bluuebunny/crossref_metadata_2025 huggingface dataset:
Research Reporting Guidelines in Dentistry: A Survey of Editors
Authors: Sarkis-Onofre Rafael , Cenci Maximiliano Sérgio , Moher David , Pereira-Cenci Tatiana
Published: December 2016

Abstract The use of reporting guidelines has an important role in the development of health research, improving the quality and precision of the publications. This study evaluated how dental journals use reporting guidelines. All editors of dental journals registered on the 2013 Journal Citation Reports list (n=81) were invited to participate. The data were collected by a self-reported web-based questionnaire. Information about the profile of journal/editor and on the use of reporting guidelines by journals was gathered. Information/recommendations about the use of reporting guidelines were collected from the websites of all journals. Data were descriptively analyzed and frequencies were summarized. Thirty-four (42%) editors completed the questionnaire. Most journals are members of Committee on Publication Ethics (64.7%) and/or follow the International Committee of Medical Journal Editors recommendations (20.6%), while 26.5% are not members of any editorial group. Most editors are unfamiliar with the EQUATOR Network (55.9%), do not work full time (85.3%) and 88.2% have some income/payment. Most of them received educational training for this position (55.9%). The CONSORT Statement was endorsed by 61.8% of journals. Information from websites showed that 44.4% journals do not recommend any reporting guideline, 51.9% mention CONSORT Statement in the website and 28.4% only recommend the use of CONSORT Statement. There is clearly room for improving the use of reporting guidelines in dental journals. Broadening the understanding and the endorsement/adherence/implementation of reporting guidelines by journals may promote quality and transparence of published dental research.
PROFILE OF CONSUMPTION OF PSYCHOACTIVE SUBSTANCES AND ITS RELATIONSHIP TO SOCIODEMOGRAPHIC CHARACTERISTICS: A CONTRIBUTION TO A BRIEF INTERVENTION IN PRIMARY HEALTH CARE, RIO DE JANEIRO, BRAZIL
Authors: Abreu Angela Maria Mendes , Parreira Pedro Miguel Santos Dinis , Souza Maria Helena do Nascimento , Barroso Teresa Maria Mendes Diniz de Andrade
Published: December 2016

ABSTRACT The aim of this study was to analyze the profile of consumption of psychoactive substances in the past three months and their association with sociodemographic variables. A cross-sectional study was conducted with users of the Family Health Strategy in the perspective of the brief intervention, in the city of Rio de Janeiro, Brazil. The sample included 1,489 users of the service interviewed throughout a year. The consumption of substances was assessed through the questionnaire Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis was developed using the software SPSS. The highest prevalence rates in the past three months were found in the male subsample for use of tobacco (56.4%), alcoholic drinks (75.8%), cannabis (16.9%), and cocaine/crack (10.1%). Religion and educational level appear as an important protective factor against the use of drugs. A prevalence of consumption of psychoactive substances among the users of this area within the scope of work of nurses was evidenced.
THE MEANINGS OF CARING FOR PRE-TERM CHILDREN IN THE VISION OF MALE PARENTS
Authors: Soares Rachel Leite de Souza Ferreira , Christoffel Marialda Moreira , Rodrigues Elisa da Conceição , Machado Maria Estela Diniz , Cunha Adriana Loureiro da
Published: December 2016

ABSTRACT The purposes of the study was to analyze the meanings assigned by the father to the assistance of pre-term infants in a Neonatal Intensive Care Unit and to discuss how these meanings influence paternal care. It is a qualitative study with an ethnographic approach, carried out in a neonatal unit in Rio de Janeiro. Twenty-two fathers whose pre-term infants were hospitalized have been interviewed. Data were collected by means of a field logbook, participative observation and semi-structured interviews. Through thematic analysis, the inferred categories were a) father-child proximity and the permanence at the Neonatal Intensive Care Unit: overcoming obstacles and revealing motivations, b) the inclusion of fathers in caring for pre-term children: limits and possibilities. Nurses should favor the proximity of fathers and newborns to strengthen their relationship. The intensivist care neonatal practice should include strategies to support male parenting in pre-term birth considering the perspective of gender equity.
EXPERIENCE OF DIAGNOSIS DISCLOSURE FOR TEENAGERS WITH HIV
Authors: Brum Crhis Netto de , Paula Cristiane Cardoso de , Padoin Stela Maris de Mello , Zuge Samuel Spiegelberg
Published: December 2016

ABSTRACT Phenomenological study with the objective of understanding the existential movement of teenagers in their experience of the disclosure of the human immunodeficiency virus diagnosis. The field research was undertaken at a university hospital in the South of Brazil, including phenomenological interviews with 12 teenagers. The analysis was based on Martin Heidegger's reference framework. The results appointed that the teenagers showed they have rules and limits for having something that the others do not have and accept taking their medication. They keep busy with their treatment due to family members' dominant solicitude. Over time, they learn to take care of themselves. By understanding the reasons for the treatment, based on the liberating request of their relatives and/or health professionals, they are concerned with taking care of themselves. Professional actions need to contemplate the biological and subjective dimension, with a view to going beyond the prescription, in order to commit the teenagers to their care.
MATERNAL AND CHILD RISK FACTORS ASSOCIATED WITH NEONATAL MORTALITY
Authors: Gaiva Maria Aparecida Munhoz , Fujimori Elizabeth , Sato Ana Paula Sayuri
Published: December 2016

ABSTRACT This was a cross-sectional study that investigated maternal and child factors associated with neonatal mortality. Data was obtained from the Live Births and Mortality Information Systems integrated by linkage. A total of 9,349 live births and 78 deaths in the neonatal period, which occurred in 2010 in Cuiabá-MT were analyzed. Univariate and multivariate analyzes were performed. In the multiple logistic regression, neonatal mortality was associated with: maternal age less than 20 years; prematurity; low birth weight; Apgar score less than seven at 1 and 5 minutes; and presence of congenital anomaly. The results highlight the need to improve the quality of prenatal care in order to prevent low birth weight and prematurity. The association between neonatal death and low Apgar score at 1 and 5 minutes indicates the importance of investments in delivery care.
RELATIONSHIP BETWEEN ELDERLY BODY MASS INDEX AND MOTOR PERFORMANCE IN PEER GROUPS
Authors: Oliveira Thalita Andrade , Duarte Stenio Fernando Pimentel , Reis Luciana Araújo do
Published: December 2016

ABSTRACT This analytical, cross-sectional and quantitative study aimed at investigating the relationship between body mass index and motor performance of elderly who participated in a peer group. The study site was a elderly' peer group that included 82 people, in the municipality of Vitória da Conquista-BA (Brazil). A statistically significant difference between the variables body mass index (above 27 kg/m2) and limited balance (p-value=0,008), and between body mass index (above 27 kg/m2) and limitation to squat and pick a pencil from the floor (p-value=0.004) was found by applying the Chi-square test. This study found that the body mass index (above 27 kg/m2) negatively influenced the following activities in the elderly: balance and squat to pick up a pencil from the floor.
IMPLEMENTATION OF THE INTEGRALITY PRINCIPLE IN TECHNICAL NURSING COURSES AT SCHOOLS IN THE SUS NETWORK
Authors: Tafner Daniela Priscila Oliveira do Vale , Reibnitz Kenya Schmidt , Lazzari Daniele Delacanal
Published: December 2016

ABSTRACT Objective: to understand how the coordinators of technical schools in the Unified Health System perceive the application of the integrality principle in the training process of nursing technicians. Method: qualitative research through the Collective Subject Discourse, involving 12 coordinators of technical nursing courses taught at technical schools of the Unified Health System. Results: two categories emerged from the analysis of the data: Teaching bond and difficulty to insert the integrality principle; and Weaknesses and potentials of student workers related to the integrality principle. Conclusion: according to the coordinators of the technical schools in the Unified Health System, the development of the integrality principle is an urgent need; and there are difficulties to structure it concerning the casualization of teaching work and resistance to change by the students workers. In contrast, the fact that these students are already inserted in practice seems to facilitate the understanding of the importance of continuously developing these principles.
FACTORS ASSOCIATED WITH VIOLENCE IN SCHOOLS: EXTENDING KNOWLEDGES AND PRACTICES FOR NURSING
Authors: Dalcin Camila Biazus , Backes Dirce Stein , Zanatta Fabricio Batistin , Sousa Francisca Georgina Macedo de , Siqueira Hedi Crecencia Heckler de , Oliveira Adriane Maria Netto de
Published: December 2016

ABSTRACT This study aimed to identify the factors associated with violence among students of public schools located in the central region of Rio Grande do Sul. It is an observational, transversal and analytical study. The sample was made up of 435 students aged from 10 to 19 years old. The data were collected through a structured questionnaire applied via interview. Associations between the dependent and independent variables were taken from the Poisson regression model. Once analyzed, the data evidenced greater prevalence between violence and the following variables: male sex, larger number of siblings, and a low income; while religion was associated as an indicator of protection for psychological violence. It is concluded that interdepartmental, interdisciplinary and multidimensional approaches constitute an important strategy for promoting health and reducing violence in schools, above all in communities with indicators of vulnerability. Specific strategies for the work of the nurse are indicated for preventing risks associated with violence.
TUBERCULOSIS CONTROL ACTIONS: ANALYSIS BASED ON THE ACCESS AND PRIMARY HEALTH CARE QUALITY IMPROVEMENT PROGRAM
Authors: Clementino Francisco de Sales , Marcolino Emanuella de Castro , Gomes Luciano Bezerra , Guerreiro Joria Viana , de Miranda Francisco Arnoldo Nunes
Published: December 2016

ABSTRACT The study's aim was to analyze primary health care delivered to people with tuberculosis on a national level, based on the information collected by an external assessment implemented by the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. This cross-sectional study with a quantitative approach used data from the 2nd cycle external assessment of the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica conducted in 2014. The Statistical Package for Social Sciences was used to establish frequencies and check for associations using the Chi-square test. The percentage of Family Health Strategy units recording the annual number of confirmed tuberculosis cases and respiratory symptoms was high for the entire country (81.1%). In contrast, the recording of follow-up of tuberculosis cases was performed by only 48.3% of the facilities, while only 48% of the health basic unites units implemented directly observed treatment. The findings reveal barriers in the structure of health basic unites units regarding the operationalization and sustainability of care provided to individuals with tuberculosis, including directly observed treatment.
INVISIBILITY OF SOCIAL VULNERABILITY AND SOCIAL RIGHTS TO A COMPREHENSIVE HEALTH CARE IN CHILE
Authors: Arcos Estela , Canales Mónica , Muñoz Luz Angélica , Toffoletto María Cecilia , Sánchez Ximena , Vollrath Antonia
Published: December 2016

ABSTRACT Objective: To estimate the magnitude of perception of invisibility of social vulnerability and its impact on the access to universal and specific services of the Comprehensive Childhood Protection System in Chile. Method: Cross-sectional study in 50 vulnerable dyads, who were registered in a family health care center (Metropolitan Region, Chile; 2012). After the informed consent, mothers were interviewed using a structured questionnaire. A correspondence analysis model was applied. Results: The invisibility of social vulnerability estimated for mothers (92.0%) and children (86.0%), and a better access was observed to universal services by children and to specific services by mothers. Conclusion: The invisibility of vulnerability limits the opportunities of social protection for disadvantaged groups. Therefore, public policy does not correct social inequalities, which deserve attention by the public health managers in Chile.
Análise comparativa entre o EVA® e os indicadores financeiros (contábeis) tradicionais de empresas da construção civil brasileira: um estudo documental
Authors: Almeida Leonardo Soares Francisco de , Vieira Neto Julio , Salles Mara Telles , Soares Carlos Alberto Pereira , Esteves Yohans de Oliveira
Published: December 2016

Resumo A fim de se adequarem à competitividade, as empresas estão realizando mudanças para acompanhar o cenário econômico atual. Nesse sentido é necessário buscar indicadores mais confiáveis que possibilitem uma maior compreensão do quanto foi agregado ao negócio. Este artigo propõe efetuar o cálculo do EVA® e compará-lo com os indicadores econômicos tradicionais na apuração do lucro contábil de empresas, verificando as vantagens e desvantagens da aplicação do EVA® como sistema de gestão baseado em valor e controle financeiro. A relevância deste estudo está em reconhecer a proposta que melhor mensura, adequadamente, o valor do capital e seu custo de oportunidade. A metodologia proposta baseou-se na aplicação e comparação de métricas para mensurar adequadamente o valor do capital e o custo da remuneração desse capital em dez empresas da construção civil, escolhidas do site da BM&FBOVESPA, utilizando o método tradicional e o EVA®. O resultado deste estudo aponta que o lucro contábil não representa o valor real de ganho ou perda para os stakeholders e que a própria perda não significa prejuízo, pois a métrica tradicional não contempla o custo de oportunidades ou remuneração do capital.
Otimização da programação da produção de bebidas à base de frutas por meio de modelos de programação inteira mista
Authors: Pagliarussi Marina Sanches , Morabito Reinaldo , Santos Maristela Oliveira
Published: December 2016

Resumo Neste estudo, considera-se um problema de dimensionamento e programação de lotes de produção de bebidas não alcoólicas à base de frutas. O problema é caracterizado por horizonte de planejamento com múltiplos períodos, processo de produção com máquinas distintas, restrições de capacidades de produção e tempos de preparação das máquinas independentes da sequência de produção, além de condições especiais de preparações, como limpezas obrigatórias das máquinas dentro de limitações de tempo de produção. Para tratar o problema, propõe-se uma abordagem de solução baseada em modelos de programação matemática e uso de softwares de otimização. Os modelos são modificações de modelos de programação linear inteira mista conhecidos na literatura de dimensionamento e programação de lotes de produção. Porém, ao invés de considerar múltiplas máquinas em paralelo, os modelos propostos exploram outras possíveis configurações de máquinas para representar apropriadamente os processos de produção envolvidos na produção de bebidas à base de frutas. A abordagem proposta é validada por meio de um estudo realizado em uma fábrica de sucos e néctares de frutas no interior do Estado de São Paulo, em que as soluções obtidas pelos modelos foram testadas e analisadas em situações realistas da empresa. Os resultados mostram que a abordagem tem bom potencial de aplicação prática.
Priorização de práticas verdes em GSCM: estudo de casos com empresas da indústria do pêssego
Authors: Sellitto Miguel Afonso , Hermann Felipe Fehlberg
Published: December 2016

Resumo O objetivo deste artigo é definir prioridades para as práticas verdes que são observadas em cadeias de suprimentos da indústria do pêssego. O método de pesquisa é a modelagem qualiquantitativa. As unidades de análise são quatro empresas focais da cadeia de suprimentos da indústria do pêssego da região de Pelotas. Foi elaborado um modelo para estruturar práticas verdes observadas na indústria, a partir da literatura sobre GSCM (Gestão Verde da Cadeia de Suprimento). O modelo inclui três construtos: Estratégia, Inovação e Operações. Dezesseis práticas verdes presentes na literatura foram distribuídas entre os construtos. Um grupo focado de três especialistas adaptou o modelo à indústria do pêssego de Pelotas, eliminando três práticas. As restantes foram priorizadas por gestores das empresas com apoio do método AHP de análise multicriterial. Com base no resultado, cinco práticas foram consideradas prioritárias para a indústria: Ecodesign, Cooperação, Avaliação de Desempenho, Compras Verdes e Manufatura Verde, nesta ordem.
Governanças híbridas complementares aos contratos de manufatura: um estudo de caso
Authors: Cruz Valcir de Jesus Sousa da , Paulillo Luiz Fernando
Published: December 2016

Resumo: Este trabalho tem por objetivo mostrar as formas de governança complementares aos contratos de uma empresa dona de marcas (OEM) utilizando os princípios teóricos da Nova Economia Institucional para o desenvolvimento dos modos de governança híbrida. Foi realizado um estudo de caso, sendo entrevistados os gerentes das áreas de desenvolvimento de produtos, suprimentos e manufatura para medir suas percepções a respeito da utilização de mecanismos complementares aos contratos para a coordenação dos fornecedores de serviço de manufatura eletrônica (EMS). Verificou-se que, devido aos investimentos em especificidades de ativos de propriedade intelectual e de marca, assim como às incertezas relacionadas ao ambiente de negócio, os contratos se mostraram insuficientes para governar as transações. As análises realizadas permitiram mostrar que as transações de fornecimento de manufatura eletrônica são coordenadas por mecanismos complementares aos contratos, através de um modelo de governança híbrida formado por confiança, mutualismo e liderança.
Boerhaave syndrome - case report
Authors: Dinic Biljana Radovanovic , Ilic Goran , Rajkovic Snezana Tesic , Stoimenov Tatjana Jevtovic
Published: December 2016

ABSTRACT CONTEXT: Boerhaave syndrome consists of spontaneous longitudinal transmural rupture of the esophagus, usually in its distal part. It generally develops during or after persistent vomiting as a consequence of a sudden increase in intraluminal pressure in the esophagus. It is extremely rare in clinical practice. In 50% of the cases, it is manifested by Mackler's triad: vomiting, lower thoracic pain and subcutaneous emphysema. Hematemesis is an uncommon yet challenging presentation of Boerhaave's syndrome. Compared with ruptures of other parts of the digestive tract, spontaneous rupture is characterized by a higher mortality rate. CASE REPORT: This paper presents a 64-year-old female patient whose vomit was black four days before examination and became bloody on the day of the examination. Her symptoms included epigastric pain and suffocation. Physical examination showed hypotension, tachycardia, dyspnea and a swollen and painful abdomen. Auscultation showed lateral crackling sounds on inspiration. Ultrasound examination showed a distended stomach filled with fluid. Over 1000 ml of fresh blood was extracted by means of nasogastric suction. Esophagogastroduodenoscopy was discontinued immediately upon entering the proximal esophagus, where a large amount of fresh blood was observed. The patient was sent for emergency abdominal surgery, during which she died. An autopsy established a diagnosis of Boerhaave syndrome and ulceration in the duodenal bulb. CONCLUSION: Boerhaave syndrome should be considered in all cases with a combination of gastrointestinal symptoms (especially epigastric pain and vomiting) and pulmonary signs and symptoms (especially suffocation).
A single dose of dark chocolate increases parasympathetic modulation and heart rate variability in healthy subjects
Authors: DUARTE Ana Amélia Machado , MOSTARDA Cristiano , IRIGOYEN Maria Claudia , RIGATTO Katya
Published: December 2016

ABSTRACT Objective: The aim of this study was to investigate the acute effect of a single dose of dark chocolate (70% cocoa) on blood pressure and heart rate variability. Methods: Thirty-one healthy subjects (aged 18-25 years; both sexes) were divided into two groups: 10 subjects in the white chocolate (7.4 g) group and 21 in the dark chocolate (10 g) group; measurements were performed at the university's physiology lab. An electrocardiogram measured the sympathovagal balance by spectral and symbolic analysis. Results: A single dose of dark chocolate significantly reduced systolic blood pressure and heart rate. After consuming 10 g of dark chocolate, significant increases were observed for heart rate variability, standard deviation of RR intervals standard deviation of all NN intervals, square root of the mean squared differences between adjacent normal RR intervals root mean square of successive differences, and an increase in the high frequency component in absolute values, representing the parasympathetic modulation. Conclusion: In conclusion the importance of our results lies in the magnitude of the response provoked by a single dose of cocoa. Just 10 g of cocoa triggered a significant increase in parasympathetic modulation and heart rate variability. These combined effects can potentially increase life expectancy because a reduction in heart rate variability is associated with several cardiovascular diseases and higher mortality.
Self-reported type 2 diabetes Mellitus is associated with abdominal obesity and poor perception of health in shift workers
Authors: FRÖHLICH Carine , CANUTO Raquel , GARCEZ Anderson da Silva , PATTUSSI Marcos Pascoal , HENN Ruth Liane , OLINTO Maria Teresa Anselmo
Published: December 2016

ABSTRACT Objective: To investigate factors that are associated with type 2 diabetes Mellitus in shift workers of a slaughterhouse in Southern Brazil. Methods: This cross-sectional study included 1,194 18- to 50-year-old workers of both sexes. The presence of type 2 diabetes Mellitus was self-reported and confirmed by the use of hypoglycemic drugs or insulin. The independent variables were sex, age, skin color, marital status, education level, family income, leisure time physical activity, smoking, and self-reported health and nutritional status (body mass index and waist circumference). Multivariate analysis was performed from an a priori conceptual model. Results: The prevalence of diabetes was 1.3% (95%CI=0.6-1.9). Type 2 diabetes Mellitus was associated with poor or regular self-reported health (OR)=3.72; 95%CI=1.28-10.78) and level II abdominal obesity ³102 for men and ³88 for women (OR=5.76; 95%CI=1.07-29.10). Conclusion: The prevalence of type 2 diabetes Mellitus was low. Moreover, the study evidenced the importance of using waist circumference to surveil and screen for metabolic diseases, such as type 2 diabetes Mellitus, and to monitor the low quality of life in the study individuals given the poor self-perceived health of workers with the said disease.
Conjugated linoleic acid supplementation does not maximize motor performance and abdominal and trunk fat loss induced by aerobic training in overweight women
Authors: PINA Fábio Luiz Cheche , RIBEIRO Alex Silva , DODERO Soraya Rodrigues , BARBOSA Décio Sabbatini , CYRINO Edilson Serpeloni , TIRAPEGUI Julio
Published: December 2016

ABSTRACT Objective: To analyze the effect of eight weeks of conjugated linoleic acid supplementation on physical performance, and trunk and abdominal fat in overweight women submitted to an aerobic training program. Methods: Twenty-eight overweight women (body mass index ³25 kg/m2) were divided randomly and double-blindly to receive conjugated linoleic acid or placebo, both associated with an aerobic exercise program (frequency = three times a week, duration=30 min/session, intensity=80% of maximum heart rate). Conjugated linoleic acid (3.2 g) and placebo (4.0 g) supplements were consumed daily (four capsules) for eight weeks. Maximum speed and time to exhaustion were determined in incremental treadmill test. Trunk fat was estimated by dual-energy X-Ray absorptiometry. Waist circumference was used as indicator of abdominal fat. Results: Main effect of time (p<0.05) showed increased maximum speed (conjugated linoleic acid=+6.3% vs. placebo=+7.5%) and time to exhaustion (conjugated linoleic acid=+7.1% vs. placebo=+8.6%) in the incremental treadmill test, with no differences between the groups (p>0.05). Similarly, significant reductions (p<0.05) in trunk fat (conjugated linoleic acid=-1.7% vs. placebo=-1.5%) and abdominal fat (conjugated linoleic acid=-4.7% vs. placebo=-4.0%) were found after eight weeks of intervention, with no differences between the groups (p>0.05). Conclusion: The results of this study suggest that conjugated linoleic acid supplementation does not maximize motor performance, and loss of body and abdominal fat induced by aerobic training in overweight women.
Cross-cultural equivalence and psychometric proprieties of the social support scale for healthy eating habits
Authors: PESSINI Júlia , GERAGE Aline Mendes , MEURER Simone Teresinha , BARBOSA Aline Rodrigues , LOPES Aline Cristine Souza , BENEDETTI Tânia Rosane Bertoldo
Published: December 2016

ABSTRACT Objective: To assess the cross-cultural equivalence and psychometric proprieties of the Brazilian version of the Eating Habits Social Support Scale. Methods: The scale was administered to 381 subjects aged 24 to 86 years from Recife and Belo Horizonte, Brazil. Cross-cultural equivalence was evaluated by expert agreement. The psychometric proprieties were assessed by factor validity (factor analysis), internal consistency (Cronbach's alpha), and reproducibility (intraclass correlation coefficient), using a test-retest with an interval of seven days. Results: Factor analysis identified two factors for each social support group (friends and family). The questions were clustered by type of social support (positive or negative comments). The eigenvalues for family social support were 3.22 and 3.00, corresponding to 62.2% of the total variance. For friend social support, the eigenvalues were 3.02 and 2.95, explaining 59.7% of the total variance. In the internal consistency analysis, the alpha values ranged from 0.83 to 0.75. The reproducibility intraclass correlation coefficient ranged from 0.676 to 0.873. All these values were acceptable, indicating the validity and reliability of the scale. Conclusion: The Brazilian version of the Eating Habits Social Support Scale presented cross-cultural equivalence and psychometric characteristics that were appropriate for Brazilian adults and older adults. This scale is easy to use and obtained high scores for question clarity and answer options.
Analysis of the presence of nutrient claims on labels of ultra-processed foods directed at children and of the perception of kids on such claims
Authors: ZUCCHI Natália Durigon , FIATES Giovanna Medeiros Rataichesck
Published: December 2016

ABSTRACT Objective: To characterize the presence of nutrient claims on the front-of-pack labels of ultra-processed foods directed at children and gain insight on children' views about the presence of marketing strategies and nutrient claims on labels of ultra-processed foods. Methods: Analysis of images (front panel, nutrition facts table, and ingredients list) of labels from 535 packaged foods with marketing strategies directed at children obtained in an audit-type survey conducted at a Brazilian large supermarket store. Food products with ultra-processed characteristics were identified, and the nutrient claims were quantified and described. Focus groups were conducted with children aged 8-10 years. Results: A total of 472 (88.0%) of the 535 packaged foods directed at children were classified as ultra-processed. Of these, 220 (46.6%) had one or more nutrient claims on their front-of-pack label (n=321), most (n=236, 73.5%) claiming the presence/increased quantities of vitamins and minerals. The most common 'free/reduced' content claim regarded trans fat content (n=48). The focus groups allowed the identification of a noticeable influence of nutrition claims on children, who considered the emphasis important but were confused by the meaning and focus of such claims. Conclusion: Highlighted nutrient claims on the packages of ultra-processed foods were common and seemed to influence the children's perception of the products' quality as a whole. The results indicate the need of thoroughly reviewing the legislation on nutrient claims on the packages of ultra-processed foods.
Demographic and socioeconomic conditions associated with food insecurity in households in Campinas, SP, Brazil
Authors: SOUZA Bruna Fernanda do Nascimento Jacinto de , MARIN-LEON Leticia , CAMARGO Daniele Flaviane Mendes , SEGALL-CORRÊA Ana Maria
Published: December 2016

ABSTRACT Objective: To evaluate the association of food insecurity with demographic and socioeconomic conditions in households in Campinas, São Paulo state, Brazil. Methods: This is a cross-sectional study conducted on a representative sample of the urban population of the Southern, Southwestern, and Northwestern Health Districts of Campinas, between 2011-2012. Characteristics of the head of household, family history and household patterns were investigated. The dependent variable was food security condition, categorized as food security, mild food insecurity, and moderate/severe food insecurity. All independent variables with p-value <0.20 in the bivariate multinomial logistic regression were included in the final model of multiple multinomial logistic regression, adjusted to household head age; the remaining variables had p-value <0.05. Results: In the 691 households analyzed, there was 65% of food security, 27.9% of mild food insecurity, and 7.1% of moderate/severe food insecurity. The conditions associated with mild food insecurity were monthly per capita income less than the minimum wage, household head unemployed for more than six months between 2004-2010, living in properties given to the family/occupied/other, and density higher than two people per bedroon. The moderate/severe food insecurity was associated with informal employment condition of the household head and the presence of a beneficiary of the Bolsa Família (Family Allowance Program), a cash transfer-type program, in the household. The higher the score of the consumer goods, the lower the probability of mild food insecurity or moderate/severe food insecurity. There was a higher probability of mild food insecurity and moderate/severe food insecurity in unfinished masonry-built houses/other. Conclusion: More than one third of the households investigated experienced some form of food insecurity. Mild food insecurity was associated with demographic conditions, while moderate/severe food insecurity was associated with socioeconomic conditions, especially those related to the household head.
Multidisciplinary programs for obesity treatment in Brazil: A systematic review
Authors: MENDES Anselmo Alexandre , IEKER Ana Sílvia Degasperi , CASTRO Talitha Fernandes de , AVELAR Ademar , NARDO JÚNIOR Nelson
Published: December 2016

ABSTRACT This study aimed to conduct a systematic review of publications addressing the multidisciplinary treatment of obesity in Brazil and analyze their main results. A search was conducted in the databases SciELO, Lilacs, and Pubmed/Medline using the following search terms: 'obesidade', 'intervenção', 'tratamento', 'Brasil', for the search in Portuguese, and 'obesity', 'intervention', 'treatment', 'Brazil', for the search in English. Based on these terms, the following combination of words was used: 'Intervenção multiprofissional da obesidade', 'tratamento multidisciplinar da obesidade, tratamento multiprofissional da obesidade' and 'multidisciplinary obesity intervention', 'multidisciplinary obesity treatment', 'Multiprofessional obesity treatment'. Inclusion criteria were as follows: original studies carried out in Brazil involving human beings and that reported an intervention including two or more health care professionals. Articles published between January 2005 and July 2015 were analyzed independently by two reviewers. At the end of the analysis, out of 355 articles initially selected, 26 met all inclusion criteria. The following results were found: 23 studies involved children and adolescents and 03 involved adults 20-60 years of age. It was also found that the 26 studies analyzed had an impact on anthropometric parameters, 10 on physical fitness parameters, 16 on biochemical parameters, 10 on the reduction in comorbidities, 6 on nutritional parameters, and 4 on the psychological/social aspects. Based on evidence presented in the studies reviewed, it can be said that the multidisciplinary treatment for obesity greatly contributed to the reduction in the anthropometric indicators, especially BMI and the biochemical, social, and psychological parameters. Thus, these findings demonstrate that there is a need to expand the range of this type of treatment since it has proven to be effective in the fight against obesity and its comorbidities.
Analysis of nutrition (and food) education syllabus of nutrition undergraduate courses
Authors: RECINE Elisabetta , PORTO Erika Blamires Santos , FERNANDEZ Patrícia Martins , PEREIRA Maína Ribeiro
Published: December 2016

ABSTRACT Objective: To analyze the Nutrition Education discipline syllabus in Nutrition undergraduate courses in Brazil. Methods: This is a qualitative, exploratory, descriptive cross-sectional study, carried out in the form of survey. A letter of invitation was sent to higher education institutions that had at least one class that graduated by the end of the first semester of 2010 and provided the Nutrition education discipline syllabus. The software Analyse Lexicale par Contexte d'un Ensemble de Segments de Texte (Image, Toulouse, França) version 4.7 was used in the textual data analysis of the syllabuses, and the social representation theory was adopted as the theoretical model. Results: Data were obtained from 46 participant higher education institutions (11.7%), of which 18 were public institutions. Lexical analysis revealed the formation of two independent axes, which were composed respectively of words from the reference list of relevant books and articles included in the discipline syllabus and words related to the discipline program, indicating a lack of association between "reference list" and "text". As for the syllabus content, it was observed that the educational process should be composed of analysis, planning, and implementation, but these three steps (defined by classes) do not seem to be related or connected to each other, demonstrating a nutrition (and food) education teaching gap. Conclusion: This analysis revealed the need to restructure the nutrition education syllabuses to promote greater integration between theory and practice. However, in order to ensure higher qualification and competence of future professionals, it is suggested deeper consideration including the political-pedagogical projects of nutrition undergraduate programs and the Diretrizes Curriculares Nacionais (National Curriculum Guidelines).
Nutritional care during prenatal and postpartum periods: A report of experiences in a city on São Paulo's coast
Authors: LAPORTE-PINFILDI Anna Sylvia de Campos , MEDEIROS Maria Angélica Tavares de
Published: December 2016

ABSTRACT The purpose of this study is to present a report of the experiences of the adoption of the Approach to Nutritional Care during Prenatal and Postpartum Periods, resulting from a partnership between the university and the municipal primary health care system of Santos, SP, Brazil. This approach was developed through joint work plans based on the need to incorporate nutritional care into the prenatal and postpartum care. All stages of design and implementation and the results of this strategy were documented in a field diary. This approach was adopted in two basic health units between 2010 and 2014. The stages of this process were planned in conjunction with health care teams and consisted of putting together interdisciplinary groups for nutrition education during the prenatal period. Interdisciplinary educational group meetings were held focusing on listening to the needs of pregnant women, the provision of prenatal nutritional care, and on the project to monitor the nutritional status of newborns through home visits up to the 15 days of postpartum. The interdisciplinary activities strengthened the bond between the users and the health care team members, contributing to the provision of effective care and promoting integrality. Home visiting contributed to encourage exclusive breastfeeding.
Avaliação da intensidade de luz e da manutenção dos aparelhos fotopolimerizadores utilizados em clínicas odontológicas da cidade do Recife-PE
Authors: RIBEIRO Rafael Antonio de Oliveira , LIMA Fernanda Francisca de Carvalho , LIMA Ilana Maciel , NASCIMENTO Alexandre Batista Lopes do , TEIXEIRA Hilcia Mezzalira
Published: December 2016

Resumo Objetivo Avaliar os aparelhos fotopolimerizadores utilizados em clínicas da cidade do Recife e a manutenção realizada nesses aparelhos. Método Os profissionais participaram da avaliação de forma voluntária e não foram identificados nos questionários que foram por eles respondidos. Foi perguntado sobre os métodos de desinfecção, a frequência de troca de lâmpadas e a frequência da técnica empregada de manutenção. Também foi realizada a avaliação do aparelho fotopolimerizador, registrando as informações referentes a modelo, marca e data de aquisição. Foi realizada a mensuração da intensidade de luz utilizando-se um radiômetro (Demetron®). Resultado Todos os aparelhos fotopolimerizadores estavam com intensidade de luz inferior a 300 mW/cm2; 96,7% dos profissionais realizavam manutenção técnica de seus aparelhos apenas quando necessário; 100% trocavam a lâmpada só quando a mesma queimava; 40% dos aparelhos fotopolimerizadores encontravam-se acoplados ao equipo; 86,6% dos aparelhos apresentavam detritos na fibra óptica; 50% dos filtros apresentavam fraturas, sendo que 86,66% dos mesmos apresentavam detritos; 60% dos profissionais empregavam apenas álcool 70° como método de desinfecção; 53% dos entrevistados realizavam o método de desinfecção após cada paciente. Conclusão Todos os aparelhos fotopolimerizadores avaliados estavam com intensidade de luz abaixo do preconizado e constatou-se a inexistência de um protocolo de manutenção preventiva periódica.
Influência dos Pares e Educação por Pares na Prevenção à Violência no Namoro
Authors: Santos Karine Brito dos , Murta Sheila Giardini
Published: December 2016

Resumo A literatura aponta que a influência dos pares desempenha um papel importante na compreensão da violência no namoro, e que o uso de educadores ou líderes de pares para encorajar comportamentos saudáveis entre adolescentes tem sido um componente comum em programas preventivos dessa natureza. Por meio de uma revisão narrativa, o presente artigo buscou sumarizar aspectos teóricos relativos à influência dos pares no contexto da violência no namoro, bem como descrever estudos com foco na prevenção à violência no namoro, os quais utilizaram, no todo ou em parte, a estratégia da educação por pares como componente no desenho dessas intervenções. Ao final, são discutidos pontos fortes e limitações dos programas de prevenção à violência no namoro baseados na educação por pares, além de apontar horizontes futuros de pesquisa na área.
Satisfação no Trabalho dos Policiais Militares do Rio Grande do Sul: um Estudo Quantitativo
Authors: Almeida Damiana Machado de , Lopes Luis Felipe Dias , Costa Vania Medianeira Flores , Santos Rita de Cássia Trindade dos , Corrêa Jonathan Saidelles
Published: December 2016

Resumo Satisfação no Trabalho pode ser entendida como o vínculo afetivo do indivíduo com seu ambiente laboral. A profissão de policial militar é considerada de alto risco, pois ele lida constantemente com a violência, a brutalidade e a morte. Frente a este contexto, esse estudo foi desenvolvido visando identificar o grau de Satisfação no Trabalho dos policiais militares do Rio Grande do Sul. Realizou-se uma pesquisa descritiva, do tipo survey, com abordagem quantitativa. Os participantes do estudo totalizaram 519 policiais militares pertencentes a quartéis de cidades localizadas no estado do Rio Grande do Sul. A Escala de Satisfação no Trabalho (EST) foi utilizada como instrumento de pesquisa. No geral, identificou-se que os policiais tendem a sinalizar insatisfação em relação ao trabalho. Dentre as dimensões que compõe a EST, tendem a sinalizar insatisfação em relação ao salário (média: 2,79) e com as promoções (média: 3,03); indiferença (nem satisfeitos e nem insatisfeitos) em relação à chefia (média: 4,42) e à natureza do trabalho (média: 4,37); e, por fim, sinalizam tendência à satisfação em relação aos colegas (média: 5,00). Espera-se com essas evidências contribuir para as futuras decisões organizacionais que impliquem na saúde dos policiais militares e consequente qualidade de vida, da equipe e seus familiares.
Notificação da Violência: Percepções de Operadores do Direito e Conselheiros Tutelares
Authors: Faraj Suane Pastoriza , Siqueira Aline Cardoso , Arpini Dorian Mônica
Published: December 2016

Resumo Este estudo objetivou conhecer os procedimentos e percepções de profissionais que atuam nos órgãos do Sistema de Garantia de Direitos (SGD) quanto à notificação da violência envolvendo crianças e adolescentes. Integraram o estudo três conselheiros tutelares, um delegado de polícia e um promotor de justiça. Foram realizadas entrevistas individuais, os resultados foram analisados através da análise de conteúdo e indicaram que a notificação da violência envolve diversos procedimentos, dentre eles, a aplicação de medidas protetivas e a investigação policial. Os resultados também apontaram um aumento de casos sendo notificados pela ferramenta do disque 100 advindos da comunidade e atendidos pelos órgãos de defesa dos direitos. Por outro lado, ainda é pequeno o índice de notificações feitas pelos profissionais de saúde e educação. Torna-se importante promover maior conscientização tanto da sociedade em geral como de profissionais acerca da notificação da violência para que os órgãos competentes possam investigar as notificações e tomar as providências necessárias para que os direitos das crianças e dos adolescentes sejam garantidos.
Família, Gênero e Emancipação Psicossocial
Authors: Tokuda André Masao Peres , Peres Wiliam Siqueira , Andrêo Caio
Published: December 2016

Resumo O contemporâneo aponta crises de paradigmas que solicitam mudanças conceituais nas composições familiares, em suas relações e estratégias de poder. Estas mudanças atingem principalmente as mulheres, porém, ainda ocorrem diversos modos de violências contra elas, como as de gênero. Estas análises se mostram presentes na experiência de estágio curricular em Psicologia Clínica, realizada em uma vila periférica por graduando(a)s de Psicologia. Este cenário aponta para regulações e controles sobre os corpos, sexos, sexualidade, gênero e práticas relacionais dentro da própria família, na qual ainda se mantêm estilos de vida restritos a padrões heteronormativos que excluem outros arranjos possíveis de composições familiares e relacionais. Desta forma, queremos problematizar as diversas experiências que despotencializam as mulheres, e também propor uma Psicologia Política de promoção dos direitos sexuais e humanos que contemplem uma vida em que as pessoas possam ter seus desejos e singularidades respeitadas, para que alcancem emancipação psicossocial e tenham acesso à cidadania.
O Pré-Natal Psicológico como Programa de Prevenção à Depressão Pós-Parto
Authors: Almeida Natália Maria de Castro , Arrais Alessandra da Rocha
Published: December 2016

Resumo O pré-natal psicológico (PNP) é uma prática complementar ao pré-natal tradicional, voltado para maior humanização do processo gestacional, e se propõe a prevenir situações adversas potencialmente decorrentes desse processo. O objetivo da pesquisa foi avaliar a eficácia do PNP na prevenção à depressão pós-parto (DPP) em gestantes de alto risco internadas em um hospital público, em Brasília. Optou-se pelo delineamento metodológico da pesquisa-ação. A pesquisa foi realizada com 10 gestantes de alto risco, sendo que cinco delas participaram do PNP (grupo A) e cinco não participaram do PNP (grupo B). Os instrumentos utilizados foram: perfil gestacional, perfil puerperal, questionário avaliativo, sessões e materiais produzidos no grupo de PNP, Inventário Beck de Depressão e Ansiedade (BDI, BAI) e Escala COX. Foi utilizado como procedimento deste trabalho a análise mista dos resultados. Os resultados foram comparados entre os dois grupos e verificou-se que ambas colaboradoras encontravam-se vulneráveis, apresentando vários fatores de risco, portanto com tendência a desenvolver a DPP, entretanto, somente as colaboradoras do grupo B apresentaram DPP. Esses achados sugerem que o pré-natal psicológico associado a fatores de proteção presentes na história das grávidas pode ajudar a prevenir a DPP. Defende-se que a assistência psicológica na gestação, por meio da utilização do PNP, é importante instrumento psicoprofilático que deve ser implementado como uma política pública em contextos da saúde.
Estratégia de Saúde Mental e Atenção Psicossocial para Afetados da Boate Kiss
Authors: Noal Débora da Silva , Vicente Letícia Nolasco , Weintraub Ana Cecília Andrade de Moraes , Fagundes Sandra Maria Sales , Cabral Károl Veiga , Simoni Ana Carolina Rios , Pacheco Maria Luiza Leal , Pedroza Regina Lucia Sucupira , Pulino Lucia Helena Cavasin Zabotto
Published: December 2016

Resumo Eventos críticos (EC) são eventos que dão início a uma cadeia de incidentes, resultando em uma situação de desastre, a menos que um sistema de segurança interfira para evitá-lo ou minimizá-lo. Este artigo apresenta um relato de experiência durante um EC em que psicólogas elaboraram a estratégia de gestão da atenção psicossocial e saúde mental decorrente do incêndio na boate Kiss, ocorrido em 2013, na cidade de Santa Maria (RS). O objetivo deste relato de experiência é apresentar e analisar a estratégia elaborada de apoio psicossocial e de saúde mental. Fazendo uso de métodos qualitativos, iniciamos a discussão descrevendo a rede pública de Atenção Psicossocial do município na época em que ocorreu o incêndio. Na sequência, delineia-se uma análise descritiva das medidas tomadas nas primeiras 24 horas após esse evento e, finalmente, apresentam-se as estratégias elaboradas para os meses subsequentes. Para esse relato foram utilizados dados e referências do Sistema Único de Saúde e do Sistema Nacional de Proteção e Defesa Civil, contemplando o panorama nacional no momento da intervenção. Dentre os resultados destacam-se a imprescindibilidade do trabalho articulado no nível loco-regional e o delineamento da avaliação sistemática envolvendo os três entes federados. Atividades e ações elaboradas como resposta foram estruturadas de forma condizente com as necessidades psicossociais do público-alvo, bem como com as diretrizes e políticas (inter) nacionais, enfocando a criação de uma estratégia articulada e sustentável em um curto e médio prazo e visando o bem-estar psicossocial dos afetados.