadas, e submetidas à análise de conteúdo. Resultados: para os enfermeiros, o telemonitoramento favorece o conhecimento do usuário acerca dessas condições, a comunicação e o vínculo com a equipe, e sua produtividade; porém, inexistência de recursos eletrônicos e equipamentos, rotatividade da equipe, baixa adesão dos usuários e indisponibilidade de tempo dos profissionais constituem desafios importantes. Considerações Finais: implementação e operacionalização eficaz do telemonitoramento no acompanhamento de pessoas com diabetes e hipertensão envolvem potencialidades e barreiras, sendo imprescindível a disponibilidade de recursos humanos e tecnológicos, apoio da gestão e disposição de profissionais e usuários.
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Authors: Andrade Frederico Marques , Oliveira Lanuza Borges , Martins Igor Monteiro Lima , Rodrigues Maria Eduarda Borges , Silva Carla Silvana de Oliveira e
Published: December 2024

ABSTRACT Objectives: to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals. Methods: a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used. Results: a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001). Conclusions: the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
Análise de omissão de doses de antimicrobianos em Unidades de Terapia Intensiva
Authors: Machado Isabelle Ribeiro , Henrique Danielle de Mendonça , Camerini Flávia Giron , Paula Vanessa Galdino de , Fassarella Cintia Silva , Mello Lucas Rodrigo Garcia de
Published: December 2024

RESUMO Objetivos: analisar a taxa de omissão de dose de antimicrobianos em unidades de terapia intensiva. Métodos: estudo transversal, realizado entre 1 de março a 30 de setembro de 2023, em unidades de terapia intensiva de um Hospital Universitário no Rio de Janeiro. Resultados: a amostra foi de 452 prescrições e 1467 doses de antimicrobianos. A taxa de omissão de dose correspondeu a 4,29%. Cada antimicrobiano prescrito aumentou a chance de omissão em 51%. A estratégia de dupla checagem de prescrições contribuiu para prevenção de 30% das omissões de doses de antimicrobianos (p=0,0001). Conclusões: o monitoramento da omissão de dose de antimicrobianos, pode direcionar ações de enfermagem para melhoria da qualidade e segurança do paciente, contribuindo para prevenção de erros de medicação, gestão de antimicrobianos e combate à resistência antimicrobiana.
Health literacy development of Primary Health Care patients: qualitative research
Authors: Sonoda Bruna Midori , Bonadio Carla Baioni , Krauser Caroline
Published: December 2024

ABSTRACT Objectives: to identify the process of health literacy development among primary care patients, relating it to their self-care practices. Methods: qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis. Results: the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”. Final Considerations: health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
Narratives of sex workers: intimate partner violence and coping strategies
Authors: Costa Milena Oliveira , Coimbra Valéria Cristina Christello , Oliveira Michele Mandagará de , Cardoso Clarissa de Souza , Cruz Vania Dias , Guedes Ariane da Cruz , Moreira Josiane da Costa , Gentilini Luciano Santos
Published: December 2024

ABSTRACT Objectives: to understand the narratives of sex workers about violence suffered by intimate partners and their coping strategies. Methods: qualitative research, focused on thematic oral history, carried out with six sex workers in southern Brazil, who responded to in-depth interviews using a flexible script. Thematic content analysis was used. Results: the study included cisgender women who self-identified as half black and half white. Most had children and were separated. They reported abusive relationships by their intimate partners, with emphasis on verbal, psychological, financial, and physical violence and attempted femicide. Such violence resulted in coping strategies, such as avoiding emotional bonds and maintaining a discreet life. Final Considerations: intimate partner violence is prevalent among participants, leading them to adopt strategies to preserve their safety and well-being, highlighting the need for public policies that meet their particularities and guarantee protection.
Indicadores associados à gravidade e ao óbito em pessoas hospitalizadas por HIV: coorte retrospectiva
Authors: Ziani Jarbas da Silva , Härter Jenifer , Monteiro Francielle Liz , Dalcin Camila Biazus , Padoin Stela Maris de Mello , Primeira Marcelo Ribeiro , Corcini Laís Mara Caetano da Silva , Zamberlan Cláudia
Published: December 2024

RESUMO Objetivos: comparar os indicadores sociodemográficos e de gravidade clínica de pessoas com HIV hospitalizadas, em relação ao desfecho e à admissão urgente na internação hospitalar. Métodos: coorte retrospectiva, realizada com 102 prontuários de pessoas infectadas pelo HIV hospitalizadas em um hospital no sul do Brasil. Além da análise descritiva, utilizou-se o teste exato de Fisher, Qui-quadrado de Pearson e regressão logística. Resultados: os dados mostraram efeito direto significativo para indicadores de gravidade nas variáveis: sexo masculino (p=0,013), cor da pele (p=0,023), nível de escolaridade (p=0,000), internações de forma urgente (p=0,000), diagnóstico tardio (p=0,001), diabetes mellitus (p=0,001), hipertensão arterial (p=0,004), doença renal (p=0,002), carga viral elevada (p=0,006), CD4+ menor que 200 (p=0,005), apresentar febre (p=0,016), perda de peso (p=0,013), coinfecção por hepatite C (p=0,004) e óbito (p=0,007). Conclusões: identificaram-se três marcadores sociodemográficos e treze clínicos associados ao risco de agravamento clínico em pessoas hospitalizadas com HIV.
PROGNOSTIC MARKERS FOR THROMBOTIC EVENTS IN PATIENTS WITH GASTRIC OR COLORECTAL ADENOCARCINOMAS
Authors: MACHADO Emilly de Assis , LAND Marcelo Gerardin Poirot , SCHANAIDER Alberto
Published: December 2024

ABSTRACT BACKGROUND: The relationship between thrombosis and cancer is based on evidence that cancer promotes prothrombotic changes in the host hemostatic system. The activation of blood coagulation is closely linked to tumor growth and dissemination. AIMS: To evaluate whether quantifications of plasma circulation tumor deoxyribonucleic acid (DNA) and thrombin-antithrombin complex could act as predictors for thrombotic events and death in patients with gastric or colorectal adenocarcinomas, while also evaluating the Karnofsky Performance Status. METHODS: Eighty-two patients were included in the study and divided into three groups: controls (n=20), gastric adenocarcinomas (n=21), and colorectal adenocarcinomas (n=41). In order to calculate the Karnofsky index, information was collected to measure the patient’s ability to perform common daily tasks. The following serum measurements were conducted: complete blood count, platelet count, extracellular deoxyribonucleic acid, and thrombin-antithrombin complex. RESULTS: Ten patients (16%) experienced thrombosis during treatment. Patients with thrombin-antithrombin complex levels greater than 0.53 had a five-times higher risk of thrombosis. Lower Karnofsky Performance Status was also a risk factor for the event in this population. Neither thrombin-antithrombin complex nor plasma circulation tumor DNA were predictors of death after multivariate adjustment. Thus, Karnofsky index signaled a better overall survival prognosis for colorectal and gastric adenocarcinoma patients. CONCLUSIONS: Thrombin-antithrombin complex acts as a marker for thrombosis in patients with colorectal and gastric adenocarcinomas. We recommend prophylactic anticoagulation when the Karnofsky value is low and/or the thrombin-antithrombin complex concentration is greater than 0.53 ng/ml.
LONG-TERM SURVIVAL AFTER LAPAROSCOPIC TOTAL GASTRECTOMY FOR EARLY AND ADVANCED GASTRIC CANCER. SINGLE CENTER EXPERIENCE IN 100 CASES
Authors: NORERO Enrique , CERONI Marco , MARTINEZ Cristian , MUÑOZ Rodrigo , MEJIA Ricardo , MORALES Emilio , OBAID Ignacio , GONZALEZ Paulina
Published: December 2024

ABSTRACT BACKGROUND: Laparoscopic gastrectomy offers advantages in the postoperative period compared to the open approach. Most studies have been performed on distal gastrectomies; however, laparoscopic total gastrectomy (LTG) is not universally accepted. AIM: The aim of this study was to assess the results of LTG, on postoperative morbidity outcomes and long-term survival. METHODS: This is a retrospective cohort study from a prospective database of patients who underwent LTG, from 2005 to 2022, due to early and advanced gastric cancer. A totally laparoscopic technique was utilized, and the Roux-en-Y reconstruction was performed in all cases. Postoperative complications and long-term survival were evaluated. RESULTS: A total of 100 patients were included (men 57, age 64 years, and body mass index 26). A D2 lymphadenectomy was performed in 68 cases. The postoperative hospitalization period was 8 days (6–62 days). Postoperative complications occurred in 26%, with 7% esophago-jejunal anastomosis leak, 4% abdominal collections, and 2% gastrointestinal bleeding. In 7% of cases, the complication was considered Clavien 3 or greater. Operative mortality was 1%. The pathology findings confirmed advanced gastric cancer in 50 cases. The median lymph node count was 38, and surgery was considered R0 in 99%. The median follow-up was 50 months. Overall 5-year survival was 74%. Survival in T1 cases was 95% at 5 years. For stage I, survival was 95%, and for stages II and III, it was 52% and 43%, at 5 years, respectively. CONCLUSIONS: These results support the feasibility and oncological adequacy of minimally invasive total gastrectomy. Postoperative morbidity has an acceptable rate. Long-term survival was in accordance with the disease stage.
HEPATECTOMIES: INDICATIONS AND RESULTS FROM A REFERENCE HOSPITAL IN THE BRAZILIAN AMAZON
Authors: GARCIA Fernanda Oliveira Barreto , GARCIA Rafael José Romero , MAURITY Mariana Pereira , NASCIMENTO Erica Samara Monteiro
Published: December 2024

ABSTRACT BACKGROUND: Hepatectomy is historically associated with higher morbidity and mortality, related to intraoperative blood loss and biliary fistulas. Technological advances and improvements in surgical and anesthetic techniques have led to greater safety in performing these surgeries. AIMS: The aim of this study was to analyze morbidity and mortality in patients undergoing hepatectomy. METHODS: Retrospective cohort study of patients undergoing liver resections. The type of hepatectomy, indications, need for intraoperative blood transfusion, hospital stay, complications, and postoperative mortality were analyzed. RESULTS: A total of 48 hepatectomies were performed during the studied period, the most common being 26 (54.16%) major hepatectomies, distributed among 13 (50%) left hepatectomies, 11 (42.30%) right hepatectomies, and 2 (7.70%) others. In total, 24 (45.84%) minor hepatectomies were performed, 11 (50%) mono segmentectomies, and 5 (22.72%) left lateral hepatectomies. The main indications for resection in benign diseases were 6 (12.50%) neotropical hepatic hydatidosis, five (10.41%) intrahepatic lithiasis, and in primary malignancies, 9 (18.75%) hepatocarcinomas. There was no need for an intraoperative blood transfusion. Hospital stays after surgery ranged from 2 to 40 days (average=7 days), and 41 (85.42%) patients went to the ICU in the first 72 h after surgery. In total, 9 (18.75%) patients developed postoperative complications. Overall mortality was 2.08%. CONCLUSIONS: Hepatocellular carcinoma and neotropical hydatidosis were the main diseases with surgical indication, and major hepatectomies were the most performed procedures. Morbidity and mortality were in line with results from major global centers.
Non-surgical endodontic retreatments in Brazil’s public dental services: a 15-year nationwide register-based study
Authors: Litaiff Guibson da Silva , Lima Ricardo Barbosa , Freitas Miranda-Filho Aluísio Eustáquio de , Nelson-Filho Paulo , Silva Raquel Assed Bezerra da , Silva Léa Assed Bezerra da
Published: December 2024

Abstract The objective of this study was to analyze the provision of non-surgical endodontic retreatments in Brazil's public dental services from 2008 to 2022. A time series was outlined for this purpose. The annual numbers of non-surgical endodontic retreatments were retrieved from the Brazilian National Outpatient Information System and adjusted per 100,000 inhabitants to obtain the incidence between 2008 and 2022. Comparison of the incidence between types of teeth, temporal trend estimation, and evaluation of the COVID-19 pandemic-related impacts were conducted with a significance level of 5%. In this timeframe, 1,270,182 non-surgical endodontic retreatments were carried out. A higher incidence was observed among single-rooted teeth (328/100,000) when compared to double-rooted (183/100,000) and multi-rooted teeth (112/100,000) (p <0.05). The annual incidences showed a significantly decreasing trend over the last 15 years for all types of teeth (p <0.05), as well as demonstrated a highly correlated pattern of temporal variation (p <0.05). In addition, there was no influence on this outcome when removing the period between 2020 and 2022 (all temporal trends remained decreasing). However, the monthly incidence was significantly lower in the first, second, and third years after the COVID-19 pandemic onset (p <0.05). The provision of non-surgical endodontic retreatments in Brazil's public dental services has experienced a dramatic decline over the past 15 years, including after the COVID-19 pandemic.
Evaluation of the bonding strength of conventional, anatomized, adjustable, and CAD/CAM milled fiberglass posts in weakened endodontically treated roots
Authors: Silva Fillipe Mendes , Aguiar Pedro Henrique Soares , Assis Helena Cristina de , Lopes-Olhê Fabiane Carneiro , Mazzi-Chaves Jardel Francisco , Silva Ricardo Gariba , Cruz-Filho Antonio Miranda
Published: December 2024

Abstract This study evaluated the bond strength (BS) of conventional, anatomized, adjustable, and CAD/CAM fiberglass post systems. Forty maxillary canine roots were weakened, endodontically treated, and divided into four groups (n=10). A slice from each of the three sections (cervical, middle, apical) of the root canal was subjected to the push-out test and the failure pattern was subsequently analyzed. The most apical slice was subjected to analysis of the cementation line thickness by scanning electron microscopy (SEM). Data regarding the BS and cementation line thickness were subjected to the Shapiro-Wilk normality test followed by the variance and Tukey tests. Data failure patterns were expressed as a percentage and submitted to the chi-square test. Conventional fiberglass posts had the lowest BD compared to the other fiberglass posts (p<0.05). All fiberglass posts exhibited a higher percentage of adhesive failures to dentin. The SEM demonstrated a thicker cementation line for the conventional post compared to the other groups (p<0.05), as well as gaps and voids in the cementing material. The anatomized, adjustable, and CAD/CAM milled fiberglass post systems demonstrated a superior BS and adaptation to the root dentin compared to the conventional fiberglass post.
Global mapping of randomized controlled trials in dentistry
Authors: Prado Mayara Colpo , Dotto Lara , Agostini Bernardo , Sarkis-Onofre Rafael
Published: December 2024

Abstract This meta-research sought to evaluate the conduct, reporting, and main characteristics of published randomized controlled trials (RCTs) in dentistry. A search was performed on PubMed for RCTs in dentistry indexed from 31 December 2016 to 31 December 2021. Two reviewers independently screened the studies for the presence of eligibility criteria. Only studies in English were considered. Journal and author data, subject, citation and publishing metrics, reporting, and details of study conduct were collected. A descriptive analysis of the data, a map depicting the number of RCTs per country, and a network graph of scientific collaboration among different countries were presented. We included 844 articles. The main research area was periodontics (16.35%). The highest number of RCTs was attributed to Brazil (16.59%). Authors from the USA established the most links with other countries. Most studies did not report the use of CONSORT (67.89%), the type of randomization (69.31%), or the mechanism used to implement the random allocation sequence (52.37%). However, most studies included “randomized” in the title (71.92%) and reported the method for generating a random allocation sequence (65.88%) and blinding (74.88%). RCTs are the basis for clinical decision-making. Our results provide a better view of current RCTs and identify areas that require improvement. Brazil was the country that produced the most RCTs, and the USA was the main collaborator. We emphasize the variability of reporting characteristics and study conduct.
Ethnic-racial composition of the population in COVID-19 mortality: A spatial ecological approach to Brazilian health inequalities
Authors: Cajazeiro Júnia Maria Drumond , Cardoso Andrey Moreira , Nobre Aline Araújo
Published: December 2024

Abstract The COVID-19 pandemic has unevenly affected regions, countries, and ethnic-racial segments. Socioenvironmental factors were associated with worse disease evolution, with a greater likelihood of mortality in vulnerable people. This study aimed to investigate the association between the proportion of vulnerable populations (Black, brown, and Indigenous people) and mortality from COVID-19 in Brazil from March 2020 to February 2021. Mortality rate ratios and respective 95% Confidence Intervals (95%CI) were estimated using negative binomial regression models. Statistically significant associations were found between the proportion of these populations and mortality rates, emphasizing Blacks in the first four-month period, mixed race in the second four-month period, and Indigenous people in the third four-month period, in which an increase of 54%, 16% and 27% in mortality rates was observed, respectively, for every 10% increase in the proportion of these populations. We highlight the existence of ethnic-racial inequalities in COVID-19 mortality in Brazil and that efforts must be made to mitigate health inequalities, an expression of the perpetuated structural racism and social exclusion of historically vulnerable groups.
Pesticides and violations of human rights to health and food sovereignty in Guarani Kaiowá communities in MS, Brazil
Authors: Pinho Alexandra De , Calheiros Débora F. , Almeida Fernanda S. , Zerlotti Patrícia , Cereali Mariana , Feiden Alberto , Machado Franciele F. , Zanella Renato
Published: December 2024

Abstract Brazil, one of the world’s largest agricultural producers and consumers of pesticides, has expanded its agricultural area in the southern region of Mato Grosso do Sul, intensifying environmental contamination and increasing the vulnerability of indigenous populations. This research assessed the presence of pesticides in the waters of two indigenous communities in MS, Retomada Guyraroká and Aldeia Jaguapiru. Between 2021 and 2022, three sampling campaigns of surface, supply, and rainwater were conducted, considering the agricultural calendar. The study followed the LARP/UFSM protocol. In total of 22 active ingredients (AIs) were found, among these, 41% cause serious health effects, and 68% are banned in the European Union. Fipronil, 2,4-D, Atrazine are the among the most frequent IA found. Results show that these communities are exposed to pesticides, violating their rights to health and food sovereignty.
Oral health inequality: characterization of the indigenous people Xukuru do Ororubá, Pernambuco, Brazil
Authors: Mauricio Herika de Arruda , Fávaro Thatiana Regina , Moreira Rafael da Silveira
Published: December 2024

Abstract This article aims to characterize Indigenous people aged 18-23 of the Xukuru do Ororubá ethnic group, Pernambuco state, Brazil, regarding the use of dental services, self-perceived oral health, oral hygiene practices and caries experience, and socioeconomic and demographic aspects. This population-based cross-sectional study is nested in a cohort study that started in 2010 and was conducted in the Indigenous territory in 2018. Oral examinations and questionnaires were conducted with 131 Indigenous people. Data were collected using Epi Info software and the SPSS 20.0 statistical program was used for descriptive statistics. R software was adopted to compare the caries experience results obtained with the National Oral Health Survey (SB Brasil 2010). The caries experience verified by the DMFT Index had a mean of 7.4, with the mean Index components corresponding to 22.8 for healthy teeth, 2.4 for decayed teeth, 0.2 for filled/carious teeth, 3.5 for filled teeth, and 1.4 for missing teeth. The oral health condition of Indigenous people is characterized by significant inequality when compared to the results of epidemiological surveys conducted in the country involving other population groups.
Ríos de conocimiento: demarcando la ciencia con voces indígenas
Authors: Almeida Diádiney Helena de
Published: December 2024

Resumen Parte de este texto resultó de una conferencia presentada en la apertura de la XX Semana Nacional de Ciencia y Tecnología de la Fundación Oswaldo Cruz, en octubre de 2023. Se trata de una reflexión de una historiadora indígena sobre su trayectoria profesional, considerando el racismo imperante en la comunidad científica, así como los caminos que los ríos de conocimiento indígena han recorrido en la búsqueda de la demarcación de la escritura como campo de garantía de los derechos garantizados en la Constitución Federal de 1988, constituyendo un espacio de resistencia para la continuidad de las existencias plurales de los pueblos indígenas de Brasil.
O “Bolsa Família” nativo: monetarização, redistribuição de renda e a vida social dos Rikbaktsa, Amazônia brasileira
Authors: Athila Adriana Romano
Published: December 2024

Resumo Especialmente a partir dos anos 2000, povos indígenas no Brasil se tornam beneficiários de políticas previdenciárias e de transferência de renda, como o programa nacionalmente conhecido por Bolsa Família. Poucos estudos de campo avaliaram a grandeza e o significado da monetarização sobre a vida social e economias indígenas. Com este objetivo, entre 2019 e 2020, realizei um estudo etnográfico e um survey em duas aldeias dos Rikbaktsa, na Amazônia brasileira. Os resultados quantitativos acusavam a disseminação do dinheiro de Programas governamentais e outras atividades, formando diferentes classes de renda. Importantes transações não eram capturadas, tidas como “ajudas “que não podiam ser negadas por aqueles com algum dinheiro. Ao modo de um “Bolsa Família” nativo, recursos híbridos eram redistribuídos através de um aquecido mercado aldeão, contrariando diferenças socioeconômicas e condições desiguais. A discussão encontra um contexto sociopolítico globalmente desfavorável e que agrava iniquidades históricas nas condições de vida e saúde de povos indígenas. A pesquisa contribui à produção de dados e à proposição de metodologias culturalmente sensíveis para estimar e permitir a governança de políticas públicas para e por indígenas, recomendáveis à reversão daquelas iniquidades.
The indigenous “Bolsa Família” (Family Allowance): monetarization, income redistribution, and the social life of the Rikbaktsa, Brazilian Amazon
Authors: Athila Adriana Romano
Published: December 2024

Abstract Primarily since the early 2000s, Indigenous peoples in Brazil have become beneficiaries of social security and income transfer policies, such as the program known as Bolsa Família (Family Allowance). Few field studies have evaluated the magnitude and significance of monetarization in Indigenous social lives and economies. To this end, between 2019 and 2020, the present work conducted an ethnographic study and survey in two villages of the Rikbaktsa people in the Brazilian Amazon. The quantitative results showed the social dissemination of money from governmental Programs and other activities, producing marked income classes. Important transactions were not captured, considered as “helps” that could not be denied by those with a given amount of money. Like an Indigenous “Bolsa Família”, hybrid resources were redistributed in a heated-up village market, counteracting socioeconomic differences and unequal conditions. The discussion takes place in a globally unfavorable sociopolitical context that exacerbates historical inequalities expressed in the living and health conditions of Indigenous peoples. This research contributes to the production of data and the proposal of culturally sensitive methodologies to estimate and enable the governance of public policies for/by Indigenous people, which are recommended to reverse these inequities.
Estratégias governamentais e comunitárias em Pernambuco, Brasil, para o enfrentamento da COVID-19
Authors: Casanova Ângela Oliveira , Marchon-Silva Verônica , Reis Ana Cristina , Gomes Marcelly de Freitas , Cesaro Bruna Campos De , Souza Rafaela Barros Chagas de , Cunha Maria Luiza Silva , Cruz Marly Marques da
Published: December 2024

Resumo Este estudo de caso buscou analisar arranjos e estratégias da rede de atores no território do Distrito Sanitário Especial Indígena (DSEI) Pernambuco para a garantia do direito à saúde dos indígenas na pandemia da COVID-19. A pesquisa foi realizada através de análise documental, oficina de trabalho e pesquisa de campo. O Plano de Contingência para COVID-19 em Povos Indígenas do DSEI Pernambuco contemplou ações de vigilância, assistência laboratorial e farmacêutica, comunicação e gestão. Com a modelização deste documento, percebeu-se que não foram integradas ações voltadas para as especificidades locais: em seu desenho inicial, desde o nível nacional, lideranças indígenas não foram ouvidas para a adequação deste plano. Por outro lado, destaca-se a ação destas lideranças e sua mobilização para mitigar os efeitos da pandemia na população. Fatores contextuais foram citados como facilitadores e dificultadores da implementação do plano; e o mapeamento da rede sociotécnica local permitiu identificar atores e actantes estratégicos no enfrentamento da pandemia da COVID-19 e verificar a sua atuação ou inoperância. Os achados deste estudo refletem problemas recorrentes da organização do sistema de saúde indígena.
Meeting of Knowledges: Critical Interculturality and Collective Health
Authors: Miranda Victor André Martins de , Belizario Ana Boross Queiroga , Pereira Marcio Florentino
Published: December 2024

Abstract The National Policy for the Care of Indigenous Peoples (NPCIP) faces an enormous challenge in operationalization regarding the training and qualification of health professionals to work in an intercultural context. In this article, we open a dialogue with the proposal of a Meeting of Knowledges (MK) as a teaching and learning strategy capable of promoting a critical intercultural education. We seek to reflect on the possible impact of MK in the health field for transforming the university environment, as well as healthcare for Indigenous communities, towards an entrenched, democratic, pluriepistemic, and transdisciplinary perspective.
Analysis of cases of intimate partner violence against indigenous women reported in the macroregion of Dourados-MS, Brazil
Authors: Freitas Glênio Alves de , Marcon Gláucia Elisete Barbosa , Welch James Robert , Silva Cosme Marcelo Furtado Passos da
Published: December 2024

Abstract The present study aimed to analyze notifications of intimate partner violence (IPV) against indigenous women in the macro-region of Dourados-MS, Brazil, from 2009 to 2020. This is a cross-sectional study with secondary data from registered reports in the Notifiable Diseases Information System (SINAN) of indigenous women who suffered violence. Descriptive statistics of the variables and Poisson regression were performed to determine the prevalence ratio (PR). IPV represented 56.6% of reports. The most reported types of violence were physical violence (93.3%) and psychological violence (27%). In the adjusted analysis, IPV was associated with women with partners (PR 1.32, 95%CI 1.19; 1.46), and women in situations of repeated violence (PR 1.15, 95%CI 1.05; 1.25) and at home as the place of occurrence (PR 1.13, 95%CI 1.01; 1.29). The majority of reports of violence against indigenous women registered in the Dourados health macro-region were perpetrated by an intimate partner. Knowledge of the profile of violence that arrives at health services, combined with associated factors, should enable the implementation of strategies aimed at reducing the number of cases.
Análisis de casos de violencia de pareja íntima contra mujeres indígenas notificados en la macrorregión de Dourados-MS, Brasil
Authors: Freitas Glênio Alves de , Marcon Gláucia Elisete Barbosa , Welch James Robert , Silva Cosme Marcelo Furtado Passos da
Published: December 2024

Resumen El objetivo del estudio es analizar las notificaciones de violencia de pareja íntima (VPI) contra mujeres indígenas en la macrorregión Dourados-MS, entre 2009 y 2020. Se trata de un estudio transversal con datos secundarios de notificaciones registradas en el Sistema de Información de Enfermedades/Daños a la salud de Notificación (SINAN) de mujeres indígenas que han sufrido violencia. Se realizó estadística descriptiva de las variables y regresión de Poisson para determinar la razón de prevalencia (RP). La VPI representó el 56,6% de las notificaciones. Los tipos de violencia más notificados fueron la violencia física (93,3%) y la violencia psicológica (27%). En el análisis ajustado, la VPI se asoció a mujeres con pareja (RP 1,32; IC95%: 1,19; 1,46), a mujeres en situación de violencia reiterada (RP 1,15; IC95%: 1,05; 1,25) y al hogar como lugar de ocurrencia (RP 1,13; IC95%: 1,01; 1,29). La mayoría de las denuncias de violencia contra mujeres indígenas en la macrorregión de salud de Dourados fue perpetrada por la pareja íntima. El conocimiento del perfil de violencia que llega a los servicios de salud, junto con los factores asociados, debe permitir implementar estrategias dirigidas a reducir el número de casos.
Eventos estressores e fatores associados em estudantes ingressantes de uma universidade pública no sul do Brasil
Authors: Höfs Fabiane Neitzke , Gomes Ana Paula , Gonçalves Helen
Published: December 2024

Resumo Introdução O estresse é a sensação de desconforto ou opressão causada pela reação do indivíduo a eventos estressores, que podem ser internos ou externos, variando conforme a percepção e a capacidade de enfrentamento de cada pessoa. Objetivo Identificar a prevalência e os fatores associados a eventos estressores em universitários. Métodos Estudo transversal, com 1.842 estudantes universitários ingressantes, da cidade de Pelotas-RS. A ocorrência dos eventos estressores foi avaliada por meio de um escore. As variáveis independentes foram: sexo, identidade de gênero, orientação sexual, idade, cor da pele, situação conjugal, escolaridade materna, classe socioeconômica, situação ocupacional, local de origem, coabitação, local da moradia e consumo de tabaco, bebida alcoólica e drogas. Resultados A prevalência geral de eventos estressores na amostra foi alta (95,3%). Os eventos mais prevalentes foram: sentir-se muito ansioso pela sobrecarga da graduação (83,8%) e pela pressão para ter bom desempenho acadêmico (65,0%). Os fatores associados foram: (a) mulheres: ter entre 18 a 22 anos, ser homossexual/bissexual e ser proveniente de outras cidades do estado ou de outro estado/país; (b) homens: ser homossexual/bissexual, ser proveniente de outro estado/país e consumir bebida alcoólica semanalmente. Conclusão A elevada prevalência de eventos estressores demonstra que maior atenção deve ser direcionada à saúde mental da população universitária.
La Daseinsanalyse de Ludwig Binswanger: corps, direction de sens et psychothérapie
Authors: Bloc Lucas
Published: December 2024

En considérant les contributions daseinsanalytiques de Binswanger, cet article se présente comme une revue narrative de la littérature qui propose un retour à ses œuvres avec le but de discuter trois axes centraux: le corps vécu, les directions de sens et la psychothérapie. En reconnaissant le Dasein comme corporel, Binswanger positionne le corps comme un moyen d’expression des différents modes d’existence et comme un indicatif des directions de sens qui marquent la spatialité de l’existence. Par rapport à la psychothérapie, il souligne la nécessité d’explorer l’histoire de vie pour découvrir les flexions de la structure de l’être-dans-le-monde. On peut conclure que chez Binswanger ces trois axes de discussion se croisent dans la mesure où ils font partie de sa structure de compréhension dans la Daseinsanalyse, approchant la discussion psychopathologique de la pratique clinique.
O encontro do adulto com as infâncias em dissidência: entre o enrijecimento e a plasticidade
Authors: Villar Rafaela Soares , Farias Camila Peixoto
Published: December 2024

O presente artigo é fruto de uma pesquisa teórica e construída a partir do método psicanalítico. O objetivo principal é investigar alguns aspectos dos possíveis desdobramentos da relação adulto-criança para os adultos. No entanto, não pensamos esse encontro de forma universalizante, mas, sim, a partir do recorte de crianças identificadas pelos adultos como LGBTQIAPN+. Como desfecho da discussão, propomos que uma das possibilidades de reverberação psíquica nos adultos seja a convocação de aspectos do pulsional perverso polimorfo. Tal ativação parece exigir um intenso trabalho psíquico do adulto, o qual pode vir a se defender, por vezes de forma violenta, e/ou acolher de forma mais ou menos rígida as manifestações dessas crianças. Apontamos, também, para o aspecto social presente nos direcionamentos pulsionais, que vêm facilitar ou dificultar determinados encaminhamentos.
Amazônia brasileira nos livros didáticos de Ciências da Natureza e Matemática do Ensino Médio
Authors: Oliveira Mirella Carvalho de Araujo , Araújo Lucas Pereira de , Costa Dailson Evangelista , Mariano Wagner dos Santos
Published: December 2024

Resumo Este estudo é orientado pela seguinte pergunta de pesquisa: como a Amazônia brasileira é abordada em livros didáticos de Ciências da Natureza e Matemática utilizados no Ensino Médio? Seu objetivo é conhecer os aspectos da Amazônia apresentados nesses livros. Os processos metodológicos desta investigação são fundamentados pelos princípios da pesquisa documental. A coleção Multiversos foi aprovada pelo PNLD em 2021 e é composta de seis livros didáticos da área das Ciências da Natureza e suas Tecnologias, e seis de Matemática e suas Tecnologias. Para as análises utilizou-se o método de Análise de Conteúdo, com apresentação e descrição das unidades de registro. Os resultados indicam que a Amazônia brasileira é abordada de forma insuficiente nos LDs, por vezes servindo apenas como contextualização para exercícios. Além disso, os livros didáticos tendem a destacar aspectos negativos, como queimadas e desmatamentos, em detrimento da riqueza cultural, social, natural e ecológica da região.
A influência do conteúdo de anatomia do sistema reprodutor sobre o conceito de saúde sexual de universitários do Curso de Enfermagem
Authors: Ferreira Lorrayne Barreto , Santos Déborah Machado dos , Oliveira Gustavo Vieira de
Published: December 2024

Resumo A anatomia do sistema reprodutor é importante para o entendimento de aspectos clínicos relacionados à saúde sexual. Considerando que os universitários estudam a anatomia nos períodos iniciais do curso, enquanto as disciplinas de saúde sexual ocorrem mais tarde, não é conhecida a percepção dos alunos acerca do conhecimento de anatomia do sistema reprodutor e saúde sexual. Portanto, o objetivo deste estudo foi avaliar o impacto do conteúdo de anatomia do sistema reprodutor masculino e feminino sobre o conhecimento de saúde sexual de discentes do curso de enfermagem. A pesquisa foi realizada com 97 discentes cursando entre o 3º e 10º período do curso de enfermagem, utilizando um método qualitativo, descritivo e exploratório. O presente estudo observou que universitários do curso de enfermagem compreendem que o ensino da anatomia do sistema reprodutor masculino e feminino é relevante para entender aspectos relacionados à saúde sexual.
Motivações cognitivas e funcionais para neologismos verbais do português brasileiro: a construção “sextar” e outras instanciações análogas
Authors: Ferreira Paulo Ricardo Sousa , Amaral Luana Lopes
Published: December 2024

RESUMO Este artigo investiga o neologismo “sextar” e outras construções análogas no português brasileiro, como “segundar”, “feriadar” e “dezembrar”. O objetivo deste estudo é compreender as motivações funcionais e cognitivas envolvidas na criação de construções lexicais desse tipo, utilizando-se uma forma verbal para expressar um conceito de objeto temporal, como “sexta-feira”. Partindo da perspectiva teórica da Gramática de Construções (Croft, 2022), nossa hipótese é a de que a criação das construções analisadas é motivada pela necessidade discursiva de se expressar ações realizadas durante tais objetos de tempo, conforme nossas experiências culturais. Para criar essas palavras, portanto, utiliza-se a estrutura da construção verbal (a morfologia verbal), conforme os objetivos comunicativos dos falantes. No texto, analisamos como a expressão ocorre através de uma estratégia morfossintática verbal com o sufixo -ar e seu paradigma regular, estrutura prototipicamente associada à expressão de ações. Propomos, assim, que esses verbos instanciam a construção [[X]OBJETO TEMPO -ar], que denota ações culturalmente vinculadas a um determinado objeto temporal, e o sentido de cada neologismo instanciado relaciona-se ao frame evocado desse objeto. e.g. “sextar” significa, resumidamente, algo como “celebrar o fim de semana” enquanto “segundar” significa “retornar às obrigações semanais”.
Learning Portuguese, constructing identity: a single-case study of a Pakistani student in Brazil
Authors: Oppelt Camila Quevedo
Published: December 2024

ABSTRACT Due to growing interest in less common languages, Portuguese as an additional language has seen a rise in popularity, particularly in academic settings. Despite this, research on foreign graduate students learning Portuguese in Brazil remains scarce. This study investigates the cultural and identity (re)construction of one such student. Grounded in Vygotsky’s (1978) theory and informed by the Sociocultural Theory of Second Language Development (Lantolf, 2013) and investment theory developed by Bonny Norton (1995), which emphasize identity and motivation, we explore the experiences of a foreign graduate student at a southern Brazilian public university. Our analysis reveals a complex interplay between language development and cultural integration, ultimately suggesting the participant achieved his academic and professional goals - including successful completion of Portuguese courses - through language proficiency. By recollecting Abdul’s Muslim identity, it becomes clearer how social identities are constructed and reconstructed in and from social interactions. This highlights the limitations of simplistic views about learning - they are far more intricate than we often realize. The interplay between social interactions, power dynamics, and language development becomes clear: these elements are fundamentally linked.
Methodological aspects in the food consumption assessment of pregnant women in the Multicenter Study of Iodine Deficiency
Authors: Crispim Sandra Patricia , Silva Débora Letícia Frizzi , Macedo Mariana de Souza , Almeida Claudia Choma Bettega , Elias Vanessa Cardozo Mendes , Franceschini Sylvia do Carmo Castro
Published: December 2024

ABSTRACT Objective To describe in detail the methodological aspects used in the assessment of food consumption of pregnant women within the Multicenter Study of Iodine Deficiency to streamline the reproducibility of this work and other studies. Methods The 24-hour dietary recall (24hR) was used to assess pregnant women’s dietary intake (n=2,247) in a nationwide sample. The method was adapted for paper application, followed by data entry in the GloboDiet software. Subsequently, the data were verified for inconsistencies and submitted to quality control (e.g., Goldberg analysis). Foods were also categorized under the NOVA classification and food groups. Results Several challenges were observed in the study: adaptation of the print format-based data collection for the software data entry and the lack of iodine data composition. However, some potentialities of the collected data stand out, including the standardized, detailed collected data and the types of dietary indicators that can be generated from the created databases. Conclusion We expect the shared information to favor data harmonization and, therefore, enable the comparison of evidence generated among Brazilian studies.
Evaluation of attitudes and approaches of mothers with 6-24 months old infants about infant nutrition and complementary foods
Authors: Kaya Asiye , Tokpunar Merve , Çelik Fatma
Published: December 2024

ABSTRACT Objective This study was conducted to underline the importance of breastfeeding and complementary feeding period, to see the knowledge levels and attitudes of mothers in these processes and to address the problems experienced in this period for both mother and baby. Methods In this study, the data collection form prepared by the researcher and the Infant Feeding Attitude Scale were used. The study was conducted with 272 mothers aged 18 years and over with infants aged 6-24 months who started complementary feeding. The mothers who participated in the study resided in various parts of Turkey, agreed to participate in the study through various social media accounts and shared their phone numbers. Results In the study, the time of giving water to the babies for the first time was compared with the educational status of the mothers, it was observed that 7.2% of the mothers who gave water after the 6th month of life had a high school degree or less, 69% had a bachelor's degree and 23.8% had a master's degree. It was found that cow's milk was not consumed by 67.2% of the infants, while yoghurt was consumed by 65% of the infants between 4-6 months as a complementary food. Honey was consumed by 7% of the infants before 12 months and 46.7% after 12 months. Egg white and egg yolk were consumed as complementary foods by 70% and 89.8% of the infants, respectively, at 12 months and before. It was observed that 91.6% of the mothers who participated in the study stated that their babies did not consume coffee, 69.3% tea and 86.1% instant fruit juice. It was found that the mean scores of the infant feeding attitude scale were lower in mothers of infants who were not employed, high school graduates, perceived their income as higher than their expenses, used formula while breastfeeding, and received breast milk alone for the first 1 month. Conclusion The results of our study show that mother’s positive attitudes about infant feeding are reflected in their lives and have a positive effect on their infant’s feeding. In the light of the relevant results, the attitudes and approaches of mothers with infants aged 6-24 months were revealed.