bluuebunny/crossref_metadata_2025 huggingface dataset:
Estudo de avaliabilidade do Sistema de Informação da Atenção à Saúde Indígena: potencialidades e desafios para apoiar a gestão em saúde no nível local
Authors: Reis Ana Cristina , Casanova Angela Oliveira , Cruz Marly Marques da , Cunha Maria Luíza Silva , Gomes Marcelly de Freitas , Suárez-Mutis Martha Cecilia , Souza Michele Souza e , Peiter Paulo César , Marchón-Silva Verônica , Nascimento José Valdemir do , Rodrigues Kenisson Oliveira , Costa Márcio da , Alves Maria do Socorro
Published: May 2022

O objetivo do artigo é apresentar os resultados do estudo de avaliabilidade do Sistema de Informação da Atenção à Saúde Indígena (SIASI) e suas implicações para a gestão em saúde no nível local. O estudo foi desenvolvido com base nas seguintes etapas: descrição da intervenção, descrição dos usuários potenciais e análise de contexto (interno e externo). Para tanto, adotaram-se as seguintes técnicas de coleta de dados: análise documental, entrevistas com informantes-chave e oficina de trabalho. A modelização do SIASI no Distrito Sanitário Especial Indígena (DSEI) Alto Rio Solimões (Amazonas) e no DSEI Leste Roraima (Roraima) possibilitou a visualização esquemática do modo de funcionamento do sistema, considerando-se as peculiaridades do fluxo de informação descentralizado e centralizado. A análise de contexto aponta para o reconhecimento do SIASI como ferramenta para a organização do processo de trabalho das equipes multidisciplinares de saúde indígena (EMSI) e o acompanhamento da situação de saúde, ainda que ocorra baixa utilização das informações nos territórios. Entre os desafios, persistem os problemas de infraestrutura e a fragmentação das informações, provocando aumento do retrabalho na alimentação dos dados. Como potencialidade, destaca-se a criação do Painel SIASI Local, que gera relatórios dinâmicos e interativos sobre a situação de saúde. Conclui-se que a capacidade de utilização do SIASI como ferramenta de apoio à gestão pelo nível local pode ser potencializada com a ampliação do processo de descentralização do fluxo de informações.
Otimização e análise dos parâmetros de usinagem por eletroerosão na rugosidade superficial do aço AISI P20
Authors: Rossetto Artur da Silva , Haupt William , Consalter Luiz Airton
Published: May 2022

RESUMO Esta pesquisa experimental tem como objetivo analisar a influência dos parâmetros elétricos da usinagem por eletroerosão (EDM – Electrical Discharge Machining) na rugosidade média (Ra) do aço AISI P20, o qual é vastamente utilizado na indústria de moldes para injeção de termoplásticos. Também é proposto neste estudo a otimização destes parâmetros para a obtenção da rugosidade superficial pretendida ao material. O planejamento e os resultados estatísticos foram obtidos através da metodologia de design de experimento (DOE – Design Of Experiments). Utilizou-se do software Statistica para criar gráficos e tabelas de análise baseados na metodologia de superfície de resposta (RSM – Response Surface Methodology). A análise dos resultados mostrou que a duração do pulso de descarga (Ton) e a intensidade da corrente elétrica são os parâmetros de maior efeito para a rugosidade superficial. Baseados em outros trabalhos sobre EDM, a análise estatística apresentou resultados em conformidade quanto a influência dos fatores. O gráfico de otimização indicou coerentemente os níveis adequados de ajuste dos parâmetros para a obtenção da variável resposta desejável. Pode-se constatar nesta pesquisa em específico, quais são os parâmetros elétricos significativos para a rugosidade superficial média, sendo o seu conhecimento e controle, fundamentais para a otimização do processo. As técnicas estatísticas apresentaram-se como ferramentas muito úteis para o domínio da tecnologia industrial, principalmente em casos onde há necessidade do ajuste de muitos fatores, gerando previsibilidade, economia, agilidade e confiabilidade ao processo.
Factors associated with infection and hospitalization due to COVID-19 in Nursing professionals: a cross-sectional study
Authors: Püschel Vilanice Alves de Araújo , Fhon Jack Roberto Silva , Nogueira Lilia de Souza , Poveda Vanessa de Brito , Oliveira Larissa Bertacchini de , Salvetti Marina de Góes , Lemos Cassiane de Santana , Bruna Camila Quartim de Moraes , Lima Fernanda Rodrigues , Silva Ana Beatriz Pandolfo da , Carbogim Fábio da Costa
Published: May 2022

Abstract Objective: to identify factors associated with infection and hospitalization due to COVID-19 in nursing professionals. Method: a cross-sectional study carried out with 415 nursing professionals in a hospital specialized in cardiology. The sociodemographic variables, comorbidities, working conditions and issues related to illness due to COVID-19 were evaluated. Chi-Square, Fisher’s, Wilcoxon, Mann-Whitney and Brunner Munzel tests were used in data analysis, as well as Odds Ratio for hospitalization, in addition to binary logistic regression. Results: the rate of nursing professionals affected by COVID-19 was 44.3% and the factors associated with infection were the number of people living in the same household infected by COVID-19 (OR 36.18; p<0.001) and use of public transportation (OR 2.70; p=0.044). Having severe symptoms (OR 29.75), belonging to the risk group (OR 3.00), having tachypnea (OR 6.48), shortness of breath (OR 5.83), tiredness (OR 4.64), fever (OR 4.41) and/or myalgia (OR 3.00) increased the chances of hospitalization in professionals with COVID-19. Conclusion: living in the same household as other people with the disease and using public transportation increased the risk of infection by the new coronavirus. The factors associated with the hospitalization of contaminated professionals were presence of risk factors for the disease, severity and type of the symptoms presented.
Fatores associados à contaminação e internação hospitalar por COVID-19 em profissionais de enfermagem: estudo transversal
Authors: Püschel Vilanice Alves de Araújo , Fhon Jack Roberto Silva , Nogueira Lilia de Souza , Poveda Vanessa de Brito , Oliveira Larissa Bertacchini de , Salvetti Marina de Góes , Lemos Cassiane de Santana , Bruna Camila Quartim de Moraes , Lima Fernanda Rodrigues , Silva Ana Beatriz Pandolfo da , Carbogim Fábio da Costa
Published: May 2022

Resumo Objetivo: identificar fatores associados à contaminação e internação hospitalar por COVID-19 em profissionais de enfermagem. Método: estudo transversal, realizado em hospital especializado em cardiologia, com 415 profissionais de enfermagem. Foram avaliadas as variáveis sociodemográficas, comorbidades, condições de trabalho e questões relacionadas ao adoecimento pela COVID-19. Na análise dos dados, utilizaram-se os testes Qui-Quadrado, Fisher, Wilcoxon, Mann-Whitney e Brunner Munzel, a razão de chances para internação hospitalar, além de regressão logística binária. Resultados: a taxa de profissionais de enfermagem acometidos pela COVID-19 foi de 44,3% e os fatores associados à contaminação foram o número de pessoas no mesmo domicílio com COVID-19 (OR 36,18; p<0,001) e o uso de transporte público (OR 2,70; p=0,044). Ter sintomas graves (OR 29,75), pertencer ao grupo de risco (OR 3,00), apresentar taquipneia (OR 6,48), falta de ar (OR 5,83), cansaço (OR 4,64), febre (OR 4,41) e/ou mialgia (OR 3,00) aumentou as chances de internação hospitalar dos profissionais com COVID-19. Conclusão: habitar o mesmo domicílio que outras pessoas com a doença e usar transporte público aumentou o risco de contaminação pelo novo coronavírus. Os fatores associados à internação hospitalar dos profissionais contaminados foram a presença de fatores de risco para doença, a gravidade e o tipo dos sintomas apresentados.
Effect of thermometry on the prevention of diabetic foot ulcers: *
Authors: Araújo Açucena Leal de , Negreiros Francisca Diana da Silva , Florêncio Raquel Sampaio , Oliveira Shérida Karanini Paz de , Silva Ana Roberta Vilarouca da , Moreira Thereza Maria Magalhães
Published: May 2022

Abstract Objective: to analyze the effect of cutaneous foot thermometry in people with Diabetes Mellitus, compared with the standard prevention of foot ulcers adopted in these patients. Method: a systematic review with meta-analysis. Protocol registered with PROSPERO (CRD42020202686). The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were followed. The search was performed in the following data sources: SCOPUS, Web of Science, MEDLINE via PubMed, MEDLINE via EBSCO, MEDLINE via Biblioteca Virtual em Saúde, Embase, CINAHL, Cochrane Library, LILACS via Biblioteca Virtual em Saúde, Google Scholar, Biblioteca Digital Brasileira de Teses e Dissertações, Catálogo de Teses & Dissertações-Capes, Open Grey and ProQuest Dissertations and Theses. The risk of bias was assessed by the Cochrane Collaboration Risk of Bias Tool (RoB 2), the meta-analysis was performed in the Review Manager 5.4 software and the Certainty of evidence in the Grading of Recommendations Assessment, Development and Evaluation system. Results: of the 670 records, five articles were eligible. The meta-analysis was calculated for the prevention of the incidence of diabetic foot ulcers outcome, with effect summarization (RR 0.53; 95%CI 0.29-0.96; p=0.02), with certainty of moderate evidence. Conclusion: thermometry showed a protective effect on the incidence of diabetic foot ulcers when compared to standard foot care.
Efeito da termometria na prevenção de úlceras de pé diabético: revisão sistemática com metanálise
Authors: Araújo Açucena Leal de , Negreiros Francisca Diana da Silva , Florêncio Raquel Sampaio , Oliveira Shérida Karanini Paz de , Silva Ana Roberta Vilarouca da , Moreira Thereza Maria Magalhães
Published: May 2022

Resumo Objetivo: analisar o efeito da termometria podálica cutânea em pessoas com diabetes mellitus, comparado com prevenção padrão de úlceras podálicas adotada nesses pacientes. Método: revisão sistemática com metanálise. Protocolo registrado na PROSPERO (CRD42020202686). Foram seguidas as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Busca realizada nas fontes de dados: SCOPUS, Web of Science, MEDLINE via PubMed, MEDLINE via EBSCO, MEDLINE via Biblioteca Virtual em Saúde, Embase, CINAHL, Cochrane Library, LILACS via Biblioteca Virtual em Saúde, Google Scholar, Biblioteca Digital Brasileira de Teses e Dissertações, Catálogo de Teses & Dissertações-Capes, Open Grey e ProQuest Dissertations and Theses. O risco de viés foi avaliado pela Cochrane Collaboration Risk of Bias Tool (RoB 2), a metanálise no software Review Manager 5.4 e a Certeza da evidência no sistema Grading of Recommendations Assessment, Development and Evaluation. Resultados: dos 670 registros, cinco artigos eram elegíveis. A metanálise foi calculada para o desfecho prevenção da incidência de úlceras de pé diabético, com sumarização de efeito (RR 0,53; IC95% 0,29, 0,96; p=0,02), com certeza da evidência moderada. Conclusão: a termometria mostrou efeito protetor na incidência de úlceras de pé diabético, se comparada ao cuidado podálico padrão.
Mental health impacts in pediatric nurses: a cross-sectional study in tertiary pediatric hospital during the COVID-19 pandemic
Authors: Robba Hingrid Cristiane Silva , Costa Andréa Aoki , Kozu Kátia Tomie , Silva Clóvis Artur , Farhat Sylvia Costa Lima , Ferreira Juliana Caires de Oliveira Achili
Published: May 2022

Abstract Objective: to assess mental health issues in pediatric nurses during coronavirus pandemic in 2019. Method: cross-sectional study was conducted with pediatric nurses at the Instituto da Criança e do Adolescente based on online self-rated survey about clinical practice and mental health impact during COVID-19 pandemic. Validated self-reported scales for anxiety, depression and burnout were used for assessing these professionals. Results: 107/298 (36%) nurses answered, 90% were female, median age was 41(23-64) years, 68% worked with adolescents, 66% in frontline. Burnout, anxiety and moderate/severe depression occurred in 65%, 72% and 74%, respectively. Lack of standardized treatment protocol for nurses (27%vs.10%, p=0.049), moderate/severe depression (74% vs. 16%, p=0.002) and burnout (82% vs. 58%, p=0.01) were significantly higher in pediatric nurses with anxiety compared to those without. Pediatric nurses that worked with adolescents compared to those that did not showed higher frequency of burnout in the former group (77% vs. 32%, p=0.0001). Multivariable analysis revealed that adequate quarantine adherence increased the presence of anxiety in 4.6 times [OR4.6(CI 1.1-20.2), p=0.04]. Conclusion: most pediatric nurses who had worked in the frontline of COVID-19 were under precarious conditions, working with reduced team, and with an expressive changes in their monthly income. Current anxiety was a relevant issue, burnout was also an important mental condition for these professionals, reinforcing culture of good teamwork, collaboration practices and psychological/psychiatric approach.
Impacto en la salud mental de enfermeros pediátricos: un estudio transversal en un hospital pediátrico de tercer nivel durante la pandemia de COVID-19
Authors: Robba Hingrid Cristiane Silva , Costa Andréa Aoki , Kozu Kátia Tomie , Silva Clóvis Artur , Farhat Sylvia Costa Lima , Ferreira Juliana Caires de Oliveira Achili
Published: May 2022

Resumen Objetivo: evaluar los problemas de salud mental en enfermeros pediátricos durante la pandemia del coronavirus 2019. Método: estudio transversal realizado con enfermeros pediátricos del Instituto da Criança e do Adolescente mediante una encuesta de autoevaluación en línea sobre la práctica clínica y el impacto en la salud mental durante la pandemia de COVID-19. Se evaluaron escalas de autoevaluación validadas para ansiedad, depresión y burnout. Resultados: respondieron 107/298 (36%) de los enfermeros, de los cuales 90% eran del sexo femenino, la mediana de edad actual fue de 41 (23-64) años, 68% trabajaban con adolescentes, 66% trabajaban en primera línea. Burnout, ansiedad y depresión moderada/grave ocurrieron en 65%, 72% y 74% de los enfermeros, respectivamente. Falta de protocolo de tratamiento estandarizado en las enfermerías (27% vs. 10%, p=0,049), depresión moderada/grave (74% vs. 16%, p=0,002) y burnout (82% vs. 58%, p=0,01) fueron significativamente mayores en enfermeros pediátricos con ansiedad en comparación con enfermeros sin esta condición. Los enfermeros pediátricos que trabajaban con adolescentes presentaron mayor frecuencia de burnout en comparación con los que no trabajaban con adolescentes (77% vs. 32%, p=0,0001). El análisis multivariado reveló que el adecuado cumplimiento de la cuarentena aumentó 4,6 veces la presencia de ansiedad [OR 4.6(IC 1,1-20,2), p=0,04]. Conclusión: La mayoría de los enfermeros pediátricos trabajaban en la primera línea de la COVID-19, en condiciones precarias, trabajando con un equipo reducido y enfrentando importantes pérdidas de ingresos. La ansiedad actual fue un tema relevante y el burnout también fue una condición mental importante para estos profesionales, reforzando la cultura del buen trabajo en equipo, las prácticas colaborativas y la atención psicológica/psiquiátrica.
Impacto na saúde mental de enfermeiros pediátricos: um estudo transversal em hospital pediátrico terciário durante a pandemia de COVID-19
Authors: Robba Hingrid Cristiane Silva , Costa Andréa Aoki , Kozu Kátia Tomie , Silva Clóvis Artur , Farhat Sylvia Costa Lima , Ferreira Juliana Caires de Oliveira Achili
Published: May 2022

Resumo Objetivo: avaliar problemas de saúde mental em enfermeiros pediátricos durante a pandemia causada pelo coronavírus 2019. Método: estudo transversal realizado com enfermeiros pediátricos do Instituto da Criança e do Adolescente, por meio de uma pesquisa online de autoavaliação sobre prática clínica e impacto na saúde mental, durante a pandemia de COVID-19. Foram avaliadas escalas de autoavaliação validadas para ansiedade, depressão e burnout. Resultados: 107/298(36%) enfermeiros responderam, dos quais 90% eram do sexo feminino, a mediana de idade atual era 41(23-64) anos, 68% trabalhavam com adolescentes, 66% trabalhavam na linha de frente. Burnout, ansiedade e depressão moderada/grave ocorreram em 65%, 72% e 74% dos enfermeiros, respectivamente. Falta de protocolo de tratamento padronizado nas enfermarias (27% vs. 10%, p=0,049), depressão moderada/grave (74% vs. 16%, p=0,002) e burnout (82% vs. 58%, p=0,01) foram significativamente maiores em enfermeiros pediátricos com ansiedade, em comparação com enfermeiros sem essa condição. Os enfermeiros pediátricos que trabalhavam com adolescentes apresentaram maior frequência de burnout, quando comparados aos que não trabalhavam com esse grupo (77% vs. 32%, p=0,0001). A análise multivariada revelou que o cumprimento adequado da quarentena aumentou a presença de ansiedade em 4,6 vezes [OR 4.6(IC 1,1-20,2), p=0,04]. Conclusão: a maioria dos enfermeiros pediátricos atuava na linha de frente da COVID-19, em condições precárias, trabalhando com equipe reduzida e enfrentando perdas expressivas de renda. A ansiedade atual foi um tema relevante e o burnout também foi uma condição mental importante para esses profissionais, reforçando a cultura do bom trabalho em equipe, das práticas de colaboração e do cuidado psicológico/psiquiátrico.
Sleep quality, personal and work variables and life habits of hospital nurses
Authors: Silva Andressa Fernanda , Dalri Rita de Cássia de Marchi Barcellos , Eckeli Alan Luiz , Uva António Neves Pires de Sousa , Mendes Aida Maria de Oliveira Cruz , Robazzi Maria Lúcia do Carmo Cruz
Published: May 2022

Abstract Objective: to identify the possible associations between sleep quality, personal and work variables and the life habits of hospital nurses. Method: a cross-sectional, exploratory, correlational and quantitative study, carried out from October to December 2019. The data were collected with the application of a questionnaire that addressed the respondents’ personal characteristics, life habits and working conditions. The Pittsburgh Sleep Quality Index (PSQI), Brazilian Portuguese version, was used to assess sleep quality. Results: the participants were 42 professionals: 31 (73.8%) women, aged between 26 and 66 years old (mean of 40.2); 61.9% worked overtime; 26.2% had two employment contracts and 40.5% had absences from work. Sleep quality was considered good by 9.5% of the participants, poor by 64.3% and categorized as with sleep disorders by 26.2%. In the population that worked rotating shifts, this quality was identified as poor by 26.2%. The worst results were found in the age group from 30 to 39 years old and there was a statistical significance in the “living with a partner” variable. Conclusion: there was impairment in the nurses’ sleep quality and there is a need to monitor these workers, particularly those who work in shifts, in order to provide preventive measures to mitigate the harms to their health.
Calidad de sueño, variables personales, laborales y estilo de vida de enfermeros de hospital
Authors: Silva Andressa Fernanda , Dalri Rita de Cássia de Marchi Barcellos , Eckeli Alan Luiz , Uva António Neves Pires de Sousa , Mendes Aida Maria de Oliveira Cruz , Robazzi Maria Lúcia do Carmo Cruz
Published: May 2022

Resumen Objetivo: identificar posibles asociaciones entre la calidad de sueño, las variables personales y laborales y los estilo de vida de los enfermeros de hospital. Método: estudio transversal, exploratorio, correlacional, cuantitativo, realizado de octubre a diciembre de 2019. Los datos fueron recolectados mediante un cuestionario que abordó las características personales, estilo de vida y condiciones de trabajo de los encuestados. Para evaluar la calidad de sueño, se utilizó el Pittsburgh Sleep Quality Index (PCSI), versión en portugués de Brasil. Resultados: participaron 42 profesionales, 31 (73,8%) mujeres, con edad entre 26 y 66 años (media 40,2); el 61,9% trabajaba horas extras; el 26,2% tenía dos vínculos laborales y el 40,5% faltó al trabajo. La calidad de sueño fue considerada buena por el 9,5% de los participantes, mala por el 64,3% y con trastornos del sueño por el 26,2%. El 26,2% de la población que hacía turnos rotativos, calificó la calidad como mala. Los peores resultados se encontraron en la franja etaria de 30 a 39 años y hubo significación estadística en la variable “vive en pareja”. Conclusión: la calidad de sueño de los enfermeros se vio afectada; es necesario monitorear a estos trabajadores, en particular a los que trabajan por turnos, a fin de implementar medidas preventivas que reduzcan los daños a su salud.
Analysis of factors associated with hematopoietic stem-cell retransplantation: a case-control study
Authors: Azevedo Isabelle Campos de , Ferreira Júnior Marcos Antonio , Nascimento Anália Andréia de Araújo , Vitor Allyne Fortes , Teston Elen Ferraz , Frota Oleci Pereira , Santos Viviane Euzébia Pereira
Published: May 2022

Abstract Objective: to analyze the factors associated with the failure of Hematopoietic Stem Cell Transplantation (HSCT) in patients undergoing Hematopoietic Stem Cell Retransplantation (HSCR). Method: this study implemented a quantitative approach and was a case-control type which addressed patients undergoing HSCR. To do so, a paired sample of two controls was used for each case (2:1). The case group consisted of the medical records of all patients who underwent HSCR (28) and the control group (56) of those who underwent only one transplant. Three variables guided the pairing: gender, diagnosis and type of transplant. Results: a total of 24 (85.71%) patients in the case group were re-transplanted due to disease relapse and four (14.29%) due to graft failure. There was a statistical difference in the analysis between patients who did not use ursodeoxycholic acid, opioid analgesics and immunosuppressants. The need for HSCR among those who used these medications inappropriately was 16.12, 12.79 and 4.5 times more likely, respectively, than those who used them correctly. Conclusion: there was a difference regarding the reasons which led to the retransplantation and the analyzed subjects, and this study concluded that the predictive reason for retransplantation in the studied sample was disease relapse.
Análisis de factores asociados al Retrasplante de Células Madre Hematopoyéticas: un estudio de caso-control
Authors: Azevedo Isabelle Campos de , Ferreira Júnior Marcos Antonio , Nascimento Anália Andréia de Araújo , Vitor Allyne Fortes , Teston Elen Ferraz , Frota Oleci Pereira , Santos Viviane Euzébia Pereira
Published: May 2022

Resumen Objetivo: analizar los factores asociados con el fracaso del Trasplante de Células Madre Hematopoyéticas (TCMH) en pacientes sometidos al Retrasplante de Células Madre Hematopoyéticas (RCMH). Método: estudio cuantitativo de tipo caso-control que abordó pacientes sometidos al RCMH. Para esto, se utilizó una muestra pareada de dos controles para cada caso (2:1). El grupo caso estuvo formado por los registros médicos de todos los pacientes que fueron sometidos al RCMH (28) y el grupo control (56) por los que fueron sometidos a un solo trasplante. Tres variables guiaron el emparejamiento: género, diagnóstico y tipo de trasplante. Resultados: un total de 24 (85.71%) pacientes en el grupo caso fueron retransplantados debido a la recaída de la enfermedad y 4 (14.29%) por el fracaso del injerto. Hubo una diferencia estadística en el análisis entre los pacientes que no usaron ácido ursodesoxicólico, analgésicos opioides e inmunosupresores. La necesidad de RCMH entre los que usaron estos medicamentos de manera inapropiada se encontraba 16,12 - 12,79 y 4,5 veces más probable, respectivamente, que aquellos que los usaron correctamente. Conclusión: hubo diferencia en cuanto a las razones que llevaron al retrasplante de los sujetos analizados. Este estudio concluyó que la razón predictiva del retrasplante, en la muestra estudiada, fue la recidiva de la enfermedad.
Análise dos fatores associados ao retransplante de células-tronco hematopoiéticas: estudo caso-controle
Authors: Azevedo Isabelle Campos de , Ferreira Júnior Marcos Antonio , Nascimento Anália Andréia de Araújo , Vitor Allyne Fortes , Teston Elen Ferraz , Frota Oleci Pereira , Santos Viviane Euzébia Pereira
Published: May 2022

Resumo Objetivo: analisar os fatores associados ao insucesso do Transplante de Células-Tronco Hematopoiéticas (TCTH) em pacientes submetidos ao retransplante de Células-Tronco Hematopoiéticas (RCTH). Método: estudo quantitativo do tipo caso-controle para avaliar pacientes submetidos ao RCTH. Para tanto, utilizou-se amostra pareada de dois controles para cada caso (2:1). O grupo caso foi constituído pelos prontuários de saúde com todos os pacientes que foram submetidos ao RCTH (28) e o grupo controle (56) incluiu pacientes que receberam apenas um transplante. Três variáveis nortearam o pareamento: sexo, diagnóstico e tipo de transplante. Resultados: vinte e quatro (85,71%) pacientes do grupo caso receberam retransplante devido a recidiva da doença e quatro (14.29%) devido a falha do enxerto. Uma diferença estatística foi encontrada na análise entre os pacientes que não usaram o ácido ursodesoxicólico, analgésicos opioides ou imunossupressores. A necessidade de um RCTH entre aqueles que usaram estes medicamentos de forma inapropriada foi 16,12, 12,79 e 4,5 vezes maior, respectivamente, do que entre os que as usaram corretamente. Conclusão: houve uma diferença relacionada ao motivo que levou ao retransplante e os indivíduos analisados. A conclusão é que a razão preditiva para retransplante nesta amostra foi a recidiva da doença.
Effects of mannan-oligosaccharide supplementation on gut health, immunity, and production performance of broilers
Authors: Asif M. , Hayat Z. , Rahman A. , Qamar M. F. , Nawaz S. , Ijaz M. , Badar I. H. , Asif A. R. , Yar M. K.
Published: May 2022

Abstract The study was designed to investigate the effect of mannan-oligosaccharide (MOS) supplementation on intestinal histomorphology, immunity against Newcastle disease virus (NDV) and productive parameters of broilers. A total of 1800, day old broiler chicks of Cobb-500 strain were selected and randomly assorted into 6 treatment groups: T1 (basal diet without antibiotics as negative control); T2 (basal diet plus antibiotics as positive control group); T3 (basal diet plus 200g/ton MOS); T4 (basal diet plus 400g/ton MOS); T5 (basal diet plus 600g/ton MOS) and T6 (basal diet plus 800g/ton MOS). Each treatment was having 6 replicates and the feed intake, body weight gain and feed conversion ratio (FCR) were recorded on weekly basis. Results showed that, MOS supplemented birds have significantly higher feed intake, weight gain and FCR (P < 0.05). Similarly, supplementation of MOS showed positive effect on villus height and crypt depth both in jejunum and ilium. Goblet cell density was unaffected by MOS addition (P < 0.05). Furthermore, birds fed with diets containing MOS, exhibited better productive performance in comparison to positive and negative control groups. In conclusion, MOS can replace antibiotic growth promoters (AGPs) as non-microbial performance-enhancing feed advocates.
Treatment of pilocarpine-induced epileptic seizures in adult male mice
Authors: Abdelbasset W. K. , Jasim S. A. , Rudiansyah M. , Huldani H. , Margiana R. , Jalil A. T. , Mohammad H. J. , Ridha H. SH. , Yasin G.
Published: May 2022

Abstract Epilepsy is one of the most common neurological disorders affecting most social, economic and biological aspects of human life. Most patients with epilepsy have uncontrolled seizures and drug side effects despite the medications. Patients with epilepsy often have problems with attention, memory, and information processing speed, which may be due to seizures, underlying causes, or anticonvulsants. Therefore, improving seizure control and reducing or changing the anti-epileptic drugs can solve these problems, but these problems will not be solved in most cases. In this work, we looked at the effects of pioglitazone, a Peroxisome Proliferator-Activated Receptor agonist used to treat type 2 diabetes, on pilocarpine-induced seizures in mice. The Racine scale was used to classify pilocarpine-induced convulsions. After that, all of the animals were beheaded, and the brain and hippocampus were dissected. Finally, biochemical techniques were used to determine the levels of Malondialdehyde and Catalase activity, as well as Superoxide Dismutase and Glutathione Reductase in the hippocampus. The results of this investigation suggest that pioglitazone's antioxidant action may play a key role in its neuroprotective properties against pilocarpine-induced seizure neuronal damage.
Living at the top of the forest line: medium and large mammals in a high-mountain ecotone in Peruvian Central Andes
Authors: Melo-Dias Mateus , Huatuco Jesenia Flora Aliaga , Arizapana-Almonacid Marco Aurelio , Castañeda-Tinco Marco Italo , Chanamé Fernán , Ninahuamán Jesus Ulloa , Passamani Marcelo
Published: May 2022

Abstract: Among the ecoregions that comprise the high-Andean zone of the Tropical Andes, the Puna and the Yungas stand out for covering a large part of the Peruvian Eastern Andes. Located in the ecotone of these two ecoregions, the Pampa Hermosa National Sanctuary (PHNS) houses one of the priority areas for conservation in Peru. However, the biodiversity of the high-Andean zone of the sanctuary and its surroundings remains poorly studied. Thus, through camera traps and transects, we sought to inventory for the first time the medium and large mammals from the high-Andean region of the PHNS and its buffer zone. We recorded 11 native and three domestic species of medium and large mammals. The richness of native mammals sampled reached 91.7% of the estimated richness (S est.= 11.99 ± 1.85). Among the native species Odocoileus virginianus had the highest relative frequency (56%). We recorded three endemic mammals from the Tropical Andes, Cuniculus taczanowskii, Tremarctos ornatus, and Pudu mephistopheles. The observed richness was higher than most surveys of medium and large mammals carried out in the Puna-forest ecotone in Peru, where the reported richness ranged from 4 to 13 species. In addition, our records of Leopardus pardalis and Eira barbara are the highest for all distribution of these two carnivores. Our results showed that more than 90% of the species recorded were found in it, demonstrating that the entire high-Andean region of the PHNS and its surroundings has an important value for the local mammal community.
Thromboprophylaxis in lower limb varicose vein surgery in Brazil
Authors: Ribeiro Alcides José Araújo , Mendes-Pinto Daniel , Erzinger Fabiano Luiz , Fiorelli Rossano Kepler Alvim , Fiorelli Stênio Karlos Alvim , Ribeiro Andrea Campos de Oliveira , Marques Marcos Arêas
Published: May 2022

Abstract Background Despite all the investment in primary venous thromboembolism (VTE) prophylaxis for surgical patients in recent years, there are still no specific guidelines for those who undergo procedures to treat lower limb varicose veins. Objectives To evaluate the profile of VTE prophylaxis practices among Brazilian vascular surgeons conducting lower limb varicose vein procedures. Methods Survey design, sending an electronic questionnaire to Brazilian vascular surgeons. Respondents were divided between those who perform saphenous vein treatment with conventional surgery and those who perform thermoablation for the purpose of comparison between groups. Results Of 765 respondents, 405 (53%) treat saphenous veins with conventional surgery for, 44 (6%) with foam, and 199 (26%) with thermoablation (endolaser or radiofrequency). Surgeons who perform thermoablation prescribed more pharmacoprophylaxis after varicose vein surgery than those who perform conventional surgery (67/199, 34% vs. 112/405, 28%; p = 0.002). The thermoablation group stratifies patients for thromboembolism risk more frequently than the conventional surgery group (102/199, 51% vs. 179/405, 44%; p = 0.004). Both groups use enoxaparin as the most frequent drug for prophylaxis, but the thermoablation group uses proportionally more direct oral anticoagulants than the conventional surgery group (26% vs. 10%, p<0.001). Conclusions Brazilian vascular surgeons who perform saphenous vein treatment by thermoablation prescribe pharmacoprophylaxis more frequently and for a longer period than those who use conventional surgery.
Seroprevalence of Leptospira spp. in horses from Rio Grande do Norte, Brazil
Authors: Rizzo Huber , Rocha Leandro L.L. , Diniz Diogo D.M. , Lima Gustavo S. , Jesus Taile Katiele S. , Pinheiro Júnior José W. , Castro Vanessa
Published: May 2022

ABSTRACT: This study aimed to determine the prevalence and risk factors associated with the presence of anti-Leptospira spp. antibodies in horses reared in the Eastern and Western Potiguar mesoregion, State of Rio Grande do Norte, northeastern Brazil. Seven hundred and eighty-five animals (785) were used from 90 properties from 2018 to 2019. The serological diagnosis was performed by the microscopic agglutination technique (MAT), using a collection of live antigens composed of twenty serovars belonging to sixteen serogroups. Variable data associated with risk factors were obtained from questionnaires carried out to herd owners and statistically analyzed. The absolute and relative frequencies were determined by descriptive analysis and risk factors by univariate analysis of the variables using the Pearson’s chi-square test and Fisher’s exact test, when necessary, and then assessed by Poison regression. The positivity frequency among animals was 97.2% (763), and from all properties, there was at least one seropositive animal. The main reactive serogroup was Icterohaemorrhagiae (72.88%), followed by reactive animals to Australis (14,94%), Sejroe (4.43%), Shermani (2.77%), Autumnalis and Pomona (1.29%). It was observed occurrences lower than 1% to serogroups Canicola, Ballum, Grippotyphosa and Hebdomadis, with titles ≤400 in 78,97% of cases. The significant occurrence of seropositive horses and the serogroup Icterohaemorrhagiae predominance highlights the importance of vaccination and hygiene in Potiguares herds facilities to prevent leptospirosis cases and the consequent elimination of the agent in the environment.
Existe falta de consenso quanto à teoria do consenso? A teoria da ação comunicativa de Habermas contextualizada na administração pública
Authors: Athayde ANDRÉ LUIZ MENDES , ALVES LUÍS FERNANDO DE SOUZA , PAULA PABLO PERÓN DE , GOMES ADALMIR DE OLIVEIRA
Published: May 2022

Resumo Considerando as críticas à teoria da ação comunicativa de Habermas, este ensaio problematizou e refletiu sobre outra possível crítica: estudiosos da teoria em questão, apesar de apresentarem um entendimento comum - iluminação e emancipação do homem -, não chegam a um consenso sobre o que essa teoria representa, quando comparada a outras teorias e tipos de racionalidades. A questão norteadora do ensaio foi: a transição proposta por Habermas de outros tipos de racionalidades para a comunicativa diz respeito a uma teoria interparadigmática ou a um salto paradigmático? Metodologicamente, adotamos a concepção de ensaio segundo a qual autores e leitores precisam reconhecer que a realidade pode ser compreendida de diferentes maneiras. A discussão, contextualizada na administração pública, permitiu-nos compreender que considerarmos a teoria da ação comunicativa como possuidora de um carácter interparadigmático não significa que a mesma seja um mero ajuntamento de outras teorias, porque ela ultrapassa aquelas com as quais dialoga, apresentando, adicionalmente, uma mudança radical. Propomos que a teoria da ação comunicativa compreende um salto paradigmático com características interparadigmáticas. Por fim, apresentamos implicações dessa discussão para a administração pública.
Is there a lack of consensus on consensus theory? Habermas’ communicative action theory contextualized in public administration
Authors: Athayde ANDRÉ LUIZ MENDES , ALVES LUÍS FERNANDO DE SOUZA , PAULA PABLO PERÓN DE , GOMES ADALMIR DE OLIVEIRA
Published: May 2022

Abstract Considering the criticisms of Habermas’ communicative action theory, this essay problematized and reflected on another possible criticism: scholars of the theory, despite presenting a common understanding - enlightenment and emancipation of man - do not reach a consensus on what this theory represents compared to other theories and rationality types. The guiding question of the essay is: does the transition proposed by Habermas from other rationality types to the communicative concern an interparadigmatic theory or a paradigmatic leap? Methodologically, we adopted the conception of an essay according to which authors and readers need to recognize that reality can be understood in different ways. The discussion, contextualized in public administration, allowed us to understand that considering the communicative action theory as having an interparadigmatic character does not mean it is a mere gathering of other theories because it surpasses those it dialogues with, additionally presenting a radical shift. We propose that the Communicative action theory comprises a paradigmatic leap with interparadigmatic characteristics. Finally, we present implications of this discussion for Public Administration.
Interorganizational relations from the perspective of strategy as social practice
Authors: MOZZATO ANELISE REBELATO , GRZYBOVSKI DENIZE , FRITZ FILHO LUIZ FERNANDO
Published: May 2022

Abstract This theoretical essay aims to reflect on interorganizational relations (IORs) from the idea of strategy as social practice (SSP), contributing to the debate on considering rationalities other than the instrumental in studies on interorganizational strategies. Therefore, critical theoretical assumptions of organizational strategy and organizational studies are reviewed. It is assumed that the IORs occur in everyday life through interactions between different agents, considering the analysis of micro-processes as inherent and complementary to analysis at the meso and macro level. The justification is that the instrumental rationality inherent to the dominant social science in the West, traditionally used to explain IORs, is not enough to contemplate the debate in the field of interorganizational strategies to consider the social context and the decolonial thought, which requires a look beyond economic utilitarianism.
Platformization of the skin? Biometric tattoos, dataism, and consumer datification
Authors: OLIVEIRA RENATA COUTO DE AZEVEDO DE
Published: May 2022

Abstract This theoretical essay starts from the possibility of the platformization of the skin through the use of biometric tattoos to analyze the imminent risks posed by consumer wearables and their biopolitical marketing in the context of communicative capitalism. The theme is approached through a critical perspective that goes beyond the marketing rhetoric that focuses on individual improvement and self-care through consumer datification. The aim is to overcome the opacity of technological systems associated with communication and information technologies. The work discusses the consequences of biopolitical marketing associated with the consumption of wearables; for example, the formation of profiles informed by governmentality based on a belief in dataism, which fosters objective truth markets based on the capture and analysis of big data. The essay concludes that the consumption of wearables associated with the platform economy, datification, and dataism poses risks to privacy and democracy, especially in contexts such as the pandemic, in which dependence on communication and information technologies is evident.
Escala de competências gerenciais para o setor público
Authors: FREITAS PABLO FERNANDO PESSOA DE , ODELIUS CATARINA CECÍLIA
Published: May 2022

Resumo A área de gestão de pessoas carece de instrumentos para a realização de diagnósticos válidos e precisos. Para medir competências gerenciais no setor público, muitas ferramentas disponíveis são limitadas a um segmento público, negligenciam aspectos gerenciais importantes ou não apresentam itens no formato de comportamento observável (verbo + objeto + critério ou condição), dificultando diagnósticos e comparações. Diante dessa lacuna, este estudo visa criar e apresentar evidências de validade de uma escala de competências gerenciais para o setor público. O desenvolvimento da escala passou por revisão de literatura, análise de conteúdo com categorias definidas posteriormente, avaliação de juízes, pré-teste, coleta de dados com amostra de 1.376 indivíduos, sendo 724 servidores públicos de órgãos diversos e mais 652 especificamente do Superior Tribunal de Justiça (STJ), incluindo ainda o teste de validade e confiabilidade por meio de 1 análise fatorial exploratória (AFE) e 2 análises fatoriais confirmatórias (AFCs), perfazendo 3 estudos. A AFE revelou 3 fatores: processos e resultados; relações humanas e inovação; interesse público, com variância total explicada de 83,93%. As AFCs, no contexto geral e no STJ, revelaram bons índices de ajustamento após algumas modificações que deixaram o instrumento mais parcimonioso, com 29 itens. A análise de confiabilidade apresentou α médio de 0,953. Os fatores são referendados pela literatura e valorizam as particularidades do setor público. Do ponto de vista prático, o estudo possibilita diagnósticos e pesquisas sobre competências de gestores públicos de diversos poderes, segmentos, cargos e níveis hierárquicos, permitindo, inclusive, comparações interinstitucionais.
Managerial competence scale for the public sector
Authors: FREITAS PABLO FERNANDO PESSOA DE , ODELIUS CATARINA CECÍLIA
Published: May 2022

Abstract The people management area lacks instruments to carry out valid and accurate diagnoses. Many available tools to measure managerial competencies in the public sector are limited to a public segment or neglect important managerial aspects, or still do not present items in the observable behavior format (verb + object + criterion or condition), making difficult diagnoses and comparisons. In view of this gap, this study aimed to develop a managerial competence scale for the public sector and present evidence of its validity. The scale was developed based on a literature review, content analysis with a posteriori categorization, evaluation made by judges, pre-test, two data collection from 1,376 subjects, from which 724 were civil servants of different bodies and another 652 specifically of the Superior Court of Justice (STJ), besides the validity and trustworthiness verification in three studies: one using exploratory factorial analysis (EFA) and two using confirmatory factorial analysis (CFA). The EFA presented three factors: Processes and Results; Human Relations and Innovation; and Public Interest, with a Total Variance Explained of 83.93%. The CFA, in the general context and in the STJ, had good rates of adjustment after some changes that made the instrument more parsimonious, with 29 items. The reliability analysis showed an average α of 0.953. The factors are backed by the literature and value the singularities of the public sector. From a practical point of view, the study allows diagnoses and research on the competencies of public managers from different Powers, segments, positions, and hierarchical levels, enabling inter-institutional comparisons.
Corporate socioenvironmental report and greenwashing: analysis of a Brazilian mining company
Authors: BRITO ANA CAROLINA FERREIRA DE MELO , DIAS SYLMARA LOPES FRANCELINO GONÇALVES , ZARO ELISE SOERGER
Published: May 2022

Abstract This case study analyzes the corporate socioenvironmental report (CSR) of a Brazilian company to identify potential vulnerabilities of the practice of greenwashing. Based on consultation of the relevant literature obtained from the databases of the CAPES Periodical Portal, SPELL, and Google Scholar, it was possible to identify the assumptions for the occurrence of greenwashing, arranged in categories for analysis. The study is qualitative and exploratory in nature, employing reflexive thematic analysis of the company’s disclosures and the information obtained from newspapers in light of the pertinent legislation. The results partially confirmed the hypotheses in the sense that it is possible for greenwashing to occur related to the CSR. The results also indicated that the process of independent verification of the reports has a limited effect to counteract this potential practice. The singularity of this study is the interdisciplinary approach and analysis of publicly available information about a determined period compared to the content of the CSR. The triangulation of the information can contribute to a better understanding of the CSR and foster reflection on the role of corporate environmental communication and the need for better reporting of non-financial information.
Managing the informal economy: a theoretical debate in the light of gig economy
Authors: VACLAVIK MARCIA CRISTIANE , OLTRAMARI ANDREA POLETO , OLIVEIRA SIDINEI ROCHA DE
Published: May 2022

Abstract Informality is a historical feature of the Brazilian labor market. Its economic and social importance is undeniable. In this essay, considering the gig economy and digital labor markets phenomenon, we argue that a process of “managing the informal economy” is underway. It is observed that big companies are mediating labor relations through online platforms, using informal work. This phenomenon reorganizes and amplifies informality, creating a new employment statute by merging characteristics of formality (such as control, performance evaluation, and financial incentives) and informality (due to the autonomous nature and the lack of employment relationship with the organization). In Brazil, app-based work has grown substantially, reinforcing the need for theoretical and empirical investigation.
A transformação do ensino superior no Brasil: um estudo de caso sobre a criação de um grande grupo educacional privado
Authors: WOOD JUNIOR THOMAZ , TRIVELLI ANDRESSA
Published: May 2022

Resumo Nas últimas décadas, as universidades sofreram mudanças substanciais. Vários estudos no Brasil e no exterior adotaram uma perspectiva crítica sobre a mercantilização do ensino superior. Este artigo incorpora esta perspectiva e foca a transformação de uma grande universidade privada no Brasil. Depois que um fundo de investimento adquiriu uma participação acionária nessa universidade, a instituição implementou novas práticas de ensino e administrativas e incorporou valores adotados por organizações financeiras privadas e métodos modernos de gestão. Nós apresentamos o caso e discutimos as perspectivas para instituições privadas de ensino superior. Nós ainda propomos que universidades privadas sejam teorizadas como organizações híbridas. Finalmente, especulamos sobre vetores que poderiam contribuir para uma transformação positiva das universidades privadas.
The transformation of higher education in Brazil: a case study on the creation of a private educational giant
Authors: WOOD JUNIOR THOMAZ , TRIVELLI ANDRESSA
Published: May 2022

Abstract In recent decades, universities have experienced substantial change. Several studies in Brazil and abroad adopted a critical perspective on the marketization of higher education. This paper contributes to this stream of research and focuses on the transformation of a large private university in Brazil. After an investment fund acquired an equity stake in this university, the institution implemented new teaching and administrative practices and adopted values embraced by private financial organizations and a set of so-called modern management methods. We present the case and discuss the perspectives for private higher education institutions and their faculties. We also claim that private universities should be theorized as hybrid organizations. Finally, we speculate on the vectors that could contribute to a positive transformation of private universities.