bluuebunny/crossref_metadata_2025 huggingface dataset:
60 Years of Databases (final part)
Authors:   Institute of Software Systems NAS of Ukraine, Reznichenko V.A.
Published: October 2023

The article provides an overview of research and development of databases since their appearance in the 60s of the last century to the present time. The following stages are distinguished: the emergence formation and rapid development, the era of relational databases, extended relational databases, post-relational databases and big data. At the stage of formation, the systems IDS, IMS, Total and Adabas are described. At the stage of rapid development, issues of ANSI/X3/ SPARC database architecture, CODASYL proposals, concepts and languages of conceptual modeling are highlighted. At the stage of the era of relational databases, the results of E. Codd’s scientific activities, the theory of dependencies and normal forms, query languages, experimental research and development, optimization and standardization, and transaction management are revealed. The extended relational databases phase is devoted to describing temporal, spatial, deductive, active, object, distributed and statistical databases, array databases, and database machines and data warehouses. At the next stage, the problems of post-relational databases are disclosed, namely, NOSQL-, NewSQL- and ontological databases. The sixth stage is devoted to the disclosure of the causes of occurrence, characteristic properties, classification, principles of work, methods and technologies of big data. Finally, the last section provides a brief overview of database research and development in the Soviet Union.
The COVID-19 Pandemic and Parental Attitudes Toward Routine Childhood Vaccines
Authors: Higgins David M. , Moss Angela , Blackwell Sarah , O’Leary Sean T.
Published: October 2023

BACKGROUND AND OBJECTIVES

The coronavirus disease 2019 (COVID-19) pandemic may have impacted parental attitudes toward childhood vaccines. However, few data sources followed attitudes before and after onset of the pandemic. We used data from a parental survey to describe the effect of the pandemic on parental attitudes toward childhood vaccines.

METHODS

Data were analyzed from the Health eMoms survey which randomly sampled birthing parents in Colorado from 2018 to 2021 on several health topics including vaccine hesitancy. Population weighted multivariable regression was used to measure the association between overall vaccine hesitancy and 5 individual hesitancy questions and different COVID-19 pandemic periods: prepandemic (April 2018–February 2020); pandemic prevaccine (April 2020–December 2020); and pandemic postvaccine (January 2021–August 2021), adjusting for demographic factors.

RESULTS

Overall, 20.4% (726/3553) of respondents were vaccine hesitant. Vaccine hesitancy during pandemic time periods was not different from the prepandemic period (prevaccine adjusted odds ratio [aOR] = 0.82, 95% confidence interval [CI] = 0.65–1.04; postvaccine aOR = 1.07, 95% CI = 0.85–1.34). In analyses of individual hesitancy questions, parents were more likely to be unsure about trusting vaccine information in the pandemic postvaccine time period compared with the prepandemic period (aOR = 2.14; 95% CI = 1.55–2.96), and less likely to be unsure about their hesitancy toward childhood vaccines (aOR = 0.48; 95% CI = 0.27–0.84).

CONCLUSIONS

The COVID-19 pandemic was not associated with changes in parental vaccine hesitancy overall, although there were changes in trust about vaccine information and a polarization of vaccination attitudes.
Sediment erosion and deposition within mangrove forests
Authors:   , Deitrick Autumn R.
Published: October 2023

Mangroves are highly productive ecosystems that sequester carbon in their own biomass and by trapping carbon-rich sediment imported from outside the forest and deposited in the forest. Aboveground biomass, like mangrove pneumatophores (i.e., aerial roots), creates conditions that facilitate sediment deposition by enhancing drag and slowing currents near the bed. However, pneumatophores also generate turbulence that enhances turbulent kinetic energy (TKE), which can promote sediment resuspension. Two studies were conducted to better understand the impacts of pneumatophore-generated turbulence on sediment transport. The first study investigated whether pneumatophore-generated turbulence impacted the erosion threshold and rate of natural cohesive sediment collected from a black mangrove habitat. Sediment cores with intact belowground and aboveground biomass were placed in a recirculating channel. Pneumatophores were removed from one side of each core. Each side of the core, with and without pneumatophores, was separately exposed to the same sequence of channel velocities. Although the presence of pneumatophores significantly enhanced the turbulence in the channel, the bed stress, threshold for sediment resuspension, and rate of sediment erosion were similar for the bare and vegetated sides of each core. This result differs from non-cohesive sediments, for which pneumatophore-generated turbulence has been found to increase erosion rates. The second study considered deposition. Laboratory experiments measured TKE and net deposition of non-cohesive sediment in bare and vegetated channels. For the same velocity, as pneumatophore density increased, TKE increased and net deposition decreased. The impact of TKE on deposition was described in terms of a deposition probability model. This model was used to predict deposition over a range of typical mangrove field conditions, which indicated that pneumatophore-generated turbulence can facilitate the delivery of sediment farther into the mangrove forest. Understanding how pneumatophores impact the balance of the competing processes of deposition and erosion is critical for improving the assessment and modelling of sediment retention and carbon storage in mangrove forests.
Fan history and art in publications and research
Authors: Zhabreva Anna
Published: October 2023

The article was written in the wake of the exhibition «The Wing of the Wind Open in Time: Publications from the Collections of the Russian Academy of Sciences Library, its Department at the Museum of Anthropology and Ethnography (Kunstkamera), items from the personal collections of the staff» (April — May 2023), prepared with the direct participation of the author. The main exhibits of this event were publications from the Library — exhibition catalogs, illustrated
19th–20th centuries editions on the history of painting and costume, ethnographic literature. Fans and objects of arts and crafts from the organizers personal collections were designed to enhance the information content and entertainment of the exposition.
The author is not limited himself to a review of the publications presented at the exhibition, but develops the theme of fan studying on the basis of domestic and foreign 19th–20th centuries publications.
The first paragraph of the article details publications containing photographs and descriptions of fans — catalogs of expositions and exhibitions, as well as scientific publications. A review of these publications, originating at the end of the 19th century, allows to trace the change in attitude towards fans: household items, fashionable costume accessories and interior items, works of arts and crafts and painting. The second paragraph outlines a range of pictorial sources, primarily picturesque. As an example, a number of portraits and book illustrations of the 16th–19th centuries are mentioned. In the third section of the article, in connection with the descriptions of the main forms of fans, items from the author's collection are described.
The article is illustrated with photographs of exhibition fragments, fans, dolls and postcards from the author's collection.
Demineralized dentin matrix technique - a comparison of different demineralizing solutions
Authors: Heggendorn Fabiano Luiz , Nascimento Márcio Batista do , Lima Andreza Menezes , Ribeiro Alexandre Antunes
Published: October 2023

Abstract This study aimed to evaluate the microstructure formed after the chemical treatment of teeth, for the development of autogenous grafts from the demineralized dentin matrix (DDM) technique, in order to identify the most efficient demineralizing solution. The specimens, originating from the root and coronal portion, were submitted to ultrasonic cleaning and drying in an oven for 1h at 100 ºC. Then, the density was determined by Archimedes’ principle for each specimen, using distilled water as immersion liquid. The samples were separated into five groups: Control group: negative control, Distilled water;EDTA group: positive control, trisodium EDTA; NaOCl group: 2.5% sodium hypochlorite; HCl-0.6M group: 0.6M hydrochloric acid; and H2O2/H2SO4 group: hydrogen peroxide and sulfuric acid. Each specimen was immersed for 1h in the corresponding group descaling solution at 60 ºC. Subsequently, the mass loss and density of the treated specimens were determined by Archimedes’ principle. Ultimately, the specimens of each group were characterized by microtomography, Scanning Electron Microscopy, and Energy Dispersive Spectrometry X-ray (SEM-EDS). The results demonstrated that the H2O2/H2SO4 solution allowed the formation of interconnected micropores, suggesting better pore structures for application in scaffolds, when compared to the other studied solutions.
Radiopacity and physical properties evaluation of infiltrants with Barium and Ytterbium addition
Authors: Pedreira Priscila Regis , Damasceno Janaina Emanuela , Cerqueira Gabriela Alves de , Souza Ana Ferreira , Aguiar Flávio Henrique Baggio , Marchi Giselle Maria
Published: October 2023

Abstract Radiopaque properties in the infiltrant should be interesting for clinicians to feel more confident to indicate this treatment. Thus, the aim of this study was to evaluate the effect of the incorporation of barium and ytterbium particles on the physical properties of resin infiltrants. Groups were divided according to the addition of ytterbium oxide (Y) alone (30 or 40%) or Y with barium (YB) (15/15% or 20/20% respectively) in the Icon commercial infiltrant and in the experimental infiltrant base. Digital radiography (n=5), Microradiography (n=5), Microtomography (n=3), degree of conversion (n=5), water sorption (n=16), solubility (n=16), contact angle (n=16), flexural strength (n=16), elastic modulus (n=16) and Energy dispersive X-ray Spectroscopy (n=10) were performed. Analyses were performed using the R program, with a significance level of 5%, and microradiography and Microtomography analyses were evaluated qualitatively. In groups with 30 or 40% of ytterbium, radiopacity was higher or equal to enamel. Microradiography and Microtomography appear to have more radiopacity in groups with 40% (Y). Among the groups with no particle addition, those of the experimental infiltrant presented a higher degree of conversion than those of Icon®. In most groups, there was solubility below the ISO-recommended levels. The addition of particles resulted in higher viscosity. Groups with Icon had higher flexural strength and elastic modulus than groups with experimental infiltrant. The addition of 40% (Y) improved polymerization, had low solubility, and had greater radiopacity than enamel, however negatively affected the viscosity increasing then. Experimental groups with the base showed a higher water sorption than Icon groups.
Surgical complications associated with hemilaminectomy and intervertebral disc fenestration: Prospective study of 64 dogs
Authors: Schwab Marcelo Luís , Ferrarin Dênis Antonio , Ripplinger Angel , Wrzesinski Mathias Reginatto , Rauber Júlia da Silva , Chaves Julya Nathalya Felix , Beckmann Diego Vilibaldo , Mazzanti Alexandre
Published: October 2023

ABSTRACT: Hemilaminectomy and intervertebral disc fenestration are commonly used to treat intervertebral disc extrusion (IVDE); however, they are associated with surgical complications. Sixty-four dogs were assessed during the intraoperative, immediate postoperative, and late postoperative periods to evaluate complications resulting from these surgical procedures. During this study, 15.62% (n=10) of the dogs presented with complications during at least one of the evaluations. Iatrogenic rhizotomy, access to the spinal canal contralateral to the lesion, and cardiorespiratory arrest were observed intraoperatively. Abdominal wall flaccidity, neurological worsening, hematoma, dehiscence, and superficial wound infections were observed during the immediate postoperative period. Adverse reactions to the surgical thread, scar adhesion, and superficial wound infection were the most frequent complications during the late postoperative period. Dogs that undergo hemilaminectomy and intervertebral disc fenestration because of IVDE may experience complications during the intraoperative, immediate postoperative, and late postoperative periods. However, these complications are often transitory and rarely cause death.
EFFICACY OF FULL-ENDOSCOPIC INTERLAMINAR AND TRANSFORAMINAL DISCECTOMY FOR LUMBER DISC HERNIATION
Authors: ZHANG GUOQIANG , XIE XUEHU , LIU NING
Published: October 2023

ABSTRACT A previous study has reported the therapeutic effects of interlaminar/transforaminal approaches under full-endoscopic visualization to treat L5-S1 lumber disc herniation (LDH). However, the comparison of interlaminar/transforaminal approaches to treat other segments of LDH remains unclear. Objective: To evaluate the clinical efficacy of full-endoscopic interlaminar and transforaminal lumbar discectomy to treat LDH. Methods: A total of 93 patients with LDH who underwent fully-endoscopic lumbar interlaminar/transforaminal discectomy were retrospectively collected. Patients were divided into a Transforaminal group (n=41) and an Interlaminar group (n=52). Clinical efficacy was evaluated by visual analogue scale (VAS), the Oswestry disability index (ODI), and the modified MacNab scoring system. Results: Of the 93 patients, involving segments in LDH referred to L3-4, L4-5, and L5-S1. The fluoroscopy times in the Interlaminar group were smaller than that of the Transforaminal group. We found no obvious significances between the Transforaminal and Interlaminar groups regarding operation time, incision length, postoperative landing time, hospitalization, and incision healing time. Postoperative VAS and ODI scores notably improved at follow-up. Besides, almost 90% LDH patients achieved excellent/good outcomes. Conclusion: The full-endoscopic visualization technique via interlaminar and transforaminal approaches safely and effectively treat LDH. Level of Evidence III, Retrospective Study.
ASSESSMENT OF THE LEVEL OF SATISFACTION OF PATIENTS SUBMITTED TO LATARJET SURGERY UNDER OUTFIT SYSTEM COMPARED TO HOSPITAL SYSTEM
Authors: RIBEIRO LEANDRO MASINI , COSME FILLIPE AGRA DE OLIVEIRA , LARA PAULO HENRIQUE SCHMIDT , POCHINI ALBERTO DE CASTRO , EJNISMAN BENNO , BELANGERO PAULO SANTORO
Published: October 2023

ABSTRACT Anterior shoulder instability causes functional changes that affect patients’ quality of life. The Latarjet procedure is one of the most frequently performed surgeries for cases of recurrent shoulder instability. Objective: To assess the level of satisfaction of patients who underwent the Latarjet procedure in outpatient settings (day hospital) compared with inpatient settings. Methods: A questionnaire was administered to both groups and a descriptive analysis of the results was performed. Results: 51 patients were included, with a mean age of 29.9 years, 82.3% men and 17.6% women. Of the patients who underwent surgery in the day hospital, 46.1% were operated within 100 days of their first outpatient visit; among those in the inpatient group, 76.3% underwent surgery more than 200 days later. Delays occurred in 15.3% of cases in the day hospital compared with 68.4% in the inpatient group. Of the patients in the day hospital, 92.3% felt comfortable contacting the medical team in case of complications and would perform the procedure again in the same setting. Moreover, 63.2% of inpatients would have preferred to have been discharged on the same day. The final satisfaction rate for both groups was 100%. Conclusion: Outpatient surgery guarantees more patient comfort, safety, and can be performed in a timely manner and with fewer delays, which has influenced patients’ decision to have surgery during the COVID-19 pandemic. Level of Evidence V, Cross-sectional Study.
The view of Ethics and Bioethics on the health worker and health work in the context of the COVID-19 pandemic in Brazil
Authors: Barbosa Swedenberger do Nascimento
Published: October 2023

Abstract The article is about ethics and bioethics with a focus on the health worker and health work in the context of the pandemic of COVID-19 in Brazil. It brings in an unprecedented debate on social and economic inequalities, evidenced in the world, regarding access to vaccines, medicines, tests, PPE, among others, which brought suffering and death. The dispute for these products occurred on a global scale and producing countries closed their markets and commercial dependence led to dramatic situations. During the pandemic, several ethical issues were evidenced: conflicts, dilemmas, and ethical infractions occurred in different situations, such as in health care settings, in the relationship between managers and health care workers, within health care teams, and between health care teams and society. The article also brings the polemic debate whether the deaths caused by COVID-19 in Brazil should be seen as biological or social phenomena: fatality, homicide, mysthanasia or social euthanasia. The article concludes that in public management it is imperative that the Ethics of Responsibility and Humanization of Care be applied. In this context of uncertainties and challenges for humanity, it is fundamental the participation of society around an agenda guided by ethical principles, human dignity, environment, and democracy, with inclusive public and economic policies.
Profile and essentiality of Nursing in the context of the COVID-19 pandemic
Authors: Santos Betânia Maria Pereira dos , Gomes Antonio Marcos Freire , Lourenção Luciano Garcia , Cunha Isabel Cristina Kowal Olm , Cavalcanti Aurilene Josefa Cartaxo de Arruda , Silva Manoel Carlos Neri da , Lopes Neto David , Freire Neyson Pinheiro
Published: October 2023

Abstract The present study aims to describe the sociodemographic and health profile of nursing professionals in the context of the COVID-19 pandemic and propose a reflective analysis on the essentiality of the category facing the intrinsic demands of patients and the Brazilian health system, especially in the context of the public health emergency triggered by the exponential advance of the SARS-CoV-2 virus. This study reveals the relationship between historical injustices and the different types of inequality that impacted and caused the vulnerability of the profession, with an emphasis on the presentation of potential perspectives arising from this historical process and recent events.
Covid-19 Fiocruz Observatory - an analysis of the evolution of the pandemic from February 2020 to April 2022
Authors: Freitas Carlos Machado de , Barcellos Christovam , Villela Daniel Antunes Maciel , Portela Margareth Crisóstomo , Reis Lenice Costa , Guimarães Raphael Mendonça , Xavier Diego Ricardo , Saldanha Raphael de Freitas , Mefano Isadora Vida
Published: October 2023

Abstract The COVID-19 pandemic had a significant impact on the living and working conditions of the entire population of Brazil, having a different and more intense effect on groups considered to be vulnerable. The objective of this article is to present an overview of the evolution of the pandemic in the country according to the bulletins of the Covid-19 Fiocruz Observatory in the period between the declarations of the beginning and end of the Public Health Emergency of National Concern (ESPIN, in Portuguese), February 2020 to April 2022. Several of the indicators adopted in the 69 bulletins published for the analysis of the pandemic were used, such as cases and deaths due to SARIs and COVID-19, age groups, % of occupancy of ICU beds, and vaccination, among others. The evolution analysis was organized between years and phases of the pandemic, seeking to highlight what characterized each moment. The closing statement of ESPIN in Brazil coincides with the discussions on the transition from a pandemic to an endemic scenario, without this representing the elimination of the virus, infections, and disease, posing the challenges of advances in vaccination processes in Brazil and around the world, as well as living with scenarios that may require the adoption of temporary protection measures in epidemic periods and periods of greater risk for vulnerable groups.
Planned discharge and the inter-professional relationship from the perspective of the nursing actions during the COVID-19 pandemic
Authors: Andreazza Rosemarie , Chioro Arthur , Bragagnolo Larissa Maria , Silva Franciele Finfa da , Pereira Ana Lucia , Mauri Leonardo , Rodrigues Elen Paula , Furtado Lumena Almeida de Castro , Carapinheiro Graça
Published: October 2023

Abstract A qualitative-case study was carried out aimed at analyzing the interprofessional relationships generated by the planned discharge from the nursing actions’ perspective during the COVID-19 pandemic. The study method was the participating observation by one nurse who works in a large SUS hospital in the city of São Paulo. The production of narratives and the micropolitics analysis resulted in two diverse visibility plans: beyond the planned discharge the anthropophagy of the technological arrangements for care and the ambivalence of the nursing staff in the production of interprofessional relationships; and the medical discharge and negotiated discharge: the intersecting with other professionals, with the families and with “real” life. The pandemic interrupted the multiprofessional visits and it was an analyzer of the interprofessional relationships. Wittingly, the nursing staff negotiates the discharges with physicians, who retain this power, and sets the team in motion using an elastic autonomy. The planned discharge alone was not able to guarantee a common interprofessional action plan, was not able to modify the constituted roles in the hospital, a situation that increased during the pandemic, but allowed the right setting aimed to increase the team’s professionalism.
Look, you are (not) alone: circulating gift and the mental health of healthcare professionals during the COVID-19 pandemic
Authors: Castro Barbara da Silveira Madeira de , Camacho Karla Gonçalves , Reis Adriana Teixeira , Abramov Dimitri Marques , Gomes Junior Saint Clair dos Santos , Moore Daniella Campelo Batalha Cox , Junqueira-Marinho Maria de Fátima
Published: October 2023

Abstract The mental health of health professionals who worked directly in services during the COVID-19 pandemic to care for patients affected by the disease became a fundamental issue to be considered, given the several consequences of this activity for these professionals. This article aimed to understand the challenges and demands of health professionals concerning support to address the emotional and physical exhaustion of working on the so-called frontline during the COVID-19 pandemic. The qualitative methodological approach was based on semi-structured interviews conducted online with these professionals after the first months of the pandemic. The hero’s place in which they were set, even if only in media discourses, soon gave way to their weaknesses and fragile work relationships to emerge: stress, fear, and the listening and reception desire. Marcel Mauss’ gift theory was brought up considering that new ways of reading and interpreting health work relationships contribute to necessary and urgent reformulations of their current context, targeting mental health and, more broadly, the comprehensive health of healthcare professionals.
Cuidados Maternos Primários e Gênese dos Transtornos Alimentares na Perspectiva de Mães de Jovens com Anorexia e Bulimia
Authors: Leonidas Carolina , Santos Manoel Antônio dos
Published: October 2023

Resumo A teoria psicanalítica postula que as raízes emocionais dos transtornos alimentares (TAs) remontam à relação precoce mãe-filha. Este estudo qualitativo teve como objetivo investigar os significados atribuídos por mães de pacientes com anorexia e bulimia às experiências de gravidez, parto, puerpério e cuidados básicos oferecidos às filhas nos primeiros anos de vida. Participaram sete mães cujas filhas encontravam-se em seguimento em um serviço especializado para TAs. Os dados foram coletados por meio de entrevista aberta e organizados em categorias de acordo com a análise temática reflexiva. Os resultados foram discutidos à luz da Teoria do Amadurecimento Emocional de Winnicott. As experiências relacionadas à maternidade e aos cuidados maternos foram marcadas por frustrações e emoções negativas, com poucas recordações de vivências gratificantes advindas da assunção ao papel de mãe. São discutidas as repercussões emocionais da não elaboração de conflitos transgeracionais recebidos das gerações anteriores e transmitidos sem transformação pelas mães, o que contribui para inibir o amadurecimento emocional das filhas, guardando possível relação com a vulnerabilidade aos sintomas de TAs.
From XVI to XXI century: old and recent records of Brachyteles arachnoides (Primates, Atelidae) in the State of Rio de Janeiro
Authors: Breves Paula M S , Chame Marcia , Melo Fabiano R. de , Pissinatti Alcides
Published: October 2023

ABSTRACT. Two muriqui species are currently described in the literature: the southern muriqui, Brachyteles arachnoides (E. Geofroy, 1806) and the northern muriqui, Brachyteles hypoxanthus (Kuhl, 1820). Nowadays, the distribution of the southern muriqui is restricted to forest patches of the states of Rio de Janeiro, São Paulo and Paraná, while the northern muriqui occurs in Espírito Santo, Bahia and Minas Gerais. Both are threatened species, but there are still many gaps in our knowledge of their occurrence, especially for southern muriquis in the state of RJ. The purpose of this work is precisely to identify the primary areas of occurrence of the muriqui in Rio de Janeiro through historical reports by naturalists, adventurers and others since the 16th century. Thus, allowing to assist in the establishment and conservation strategies of the species.
Reprimarização, política pública do trabalho e superexploração no Brasil: revisitando Ruy Mauro Marini
Authors: Justen Agatha , Gurgel Claudio , Braga Wagner Peres
Published: October 2023

Resumo O objetivo deste artigo é caracterizar o processo de reprimarização da pauta exportadora brasileira, sua repercussão sobre a política pública trabalhista e o aprofundamento da exploração da força de trabalho no Brasil. Quando “Dialética da Dependência”, de Ruy Mauro Marini, completa 50 anos, observa-se sua atualidade para apreender o processo pelo qual o Brasil vem passando a partir de sua reinserção na economia mundial. A pesquisa documental trabalha com dados do comércio exterior e com os novos marcos legais do trabalho. Na pesquisa bibliográfica, recorre-se à teoria da dependência, com ênfase na obra de Marini. Como resultado, identificam-se o processo de reprimarização da pauta exportadora e a nova ordem legal das relações trabalho/capital, configurando-se no Brasil o ambiente propício a níveis especialmente elevados de intensidade e extensão da jornada de trabalho, dois mecanismos frequentes de superexploração.
Processo de (Re)Organização do Trabalho Produtivo e Reprodutivo de Mulheres na Confecção
Authors: Souza Denise Clementino de , Lima Mariana Patrícia , Lima Cristiane Ana da Silva
Published: October 2023

RESUMO Objetivo: o artigo analisou como as mulheres proprietárias de negócio de confecção no agreste pernambucano (re)organizaram seu trabalho produtivo e reprodutivo no espaço privado de suas casas levando em consideração as relações de gênero. Marco teórico: embasa-se na discussão sobre divisão sexual do trabalho, dinâmica de conciliação entre espaço público e privado, tripla jornada e inserção da mulher no mercado laboral, a partir das problemáticas enfrentadas por elas. Método: utilizou-se da abordagem qualitativa do tipo descritiva, com realização de 23 entrevistas semiestruturadas. Resultados: os achados apontam que ter seu próprio negócio em casa acarreta uma falsa impressão de flexibilidade para as mulheres; a rotina laboral das proprietárias é exaustiva e com acúmulo das atividades produtiva e reprodutiva imbricadas no mesmo espaço, gerando tripla jornada e condições precárias de trabalho; a emancipação financeira das mulheres que atuam na confecção ocorre a partir da (re)organização das suas funções no próprio ambiente privado do lar, divergindo da literatura que relaciona sua autonomia ao ingresso no ambiente público do mercado laboral; e a informalidade, típica da região, favorece a entrada das entrevistadas no setor de confecções, mas as priva de acesso à seguridade social. Conclusões: as contribuições teóricas revelam que as mulheres não precisam, necessariamente, sair do espaço privado para adentrar o mundo laboral produtivo e alcançar certa emancipação, pois conseguem fazer isso a partir da (re)organização do trabalho produtivo no próprio ambiente do lar.
Escrevivência: The Exhausting Process of Being an Outsider within a Postgraduate Administration Program
Authors: Zanola Fernanda de Aguiar
Published: October 2023

ABSTRACT Objective: this reader reflects on the exhaustion of being an outsider within a postgraduate Administration program. Theoretical approach: I also incorporate dialogue with black feminist thinkers to explore the intertwined intersections in autobiographical narratives. I highlight the concept of outsider whitin to reflect experiences of less privileged groups, who come up against paradigms established by a more influential community of insiders. In this movement, I shatter images that produce apathetic identities, enabling them to position themselves in the face of social dynamics. Method: to do this, I use Conceição Evaristo's theoretical operator Escrevivência to revisit memories and reveal, through a transactional dialogue, productions located in the knowledge of black women. Results: in addition, I instigate reflections, acceptance, and representation of all peoples, addressing not only personal drama but also community history. Conclusions: finally, through a utopian effort, I articulate possible ways for postgraduate courses in Administration to break through the barriers experienced and raise the potential for those willing to contribute to the country's social, scientific, and theoretical development.
Exclusive breastfeeding intention among pregnant women and associated variables: a cross-sectional study in a Brazilian community
Authors: Silva Lorena Fonseca , Cortellazzi Karine Laura , Melo Letícia Santos Alves de , Silva Silvio Rocha Corrêa da , Rosell Fernanda Lopez , Valsecki Júnior Aylton , Tagliaferro Elaine Pereira da Silva
Published: October 2023

ABSTRACT Objective: To investigate exclusive breastfeeding (EBF) intention and associated variables among women in the third trimester of pregnancy. Methods: The data were collected with a questionnaire for the pregnant women (n=653), from December/2018 to November/2019. They answered the Infant Feeding Intentions (IFI) scale, translated and adapted to Brazilian Portuguese, and a questionnaire on sociodemographic, biological, family, pregnancy, breastfeeding, health care, and habits variables. Descriptive statistics and multiple logistic regression analyses were performed with a 5% significance level, following a multilevel hierarchical model that estimated the association between the dependent and independent variables. The outcome EBF intention measured by the IFI score was dichotomized by the median (<16 or =16). Results: Mean±standard deviation score for the IFI scale was 14.4±2.6 (score 0: very strong intention to not breastfeed at all; score 16: very strong EBF intention up to six months). The results from the regression analysis showed that pregnant women who had no intention to bottle feed (OR=4.33; 95%CI 2.79-6.72) or did not know (OR=1.85; 95%CI 1.21–2.82), those who planned the pregnancy (OR=1.52; 95%CI 1.09–2.12), those who believed they would have help to care for the baby (OR=3.60; 95%CI 1.51–8.56) or did not know (OR=3.97; 95%CI 1.26–12.51), and those who reported knowing the World Health Organization recommendations on breastfeeding (OR=1.73; 95%CI 1.13–2.64) were more likely to show a very strong EBF intention. Conclusions: Pregnant women in the third trimester of pregnancy presented a strong EBF intention. The higher EBF intention score was significantly associated with the structural, setting, and individual determinants.
Barriers to medication adherence by caregivers of children with leukemia: an observational study
Authors: França Fernanda Alves , Figueredo Ana Catarina Fernandes , Tessmann Luiza , Tiziani Valdenize , Córdoba José Carlos Martins , Magalhães Isis , Tavares Noêmia Urruth Leão , Medeiros-Souza Patrícia
Published: October 2023

ABSTRACT Objective: To identify barriers to adherence to home oral maintenance chemotherapy in children with leukemia treated at a specialized cancer center. Methods: We used the Brief Medication Questionnaire (BMQ) as a tool for screening barriers to adherence. The level of adherence was calculated considering at least one positive response in each BMQ domain, defined as Regimen Screen, Belief Screen, and Recall Screen. A positive screening for belief barriers (PSB) indicates that the caregiver reports not understanding the medication's mechanism of action and adverse effects. Results: Three important barriers to adherence were identified: beliefs, number of children of the caregiver, and age of the caregiver. The primary caregivers included 32 mothers (80%), four fathers (10%), three grandmothers (7.5%), and one unrelated caregiver (2.5 %). Most caregivers with a PSB were mothers. A PSB indicates that the caregiver reports not understanding the medication's mechanism of action and adverse effects. Caregivers with two or more children (median, three) had more barriers to adherence. Caregivers with potential non-adherence tended to be older than those with potential adherence, although without statistical significance (p=0.079, Mann-Whitney U test). Conclusions: The main barriers to adherence to home oral maintenance chemotherapy in children with leukemia identified through interviews with their caregivers, most often mothers, were lack of understanding of the treatment regimen, a greater number of children, and older age.
Tuberculosis in adolescence: an integrative review focusing on patient-centered care
Authors: Mendes Clara Carvalho , Unger Roberto José Gervasio , Araújo-Jorge Tania Cremonini de , Carvalho Anna Cristina Calçada
Published: October 2023

ABSTRACT Objective: To identify how patient-centered care has been addressed in tuberculosis studies with adolescents. Data source: We searched for articles published in Portuguese, Spanish and English in the Virtual Health Library (LILACS), PubMed (MedLine), and Scopus (Elsevier) databases, from 2000 to 2020, using descriptors (DeCS, MeSH) in Portuguese and English. Data synthesis: 1,322 studies were identified, of which 18 were selected. The main themes found were related to adherence to tuberculosis treatment, knowledge, attitudes and practices, health education, and public policies. Conclusions: We observed that both the number of researchers dedicated to the topic and the presence of a truly person-centered view are still scarce elements in tuberculosis among adolescents research.
Construindo o foragido: usos e sentidos da fuga no discurso judicial
Authors: Fernandes Daniel Fonseca
Published: October 2023

Resumo Este artigo tem o objetivo de investigar quais os limites para o reconhecimento da condição de foragido no discurso judicial e as suas consequências na decretação, na manutenção ou na revogação da prisão preventiva. O artigo utiliza duas principais estratégias para responder ao problema proposto. A primeira consiste na elaboração de uma revisão de literatura sobre fuga e prisão processual, mapeando os contornos e as ausências sobre esse tema na literatura científica. Nota-se a ausência de um tratamento concreto a respeito dos significados e limites para o reconhecimento da fuga no processo penal. A segunda estratégia consiste em uma análise empírica de decisões do Superior Tribunal de Justiça (STJ), proferidas entre 2020 e 2021. Como resultados da pesquisa, pode-se afirmar que o STJ tem posições que ora limitam o sentido da fuga, como a distinção entre não localização e fuga, ora relativizam suas consequências, a exemplo das fugas distantes no tempo, ora reafirmam o sentido da fuga como justificativa para imposição de prisões processuais, como o caso de permanência da fuga no momento da decisão. Nesse sentido, o artigo contribui para a compreensão dos sentidos que o Poder Judiciário atribui à categoria da fuga ao longo do processo penal.
Por que o investimento e foco em questões habitacionais é também uma medida de saúde
Authors: NASCIMENTO EDUARDO CASTELÃ , RIBEIRO WESLLAY CARLOS , PASTERNAK SUZANA
Published: October 2023

RESUMO Viver em uma habitação precária pode ser a causa ou um fator determinante de muitas patologias físicas e mentais, algo muito difundido nos meios técnico e acadêmico. No entanto, mesmo com evidências científicas e provisões legais, o estudo demonstra que o marco legal da saúde no Brasil restringe ou mesmo proíbe o uso de recursos da saúde em questões habitacionais, delimita a composição das equipes de saúde a profissões médico-hospitalares, bem como não considera o uso de recursos de outras funções orçamentárias na provisão habitacional para fins específicos de saúde. O estudo propõe que, para as situações com evidência científica suficiente que tenham como determinante social da saúde a questão habitacional, tais proibições ou delimitações sejam removidas.
Atenção Básica em Saúde em um cenário de vulnerabilidade: produção de saúde e governança informal do tráfico
Authors: FERNANDES AMANDA DOURADO SOUZA AKAHOSI , FERIGATO SABRINA HELENA , MINELLI MASSIMILIANO , MATSUKURA THELMA SIMÕES
Published: October 2023

RESUMO Este estudo visa explicitar a relação entre produção de saúde e a governança informal em territórios que convivem com o tráfico de drogas na Atenção Básica à Saúde (ABS), a partir de uma etnografia em uma Unidade de Saúde periférica, de um município de médio porte do estado de São Paulo. Os dados foram coletados por meio do Diário de Campo e entrevistas abertas com diferentes interlocutores do território. A análise dos dados perpassou por organização, gerenciamento e classificação do material coletado. Os resultados apontaram que diante da ausência ou insuficiência do Estado em territórios de vulnerabilidade social, o tráfico pode funcionar tanto como agente de precarização das relações de trabalho entre equipes de saúde e comunidade quanto como provedor de mecanismos de suporte e proteção para a população, mediação e gerenciamento das relações cotidianas da população, incluindo sua relação com os equipamentos de saúde. Conclui-se que os processos de vulnerabilidade individual, social e programática produz um solo fértil para a produção de processos de governança informal que podem coexistir com a governança estatal ou substituí-la.
Ciclovias, atividade física no lazer e hipertensão arterial: um estudo longitudinal
Authors: FLORINDO ALEX ANTONIO , GOULARDINS GUILHERME STEFANO , TEIXEIRA INAIAN PIGNATTI
Published: October 2023

RESUMO Residir nas proximidades de áreas verdes e em regiões com altos índices de caminhabilidade contribui para diminuir o risco de doenças, mas existem poucos estudos longitudinais em países de baixa e média rendas. Em São Paulo houve uma política importante de implementação de ciclovias e já é conhecido o efeito protetor das práticas de atividades físicas em doenças como a hipertensão arterial. Para verificar as relações entre possíveis mudanças na exposição às ciclovias a até 1 km das residências com as práticas de Atividade Física no Lazer (AFL), utilizamos dados de uma coorte onde foram avaliadas n=1.431 pessoas entre 2014/2015 e 2020/2021. As AFL e a hipertensão foram avaliadas por questionários. A disponibilidade de ciclovias a até 1 km dos endereços residenciais foi avaliada entre 2015 e 2020 por georreferenciamento e foram calculadas as mudanças no período. Foram realizadas associações estatísticas bivariadas e análises multiníveis. Houve aumento na hipertensão (de 26,2% para 35,6%) e na AFL (de 36,4% para 47,6%), mas foram associadas inversamente em ambos os períodos (p<0,001). O aumento das ciclovias foi mais localizado em regiões centrais da cidade. As análises multiníveis mostraram que as pessoas que foram expostas a manutenção positiva ou aumento da exposição de ciclovias tiveram mais chances de praticarem AFL no período (OR=1,39 IC95% 1,07-1,79). No entanto, é preciso ampliar esta estrutura por toda a cidade de São Paulo, para que possamos diminuir as iniquidades ambientais e contribuir de forma mais efetiva para a prevenção da hipertensão.
Segurança alimentar: reflexões sobre um problema complexo
Authors: DOMENE SEMÍRAMIS MARTINS ÁLVARES , AGOSTINI KAYNA , ALMEIDA GABRIEL NATALE PINTO DE , CAMARGO RAFAELLA GUIMARÃES MORAES , CARVALHO ALINE MARTINS DE , CORRÊA FERNANDO ELIAS , DELBEM ALEXANDRE CLÁUDIO BOTAZZO , DOMINGOS SARA STEFANI , DRUCKER DEBORA PIGNATARI , MARCHIONI DIRCE MARIA LOBO , MARTINS ISABELA PRADO , MONTEDO UIARA BANDINELI , RIBEIRO EVANDRO MARCOS SAIDEL , SANTIAGO RAQUEL DE ANDRADE CARDOSO , SILVA ROBERTO FRAY DA , SOARES FILIPI MIRANDA , STELUTI JOSIANE , SARAIVA ANTÓNIO MAURO
Published: October 2023

RESUMO O combate à má alimentação em todas as suas formas, que também se expressa na epidemia da obesidade, é uma das prioridades da Agenda 2030 e dos Objetivos de Desenvolvimento Sustentável. Este artigo traz elementos sobre insegurança alimentar no Brasil, a partir de temas relativos ao crescimento populacional, mudanças climáticas, biodiversidade e sistemas alimentares tradicionais e regenerativos; trata também do papel dos movimentos sociais para a garantia do Direito Humano à Alimentação Adequada. O Grupo de Pesquisa em Nutrição e Pobreza, o Saúde Planetária Brasil, e o Centro de Inteligência Artificial (C4AI) - Eixo AgriBio, entendem que a retomada organizada e sistêmica das frentes apontadas neste artigo de posicionamento, pode constituir um caminho para a articulação entre pesquisa, serviço e políticas públicas na direção do combate à fome e às demais manifestações da má alimentação, enquanto problema complexo prioritário para a garantia do bem-estar social.
Questões da saúde digital para o SUS: a “saúde móvel” e a automação algorítmica do saber-poder da medicina
Authors: Modolo Leandro , Carvalho Sergio , Dias Thais
Published: October 2023

Resumo A pandemia de covid-19 acelerou a chamada transformação digital da saúde. Uma de suas faces pode ser vista no uso progressivo de aplicativos móveis dedicados à prevenção de doenças e à promoção à saúde (mSaúde). Todavia, ainda há muitas lacunas de conhecimento e problematizações sobre saúde digital para subsidiar seu uso e implementação no âmbito da saúde coletiva. Este ensaio pretende se somar às caracterizações e análises das consequências assistenciais, sociais, políticas, legais e éticas da saúde digital. A hipótese a ser defendida é que a transformação digital da saúde acarreta a automação algorítmica do saber-poder da medicina. Para desenvolver este ensaio, foram realizadas extensa revisão bibliográfica, investigação e descrição de aplicativos de mSaúde, a partir de estudos críticos sobre saúde digital propostos por Deborah Lupton.
O esporte, a saúde e a vida bancária: a prática do futebol pelos trabalhadores bancários paulistanos, 1929-1932
Authors: Oliveira Gabriela Marta Marques de , Góis Junior Edivaldo
Published: October 2023

Resumo O trabalho analisa a maneira como o futebol se inseriu na vida dos bancários da cidade de São Paulo entre 1929 e 1932. Para isso, trata de quem eram esses trabalhadores e como eles davam sentido às práticas esportivas na Liga Bancária de Esportes Atléticos. Foram utilizadas como fontes relatórios, documentos e publicações da Associação dos Funcionários de Bancos do Estado de São Paulo. As reflexões sobre “classe” e “cultura de classe”, o conceito de “experiência” e a concepção de “classe média” foram utilizados na análise das fontes, na qual se observou variação entre as representações sobre o esporte e as práticas de futebol dos bancários.
Individualized Educational Plan: implementation and influence on collaborative work for the inclusion of students with autism
Authors: Costa Daniel Da Silva , Schmidt Carlo , Camargo Síglia Pimentel Höher
Published: October 2023

ABSTRACT The Individualized Educational Plan is important in the inclusion of students with Autism Spectrum Disorder because it leads the pedagogical practice of teachers towards the educational needs of these students, from collaborative work with parents and a multidisciplinary team. This study sought to describe, from a case study, the implementation of the Individualized Educational Plan in the elaboration phase and verify its influence on the collaborative work of the school team in an elementary school. The school team answered a questionnaire about collaborative work before and after four months of the Individualized Educational Plan elaboration for a student with autism. The results showed improvement in each dimension of the school team's collaborative work. The potential of Individualized Educational Plan for greater teacher involvement around common goals for the learning of students with Autism Spectrum Disorder through collaborative work are discussed.
Competencias educativas y tecnológicas en el contexto africano emergente: un reto para el futuro
Authors: Camargo Claudia De Barros , Maquina Francisca Nsang , Fernández Antonio Hernández , Luengo Antonio Javier Manso
Published: October 2023

RESUMEN Esta investigación tiene como objetivo analizar la percepción del profesorado y del alumnado universitario ecuatoguineano sobre las competencias educativas y tecnológicas emergentes en el contexto africano, en el campus de Bata de la Universidad Nacional de Guinea Ecuatorial. De metodología cuantitativa con un paradigma interpretativo, diseño de investigación no experimental, transeccional, explicativo, descriptivo y correlacional. Utilizamos como instrumento una escala Likert validada en contenido y constructo. El análisis se ha realizado mediante la correlación P de Pearson, el análisis descriptivo y el ANOVA de un factor, tanto para ver las diferencias entre profesores y alumnos, como la influencia de pertenecer a una u otra etnia. En conclusión, destacamos que hay una mayor valoración de las competencias tecnológicas con relación a las personales y sociales. Además, que la etnia determina las diferencias significativas en relación con las competencias sociales.