bluuebunny/crossref_metadata_2025 huggingface dataset:
Institutional Accreditation of SUS Ombudspersons: An analysis of the initial external evaluation experiences
Authors: Siqueira Sandra Aparecida Venâncio de , Fernandes Fernando Manuel Bessa , Motta Caio Tavares , Wanzeler Murilo da Conceição Cunha , Motta José Inácio Jardim , Santos José Antônio da Silva
Published: February 2023

ABSTRACT Based on the Qualification course of External Evaluators for the Accreditation process in the Unified Health System (SUS), held in 2018, this paper aims to discuss the challenges to the training process of these evaluators from a perspective of participatory evaluation to contribute to the improvement of external evaluation and self-evaluation devices. To this end, 33 documents produced with the practice of these devices were analyzed within the project. In external evaluation, the main challenge is to ‘look at the other’. This specific type of perspective requires the External Evaluation Team’s mastery over the previous knowledge, skills, and attitudes necessary for the work to capture knowledge, intentions, and relationships expressed in the statements of the subjects. In self-evaluation, the main challenge is ‘looking at oneself’. Taking oneself as an object of knowledge and field of transformation requires specific ways of doing to gain quality in work processes. Building a culture of evaluation in which the information produced supports decision-making is a challenge for the ombudspersons, which can be overcome with the Quality Benchmark of the Ombudsperson Services of the SUS.
SUS Ombudsman offices and the Brazilian Public Health School Network: a novel experience
Authors: Souza Rosa Maria Pinheiro , Costa Patricia Pol , Muñoz Francisco Gastón Salazar
Published: February 2023

ABSTRACT This experience report aimed to analyze the vocational education of ombudsmen in the Unified Health System (SUS). This project was a partnership between the Sergio Arouca National School of Public Health (ENSP/FIOCRUZ), the Brazilian Network of Public Health Schools (RedEscola), and the SUS Strategic and Participatory Management Secretary (SGEP/MS). Considered pioneering, the vocational education was developed within the logic of a participatory process which involved municipal, state and national actors from SUS Ombudsman offices, state public health institutions/schools, the National Council of Municipal Health Secretaries (CONASEMS), and the RedEscola’s Technical and Executive Secretary in a consensual governance articulation resulting in the qualification of 451 ombudsmen.
Analysis of the SUS Bahia Ombudsman Office’s experience
Authors: Carvalho Celurdes Alves
Published: February 2023

ABSTRACT The article reports the experience of the SUS/Bahia Ombudsman office from its implementation until mid-2021 through the analysis of the developed work. It also describes the role played by the Ombudsman in the struggle to guarantee the right to health, demonstrating its advances and challenges in the State of Bahia, as an ombudsman of the Unified Health System. It is structured in three phases, which intend to describe its performance in a clear and objective way. Its specificity is highlighted as a public health agency supported by the SUS legislation, envisioning decentralization throughout the State of Bahia, with the objective of expanding citizen participation and, consequently, access to their right to healthcare. The first phase discusses the implementation and formation of the SUS Bahia Ombudsman Offices Network and its articulation with the State General Ombudsman’s Office. The second focuses on structuring the service and expanding the Network. The third describes the qualification of SUS ombudsmen with emphasis on the service decentralization through the implementation in the Municipal Health Secretariats in the State of Bahia.
Entrevista com Fernando Pigatto – Presidente do Conselho Nacional de Saúde (25/06/2021)
Authors: Pigatto Fernando , Moreira Marcelo Rasga , Souto Kátia Maria Barreto
Published: February 2023

RESUMO Entrevista realizada com Fernando Pigatto, atual presidente do Conselho Nacional de Saúde (CNS), por via remota, em 25 de junho de 2021, quando o País chegava a 500 mil mortos pela pandemia de Covid-19. Nela, os entrevistadores objetivaram, por meio de perguntas abertas, levantar informações que: i) apresentassem a atuação do CNS no contexto pandêmico, em especial, seus desafios e avanços; e ii) promovessem a reflexão do entrevistado sobre aspectos fundamentais da democracia e da participação social, sobretudo a relação do Conselho com a sociedade civil e a sociedade política, o papel do CNS no processo decisório das políticas de saúde (ator e/ou arena?) e a interação Conselho-Conferência.
Interview with Fernando Pigatto – President of National Health Council (06/25/2021)
Authors: Pigatto Fernando , Moreira Marcelo Rasga , Souto Kátia Maria Barreto
Published: February 2023

ABSTRACT Interview with Fernando Pigatto, President of National Health Council (CNS), carried out remotely, on 25/06/2021, when the country reached the mark of 500,000 deaths from the COVID-19 pandemic. The interviewers aimed, through open questions, to collected information that would: i) present the performance of the CNS in the pandemic context, in special its challenges and advances; and ii) promote the interviewee’s reflection on fundamental aspects of democracy and social participation, especially the relationship between the Council and civil society and political society, the role of CNS in the decision-making process of health policies (actor and/or arena?), and the Council-Conference interaction.
Fatores associados ao registro da alimentação infantil e intercorrências clínicas na Caderneta da Criança
Authors: Reichert Altamira Pereira da Silva , Lima Isla Carolina Alves de , Bezerra Iolanda Carlli da Silva , Brito Paloma Karen Holanda , Guedes Anna Tereza Alves , Soares Anniely Rodrigues
Published: February 2023

RESUMO Este artigo teve como objetivo analisar os fatores associados ao registro da alimentação infantil e intercorrências clínicas na caderneta de crianças menores de 3 anos, residentes em João Pessoa, Paraíba, Brasil. Trata-se de um estudo transversal, realizado com 424 cadernetas de crianças menores de 3 anos, cadastradas em Unidades de Saúde da Família de João Pessoa, Paraíba. Os dados foram coletados no período de maio a novembro de 2019 e analisados a partir da estatística descritiva e inferencial, com os testes Quiquadrado e Exato de Fisher. Constatou-se que apenas 1,9% das cadernetas analisadas apresentavam dados relacionados com a alimentação e que 0,9% tinha registrado algum dado acerca das intercorrências clínicas da criança. Ademais, as características sociodemográficas dos responsáveis/cuidadores e das crianças não apresentaram associação estatística significativa com os registros da alimentação e das intercorrências clínicas na Caderneta da Criança. Conclui-se que é precário o registro sobre alimentação infantil e intercorrências clínicas na Caderneta da Criança. Esta realidade representa uma lacuna à continuidade do cuidado à criança e poderá prejudicar os esforços para a redução da morbimortalidade infantil.
Vulnerabilidade de Crianças com Necessidades Especiais de Saúde: implicações para a enfermagem
Authors: Sousa Brendo Vitor Nogueira , Araújo Claudiana Ribeiro da Silva , Oliveira Elenilda Farias de , Freitas Kananda Karla Andrade , Costa Polyana D’arc Rezende , Silva Valéria Batista da
Published: February 2023

RESUMO Objetivou-se analisar o perfil social e clínico das Crianças com Necessidades Especiais de Saúde internadas nas enfermarias pediátricas de um hospital materno-infantil do Distrito Federal. Trata-se de pesquisa quantitativa de corte transversal, realizada com 120 crianças e seus familiares/cuidadores principais. Utilizou-se questionário estruturado com 26 itens, que, posteriormente, passou pela análise descritiva e inferencial dos dados. Os resultados apontam a mãe como principal familiar/cuidador (92,5%), com nível médio de escolaridade (58,3%). As crianças eram, majoritariamente, do sexo masculino (63%), com malformações congênitas, deformidades e anomalias cromossômicas (29,1%). Houve correlação positiva entre escolaridade do familiar/cuidador e necessidade de internação na Unidade de Terapia Intensiva (p-valor<0,01) e o número de internações nos últimos 12 meses com as demandas de cuidados tecnológicas (p-valor<0,01). Assim, identificaram-se também a vulnerabilidade social das famílias e a necessidade de estratégias de educação em saúde voltadas para as demandas tecnológicas de cuidado.
Influência de determinantes socioeconômicos no desenvolvimento motor de lactentes acompanhados por programa de follow-up em Manaus, Amazonas
Authors: Lameira Ana Beatriz da Costa , Furtado Michelle Alexandrina dos Santos , Freire Júnior Renato Campos , Fernandes Tiótrefis Gomes , Mendonça Ayrles Silva Gonçalves Barbosa
Published: February 2023

RESUMO O desenvolvimento infantil é um processo gradual e contínuo dividido em estágios para fins teóricos. Os fatores intrínsecos e extrínsecos podem influenciar de modo positivo ou negativo na evolução do lactente. O objetivo foi avaliar a influência do ensino superior materno e da renda familiar no Desenvolvimento Motor (DM) de lactentes. Estudo transversal, que avaliou 106 crianças, oriundas do programa de follow-up de uma maternidade de referência no Amazonas. Foram aplicados dois questionários (roteiro de anamnese e perfil socioeconômico); e, em seguida, Escala Motora Infantil de Alberta para avaliar o DM desses lactentes. Para a análise estatística, foram utilizados dados descritivos e teste Qui-quadrado e Exato de Fischer, com p ≤ 0,05. O maior grau de escolaridade materna estava relacionada com a tipicidade do DM (71,4%, com p = 0,04), em contrapartida, uma menor renda familiar, apesar de ter apresentado maior percentual em crianças atípicas (51,9%), não demonstrou uma relação significativa com a atipicidade do DM. Foi observado que, na amostra, a escolaridade materna possuiu maior impacto para o adequado DM quando comparado à renda familiar. Tal fato parece estar relacionado com o maior grau de instrução materna, o qual implica o melhor assistencialismo infantil ante cuidados gerais e estimulações.
Efeito da intervenção motora domiciliar centrada na família para a funcionalidade de indivíduos com Duchenne
Authors: Brandão Leonardo de Carvalho , Furtado Michelle Alexandrina dos Santos , Oliveira Victória Natália de Sá , Arêas Guilherme Peixoto Tinoco , Mendonça Ayrles Silva Gonçalves Barbosa
Published: February 2023

RESUMO O objetivo foi investigar o impacto de um Programa de Intervenção Motora Domiciliar (PIMD), com a abordagem centrada na família, na funcionalidade de indivíduos com Distrofia Muscular de Duchenne (DMD). Foi realizado uma série de casos, entre novembro de 2020 a junho de 2021 e aplicado a função motora grossa dos membros superiores e inferiores antes e após o PIMD, durante 16 sessões. Permaneceram seis crianças entre 12-13 (±2,90) anos de idade; 9,14 (±0,90) anos para perda de deambulação e 6,38 (±1,06) anos para idade de diagnóstico. A Medida da Função Motora inicial foi 47,8 (±20,13) e final, 56 (±20,53); na Escala de Vignos, inicial foi 7 (±1,73) e final, 6,4 (±1,95); na Escala de Brooke, inicial foi 2,0 (±1,30) e final, 2,2 (±1,22); na Performance of the Upper Limb, inicial foi 28,29 (±11,94) e final, 35 (±13,28). Na criança deambuladora, a média do escore de North Star Ambulatory Assessment (NSAA) total inicial foi 25 e final, 27. Portanto, o PIMD pode ser uma alternativa para prolongar a funcionalidade do curso clínico da DMD, em períodos sem intervenção presencial. A telerreabilitação é uma estratégia promissora, entretanto, é necessário treinamento da equipe de cuidados à saúde e o envolvimento dos pais.
Perfil sociodemográfico e farmacoepidemiológico de crianças infectadas pelo HIV
Authors: Marca Leticia Mara , Dias Frederico Alves , Schultz Débora Bauer , Höfelmann Doroteia Aparecida , Rattmann Yanna Dantas
Published: February 2023

RESUMO A terapia antirretroviral interfere na replicação do vírus HIV, impede a progressão da infecção para a Aids e previne a mortalidade precoce das crianças infectadas. Esta pesquisa investigou o perfil sociodemográfico e os parâmetros relacionados com o tratamento antirretroviral das crianças HIV positivas residentes no estado do Paraná. Trata-se de um estudo observacional descritivo e analítico realizado com dados secundários do ano de 2020 referentes às crianças com até 12 anos de idade. Foram investigados: perfil, prevalência, medicamentos em uso, abandono da terapia, resistência e supressão viral. Foram identificadas 148 crianças, com uma prevalência igual a 8,1/100 mil no Paraná. Apesar de todas as crianças diagnosticadas com HIV terem iniciado o tratamento, 17,2% encontravam-se em abandono da terapia antirretroviral. Entre as crianças que permaneciam em tratamento, 9,8% não atingiram a supressão viral e suas cargas virais comumente ultrapassavam mil cópias virais/mL. Houve um predomínio de esquemas medicamentosos provavelmente prescritos após falhas terapêuticas. Os resultados indicam que o Paraná apresenta bons resultados quanto ao início rápido da terapia e à supressão viral das crianças. Entretanto, existe um número considerável de abandonos da terapia e de falhas terapêuticas, indicando a necessidade de reforçar a vinculação desta população aos serviços de saúde.
Características das prescrições de metilfenidato em ambulatório de neuropediatria
Authors: Lima Carlos Henrique de , Paiola Giordano Carlo , Maier Alessandra Maria Rocha Rodrigues , Garcia Lucas França , Massuda Ely Mitie
Published: February 2023

RESUMO O metilfenidato não é disponibilizado pelo Sistema Único de Saúde (SUS), pois não faz parte da Relação Nacional de Medicamentos Essenciais. Todavia, o metilfenidato 10 mg é disponibilizado pela rede pública em Maringá-PR de acordo com a Política da Assistência Farmacêutica do município. Objetivou-se analisar as características das prescrições médicas de metilfenidato para crianças em ambulatório de neuropediatria vinculado ao SUS no município. Estudo transversal observacional retrospectivo de caráter quantitativo, realizado por meio da coleta de dados dos prontuários cadastrados no Sistema Gestor da rede pública de saúde do município, pelo ambulatório de neuropediatria na Unidade Básica de Saúde, Zona 7, entre janeiro de 2017 e novembro de 2019. Analisaram-se os dados por frequência relativa e absoluta. Emitiram-se 339 prescrições pelo neuropediatra responsável do ambulatório para 107 pacientes de 6 a 11 anos. Notou-se distribuição geográfica desigual das crianças atendidas conforme bairro da cidade, o que denota influência socioeconômica na prescrição de medicamentos. Ressaltam-se picos de prescrições coincidindo com o período do ano letivo escolar. Concluiu-se que o acompanhamento especializado adequado é premissa para o tratamento, não dispensando a rede longitudinal de assistência. Ademais, evidencia-se o impacto das condições socioeconômicas, tanto na prescrição como na aquisição do medicamento.
O estudante em campo: uma experiência de formação em saúde da criança na Amazônia brasileira
Authors: Lima Maria Lúcia Chaves , Tavares Roseneide dos Santos , Alves Melina Navegantes , Oliveira Paulo de Tarso Ribeiro de , Campelo Luiz Marques , Cabral Karol Veiga , Souza Netto Nelson José de
Published: February 2023

RESUMO O artigo teve como objetivo relatar a experiência de imersão em campo de prática de estudante do Curso de Psicologia da Universidade Federal do Pará, enquanto participante do Projeto Multicampi Saúde: Atenção à Saúde da Criança, durante a realização do atendimento à criança-guia, à família e à comunidade de acordo com atividades que tiveram por finalidade a capacitação de estudantes e profissionais do serviço, diretamente na Unidade Básica de Saúde (UBS) e território adjacente. Delineou-se a trajetória percorrida pela estudante realizada no município de Cametá, Pará, durante o mês de junho de 2019, relatando a experiência em seis atividades principais: acompanhamento do uso da Caderneta da Criança com os profissionais da UBS; construção do Plano Terapêutico Singular para a criança/família-guia; mapeamento da rede de saúde mental do município; ações de educação em saúde; grupos de escuta; e capacitações para os profissionais da UBS. Os resultados mostram que a experiência de imersão no território, vivenciando o atendimento, foi enriquecedora nas dimensões do ensino, serviço e gestão. A imersão no campo de prática demonstrou ser potente espaço de formação dos futuros profissionais, utilizando-se do modelo de formação em serviço.
Multicampi Saúde da Criança: contribuições extensionistas na formação médica no Norte do Brasil
Authors: Gonçalves Lídia Dias , Bahia Silvia Helena Arias
Published: February 2023

RESUMO Este relato de experiência trata da descrição das vivências durante o projeto de extensão ‘Multicampi Saúde’ na cidade de Abaetetuba, Pará, em janeiro de 2020, sob o olhar de uma acadêmica do Curso de Medicina. O projeto propôs o fortalecimento da Política Nacional de Atenção Integral à Saúde da Criança, da integração ensino-serviço, da educação permanente, e a qualificação da formação profissional dos graduandos de dez cursos da área da saúde da Universidade Federal do Pará. As atividades extensionistas realizadas no município abrangeram ensino, pesquisa, experiência de gestão de pessoas e de serviços, com oportunidade de atuação interprofissional e prática colaborativa de acadêmicos de outros cursos e de atores locais do serviço e da comunidade, resultando em ações de intervenção e construção de materiais para educação em saúde da criança. A relação ensino-serviço possibilitou novos olhares sobre o aprendizado e a formação dos alunos, qualificou a prática dos profissionais nos serviços, possibilitando reflexão de práticas inadequadas. Essa inserção na atenção primária durante a graduação influenciou sobremaneira a formação médica e a escolha da especialidade de medicina de família e comunidade após a finalização do curso.
‘A gente não quer só comida’: integralidade na atuação interprofissional no cuidado da obesidade infantil
Authors: Cunha Claudia Carneiro da
Published: February 2023

RESUMO O artigo traz uma análise socioantropológica de uma prática de assistência de caráter interprofissional, da psicologia com a nutrição, voltada ao atendimento de crianças e adolescentes obesos e seus familiares, quase sempre mães, acompanhados em um ambulatório público da Universidade do Estado do Rio de Janeiro (Uerj). A educação em saúde e a integralidade do cuidado são conceitos ‘postos em prática’, articulando-os ao brincar como instrumento terapêutico e à arte como campo de vivências e expressão de singularidades. O corpo e a corporeidade são abordados nas suas dimensões biopolíticas, mas também sensíveis e simbólicas, na busca por compreender a obesidade infantil e suas nuances. Nas análises, a saúde deixa de ser medida a partir de seu caráter normativo, tomando-se o processo saúde-doença em sua complexidade.
A bibliometric and scientometric analysis on the use of UAVs in agriculture, livestock and forestry
Authors: Moraes Hugo Marcus Fialho e , Furtado Júnior Marconi Ribeiro , Vitória Edney Leandro da , Martins Rodrigo Nogueira
Published: February 2023

ABSTRACT: The use of unmanned aerial vehicles (UAVs) in the agricultural and forestry sectors has constantly evolved due to its great versatility and applicability in the field. In this sense, this study provided a statistical overview of studies on the use of UAVs in agricultural and forestry through a bibliometric and scientometric analysis. For that, a research was carried out on the Scopus platform using the terms UAV, UAS, drone, and RPA, together with “agricult*” or “forest* or livestock”. Only manuscripts published in English and from January 2000 to December 2020 were selected. The VOSviewer software was used for the analyses. The USA and China were responsible for more than 38% of the publications worldwide. Furthermore, about 50% of the countries in the world showed some scientific record of the use of UAVs in agricultural and forestry studies. The term UAS was more used until 2016, while UAV was more mentioned between 2017 and 2018. Conversely, drone was more endorsed from 2019. The constant increase in scientific production reported in the research and the evolution of the co-occurrence of keywords corroborated two ideas: i) the use of UAVs is still undergoing transformations and is directly related to the advancement of technology included in these equipments; and ii) studies are still not enough to explore all the applicability of the UAVs in agriculture, livestock and forestry.
Energy supplements for beef heifers on cool season pastures - a database analysis
Authors: Martini Amanda Carneiro , Furquim Fernando Forster , Domingues Camille Carijo , Severo Paula de Oliveira , Bergoli Tuani Lopes , Rocha Marta Gomes da , Pötter Luciana
Published: February 2023

ABSTRACT: Pooled data analysis is an analytical method that combines results from multiple studies. This technique provides a more robust estimate of the effects of an investigation. We performed a database analysis from seventeen experiments developed at Federal University of Santa Maria, Rio Grande do Sul state, Brazil, between 1999 and 2017 to characterize individual performance per area and stocking rate with or without supplementation of replacement heifers grazing winter pastures. Data were separated into two groups: with and without energy supplement provision, and into five subgroups based on supplement levels. Heifers from both groups were maintained under similar forage biomass and leaf blade allowance. Statistical analyses were run on R software using a ‘meta’ package. Supplement supply increased average daily gain and gain of body condition scores by 11.1% and 20.0%, respectively. Supplement levels higher than 1.2% of body weight resulted in higher weight gain per area, with the stocking rate increasing with higher supplement levels.
Empirical impact of financial service access on farmers income in Ghana
Authors: Siaw Anthony , Twumasi Martinson Ankrah , Agbenyo Wonder , Ntiamoah Evans Brako , Amo-Ntim Gideon , Jiang Yuansheng
Published: February 2023

ABSTRACT: The impact of access to financial services (AFS) and access to informal financial services (AIFS) on farmer income is examined in this study. After a multi-stage random sampling procedure, the study used a sample size of 478 people from two regions in Ghana. The endogenous treatment regression (ETR) model was used to account for selection bias while the unconditional quantile regression (UQR) model was used for a heterogenous analysis. The findings showed that education, financial literacy, IT access, farm size, and distance were all factors of access to financial services. Similarly, the findings revealed a positive and statistically significant link between household income and access to formal financial services. Similarly, there was a positive and significant association between access to informal financial services and household income. The findings showed that access to formal and informal financial services has different effects on household income. As a result, the effects of access to financial services on income varied by quantile. Based on the findings of the study, we developed policies to boost financial services accessibility as a means of increasing household income.
AEROBIC CAPACITY-BASED FITNESS TRAINING IN CHEERLEADERS
Authors: Yuan Xu , Hu Jingwen
Published: February 2023

ABSTRACT Introduction: The popularity of the sport, of cheerleading has become increasingly relevant although scientific knowledge and specific fitness training programs still lack formal research. Objective: Establish a scientific fitness training system based on aerobic capacity by exercise oxygen consumption in cheerleaders. Methods: Female college students in the final-year College of Physical Education cheerleading club were randomly divided into groups for training experiment at 60% and 80% aerobic capacity. The maximum oxygen consumption of the volunteers determined the trial standard. The experiment lasted 6 weeks, with 60-minute interventions three times a week. The results of the fitness tests performed before and after the intervention were statistically analyzed and discussed. Results: Exercise at an index of 80% VO2max demonstrated a better ability to improve overall fitness. Still, some deviations were observed regarding improved physical quality in cheerleaders. Conclusion: The scientific system of physical training can be established, demonstrating that fitness training based on aerobic capacity in cheerleaders can effectively improve physical training, especially with the index at 80% VO2max. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
JOINT INJURIES IN MARTIAL ARTS AND THEIR PREVENTIVE MEASURES
Authors: Maotang Wu , Zhifeng Su , Mingyong Wan
Published: February 2023

ABSTRACT Introduction: Martial arts athletes are highly prone to joint injuries during training or sports events. These injuries can affect professional performance and cause deleterious psychological damage to athletes. Objective: Explore the current status of joint injuries in martial arts and propose effective preventive measures. Methods: Martial arts athletes were selected to evaluate the types of joint injuries and the method of training in rehabilitating these injuries (n=32). They were randomly divided into an experimental group and a control group. The experimental group received a specific functional preventive training protocol based on updated scientific findings, while the control group received traditional physical training. Range of motion and functional FMS tests were performed before and after the interventions. The results were compared statistically. Results: The most common type of injury for athletes in martial arts is joint injury, followed by ligament and synovial inflammation. The probability of a joint injury rises when athletes are in continuous action training; the FMS test results of the athletes in the experimental group were significantly improved, with a very significant effect. Conclusion: The preventive functional training proposed in this paper can improve athletes’ fitness, improve coordination and joint stability, and prevent sports injuries. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
HIGH-INTENSITY INTERVAL TRAINING ON PHYSICAL FUNCTION IN OBESE COLLEGE STUDENTS
Authors: Du Wenshan , Wang Peiyu
Published: February 2023

ABSTRACT Introduction: Obese students easily accept high-intensity interval training due to its combination of exercise and rest. It is believed that, besides promoting the reduction of body mass index due to its aerobic character, such training can also positively impact the physical function of its practitioners. Objective: Study the effects of high-intensity interval training on body indexes and physical function of obese college students. Methods: Twenty obese college students were selected for four weeks of training. Distributed by equal random selection, the experimental group received four sessions of high-intensity interval training per week. The duration of training from the beginning of the preparatory activity to the end of the stretching activity totaled 1.5h. The control group performed their daily activities without intervention. The relevant physical function indices of the volunteers were evaluated and recorded before and after the intervention. Results: The lean mass index of the students in the experimental group increased from 1463,846 ± 209,888Kcal to 1573,514 ± 194,492Kcal. The vital capacity increased from 2573.94 ml to 3553.98 ml. However, students in the control group showed no relevant changes. Conclusion: High-intensity interval training proved useful in improving college students’ general health levels and helping them recover their normal body indexes. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
ANALYSIS OF TECHNICAL TRAINING ON PHYSICAL FITNESS IN COLLEGE TENNIS PLAYERS
Authors: Wang Xianjie
Published: February 2023

ABSTRACT Introduction: The stroke in tennis is a closed chain kinetic energy transfer starting from the lower limbs, through the trunk, to the upper limbs, and finally to the ball, requiring an upward coordinated muscular explosion. Due to its complex nature, it is believed that technical training can improve stability and accuracy in its players. Objective: Analyze the impacts of technical training on the physical fitness of college tennis players. Methods: Twenty tennis players from a tennis team at a university were selected and divided into an experimental group and a control group. The experiment lasted eight weeks. The experimental group received a technical training protocol on tennis strokes, while the control group received traditional physical training. Results: The hand-striking ability of the experimental group increased from 6.47 ± 2.02 to 8.67 ± 1.39 after four weeks and 10.56 ± 2.03 after eight weeks of training, while the control group increased from 4.42 ± 1.08 to 5.02 ± 0.59 in 4 weeks and 6.82 ± 1.46 after eight weeks of training. Conclusion: The application of technical movement training associated with traditional protocols is recommended to improve the physical fitness of athletes. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
OUTCOMES OF MODERATE-INTENSITY CONTINUOUS EXERCISE ON FAT RATIO AND MAXIMAL OXYGEN CONSUMPTION IN COLLEGE STUDENTS
Authors: Zhifeng Su , Maotang Wu
Published: February 2023

ABSTRACT Introduction: Declining physical quality, health status, and being overweight cause many college students to have physical problems. Continuous moderate-intensity exercise has become a widely used exercise method for many healthy people. Objective: Explore the outcome of continuous moderate-intensity exercise on college students' body fat rate and maximal oxygen uptake. Methods: The experiment will last for eight weeks. The control group did not practice other systematized exercises except daily physical activity and extracurricular sports. In addition to daily activities, the experimental group also performed moderate-intensity training in physical education classes. Results: In the training group, the average body fat rate decreased by 1.66%, the body fat content reduced by 1.21kg, and the skeletal muscle content increased by 1.44 compared to that before training. Vital capacity and maximal ventilatory capacity showed significant changes (P<0.05), of which maximal ventilatory capacity changed most significantly (P<0.01), from 79.63 ± 19.97L/min before the test to 98.65 ± 26.06L/min, with an average gain of 19.02L/min. Conclusion: Moderate-intensity continuous sports can effectively improve the cardiorespiratory function of current college students, increase body oxygen uptake, reduce body fat rate, and improve physical fitness, aiming to achieve a healthier physique. Level of evidence II; Therapeutic studies - investigating treatment outcomes.
EFFECTS OF SPORTS TRAINING ASSOCIATED WITH NUTRITIONAL INTERVENTION ON ATHLETES’ POST-COMPETITION RECOVERY
Authors: Chang Bu , Yangyang Liu
Published: February 2023

ABSTRACT Introduction: The athletes’ physiological capacity and psychological level are raised to the limit during the competition, which is necessary for adequate recovery after the dispute. Objective: Study the effect of sports training associated with nutritional intervention on athletes’ post-competition recovery. Methods: In the first two weeks of the experiment, training was done in slow aerobic exercise, aerobics, and running. Strength training and a small amount of anaerobic training were added to the training with the gradual practice of the experiment. Results: The proportion of breakfast, lunch, and dinner was 25.33%, 42.55%, and 32.12%, respectively; protein intake decreased from 34.23% to 20.13%, and the proportion of fat intake decreased from 15. 56% to 12.3%, and IgG content changed from 7.654 ± 0.283 (mmol/L) at the end to 8.586 ± 0.651 (mmol/L); IgM content changed from 3.382 ± 0.875 (g/L) at the end to 3.169 ± 1.002 (g/L). Conclusion: Athletes can effectively, through sports training and nutritional intervention, adjust body changes caused by competition while maintaining a good exercise level. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
EFFECTS OF EXERCISE TRAINING COMBINED WITH ACUPUNCTURE AND MOXIBUSTION ON FATIGUE
Authors: Jia Liang , Han Xu
Published: February 2023

ABSTRACT Introduction: Muscle fatigue bothers athletes, affecting training level and competitive performance, it also has a great impact on the physical health of athletes, predisposing them to accidents and an early termination of their career. Relieving sports fatigue is the focus of research in the field of sports health nowadays. Objective: Study the effect of acupuncture and moxibustion rehabilitation combined with physical training on sports fatigue. Methods: A controlled experiment was used. The experimental group used acupuncture and moxibustion combined with exercise training, while the control group used acupuncture and moxibustion. The same group of doctors performed the acupuncture and moxibustion treatment according to the actual situation of the patients, and they tested the changes in VAS pain score and PRI pain score. Results: The VAS pain score in the experimental group was 7.88 points before the procedure and 2.96 points after the sixth week of the procedure. The control group score was 7.67 before the start and 5.03 after training. The total PRI pain score in the experimental group was 6.52 points before training and 2.05 points in the sixth week of training. The control group scored 6.66 before the procedure and 3.89 in the sixth week. Conclusion: The combination of training and exercises can achieve a better rehabilitation effect compared to the isolated treatment of acupuncture and moxibustion. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
Analysis of mitochondrial DNA mutations in Pakistani population diagnosed with cardiovascular diseases
Authors: Ali F. , Ali S. , Mohamed S. , Khan I. , Khan I. , Khan S. , Khan F. , Alfeel A. H. , Higazi H.
Published: February 2023

Abstract Heart and blood vessel disorders, such as coronary heart disease, brain vessel disease, rheumatic heart disease, and others, are together referred to as cardiovascular disease (CVD). In this study, we sought to determine how mitochondrial Leucine Transfer RNA genes and CVDs are related (MT-L1 and MT-L2). From CVD patients in Peshawar, a total of 27 saliva samples were taken. Leu-tRNA genes expressed by mitochondria were amplified using polymerase chain reaction after DNA was removed. Ten samples were sent for sequencing after PCR and gene cleaning. We obtained all of the sequenced results, which were subsequently aligned and evaluated against the mitochondrial revised Cambridge Reference Sequence (rCRS). However, in our sequenced samples, Leu-tRNA MT-L1 and MT-L2 genes were determined to be unaltered. Thus, it is suggested that a large population be taken into account while screening for mutations in the mitochondrial encoded Leu-tRNA MT-L1 and MT-L2 genes of cardiac patients in areas of Pakistan. Additionally, it is recommended that patients with cardiac problems should also have other mitochondrial encoded genes checked for potential mutations. This could result in the identification of genetic markers that could be used for early CVD screening in Pakistan.
Corporate governance aspects in sustainability and performance assessment models for energy companies: a systematic review of the literature
Authors: Couto Ayrton Benedito Gaia do , Rangel Luis Alberto Duncan
Published: February 2023

Abstract: The present study aims to map the sustainability and performance evaluation models for energy companies regarding their qualitative and quantitative aspects of corporate governance. This research was carried out through a systematic literature review and the establishment of connections between the issues raised and general aspects of corporate governance, vis-à-vis the sustainable development matter. Aspects of corporate governance, such as gender diversity in the creation of boards of directors and directors in companies, is relevant in view of the UN Sustainable Development Goals, as well as the ISO 26000 standard, regarding guidelines on corporate social responsibility. As an innovation in this mapping, a summary of the main qualitative and quantitative aspects of corporate governance is carried out using the clustering technique and co-occurrence map, mining and text analysis, compared to sustainability and performance evaluation models for energy companies. At the end, gaps in these models are pointed out referring to national and international organizations and studies regarding intersectoral principles, practices and tools of corporate governance; opportunities for improvement are also pointed out.
Influence of Rhythmic Auditory Stimulation using music associated with physical therapy on depressive symptoms in Parkinson’s
Authors: Oliveira Cleysiane de Araujo , Gondim Ihana Thaís Guerra de Oliveira , Azevedo Izaura Muniz , Alves Cilene Rejane Ramos , Asano Nadja Maria Jorge , Coriolano Maria das Graças Wanderley de Sales
Published: February 2023

ABSTRACT Depressive symptoms are commonly found in Parkinson’s disease and are considered an important factor for an individual’s poor quality of life and disability. Therapeutic interventions based on rhythm and music, such as rhythmic auditory stimulation, have been used to treat the mobility and seem to positively influence on mood. This study aims to evaluate the effect of rhythmic auditory stimulation using music associated with physical therapy on mood in individuals with Parkinson’s, with an emphasis on depressive symptoms. This is a quasi-experimental study with a final sample of 18 patients aged 40-80 years, with a clinical diagnosis of idiopathic Parkinson’s disease, in the mild to moderate stages of the disease. Patients were randomized into two groups: Rhythmic Auditory Stimulation and Control Groups. Depressive symptoms were assessed using the Portuguese version of the Beck Depression Inventory. Both groups reduced their The Beck Depression Inventory scores. However, only in the Rhythmic Auditory Stimulation Group the reduction was significant, with a mean difference in the inventory score three times greater than the Control Group.
Autonomic response of older women to the submaximal effort in the six-minute walk test: a cross-sectional study
Authors: Lourenço Ana Letícia dos Santos , Barbosa João Victor Pereira , Pessoa Marcilene Glay Viana , Pereira Marylia Santos , Oliveira Adrielle Silva de , Melo Luciana Costa
Published: February 2023

ABSTRACT This cross-sectional study aimed to evaluate the autonomic response of older women in the six-minute walk test. In total, 32 women aged 60 years or older without a diagnosed health problem were evaluated during the six-minute walk test. To monitor the autonomic response, the following variables were considered: heart rate, systolic and diastolic blood pressure, respiratory rate, and perceived exertion. These variables were compared during rest, effort, and recovery. This study also sought a correlation between autonomic function variables and performance in the test and perceived exertion. Results showed that the effort made by older women in the six-minute walk test induces an autonomic response resulting in increased heart rate and systolic and diastolic blood pressure; however, the respiratory rate remained unchanged during the test. Diastolic blood pressure remained high during recovery. No correlation was found neither between perceived exertion and cardiovascular physiological response nor between distance covered and variation of the autonomic response or level of physical conditioning. Therefore, the effort spent in the six-minute walk test promotes an autonomic response in older women, increasing cardiovascular stress without increasing ventilation. In this context, the Borg scale was not representative of cardiovascular stress during the test.
Therapeutic itinerary of post-stroke patients: the state of the art of Brazilian scientific production
Authors: Souza Andreza Maria Luzia Baldo de , Meneghin Marcelo de Castro , Leme Pedro Augusto Thiene
Published: February 2023

ABSTRACT The study analyzed the qualitative research conducted in Brazil on the rehabilitation itinerary of patients who have suffered a stroke and synthesized its main contributions in search of the underlying senses and meanings. The integrative literature review was based on the question: how are the rehabilitation itineraries of stroke patients described in qualitative studies? BIREME, MEDLINE, LILACS, and SciELO databases were consulted, using the DeCS/MeSH descriptors: “acidente vascular cerebral AND qualitativa”; “reabilitação AND acidente vascular cerebral”; “acidente vascular cerebral”; “pesquisa qualitativa”; “acidente vascular encefálico AND qualitativa”; “reabilitação AND acidente vascular encefálico.” A total of six articles were included, which highlighted the importance of integrality of care, the role of the family in the recovery process, the centralization of services, the difficulty with transportation, and the unavailability of family members and caregivers as obstacles in the rehabilitation itinerary. Such results reinforce the need to improve the pathway of care of the patient who suffered a stroke and the demand for integrality of management.
Reliability of Spinal Alignment and Range of Motion Measure in children and adolescents with cerebral palsy
Authors: Felice Thamires Máximo Neves , Lopes Robson Ricardo , Santos Jair Lício Ferreira , Pfeifer Luzia Iara
Published: February 2023

ABSTRACT Cerebral palsy is the most frequent cause of physical disability in childhood due to permanent movement and posture development disorders and secondary musculoskeletal problems. The Spinal Alignment and Range of Motion Measure (SAROMM) assess postural deviations and trunk extensibility. This is a cross-sectional study with a convenience sample to evaluate the reliability of SAROMM and to validate its use in clinical practice. In total, 50 children participated in Stage 1 (video evaluation, with and without the instruction manual), and 25 children participated in Stage 2 (in-person evaluation). In Stage 1, the intra-examiner reliability showed almost perfect agreement in all domains (κ ranging from 0.98 to 1.0), except ankle, with a moderate agreement (κ=0.62). Inter-examiner reliability without using the manual showed no agreement (κ ranging from −0.00 to 0.10); with the use of the manual showed weak agreement in all domains (κ from 0.41 to 0.59), except ankle, which showed a minimal agreement (κ=0.20). In Stage 2, inter-examiner reliability showed almost perfect agreement in all domains (κ ranging from 0.93 to 0.97). SAROMM has excellent intra- and inter-examiner reliability, and in-person assessment with the instructions manual is essential.
Avaliação do desenvolvimento neuropsicomotor de lactentes expostos ao HIV a partir do modelo da CIF
Authors: Pádua Raissa Felipe , Sá Cristina dos Santos Cardoso de
Published: February 2023

RESUMO Este estudo objetivou sistematizar e construir um checklist com instrumentos de avaliação do desenvolvimento infantil de acordo com o modelo biopsicossocial da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) de lactentes nas idades entre 4 e 12 meses expostos ao HIV. Trata-se de um estudo observacional, analítico e longitudinal. Foram utilizados na avaliação e descritos de acordo com as categorias dos domínios da CIF a escala Bayley de desenvolvimento infantil III; o questionário Affordances no Ambiente Domiciliar para o Desenvolvimento Motor - Escala Bebê; o critério de classificação econômica Brasil; e a ficha de avaliação com histórico do lactente. Os instrumentos trabalhados neste estudo contemplam os componentes de estrutura e funções corporais; atividades e participação; e fatores ambientais e pessoais. A descrição dos instrumentos de avaliação do desenvolvimento infantil de lactentes expostos ao HIV, por meio dos constructos e domínios da CIF, permitiu construir um raciocínio clínico durante a avaliação, enfatizando a vigilância do desenvolvimento infantil e a funcionalidade no primeiro ano de vida.
Comparação entre as versões rápida e conteúdo-balanceada do Inventário de Avaliação Pediátrica de Incapacidade - Testagem Computadorizada Adaptativa (PEDI-CAT) em crianças com paralisia cerebral
Authors: Moraes Júlia Martins de , Costa Maria Alice Dias da , Rodrigues Isabella Sara de Oliveira , Fontes Déborah Ebert , Camargos Ana Cristina Resende
Published: February 2023

RESUMO O objetivo deste estudo foi comparar as versões rápida e conteúdo-balanceada do Inventário de Avaliação Pediátrica de Incapacidade - Testagem Computadorizada Adaptativa (PEDI-CAT) em seus quatro domínios. Para tanto, foi realizado um estudo observacional transversal com crianças com paralisia cerebral (PC). As duas versões do PEDI-CAT foram aplicadas em cada criança com um intervalo de sete dias, no formato remoto, por meio de entrevistas com os responsáveis. Foi utilizada a correlação de Pearson para verificar a associação entre os escores contínuos das duas versões do PEDI-CAT. Participaram do estudo 11 crianças com PC, entre 2 e 12 anos de idade. Foi verificada forte associação significativa entre valores médios do escore contínuo da versão rápida e conteúdo-balanceada em todos os domínios (p<0,0001). Duas crianças (18,2%) foram classificadas de forma diferente em relação ao escore normativo no domínio social-cognitivo. As versões do PEDI-CAT mostraram resultados concordantes em relação ao escore contínuo quando aplicadas em crianças com PC. No entanto, é necessário ter cautela na interpretação do escore normativo dependendo da versão utilizada no domínio social-cognitivo.
Frailty syndrome among oldest old individuals in a health macro-region of Minas Gerais
Authors: Santos Ana Claudia Moreira dos , Oliveira Nayara Gomes Nunes , Marchiori Gianna Fiori , Tavares Darlene Mara dos Santos
Published: February 2023

Abstract Objective to identify frailty conditions and their associated factors among oldest old individuals living in the urban area of a health macro-region of Minas Gerais state. Methods a cross-sectional study of 314 oldest old from a health macro-region in Minas Gerais state, Brazil, was conducted. Data were collected from households by applying instruments validated for use in Brazil. Descriptive and multinomial logistic regression analyses (p<0.05) were carried out. Results In the sample assessed, 44.3% of the oldest old were frail, 44.3% pre-frail and 11.4% non-frail. The pre-frail condition was associated with living alone (p=0.047) and very poor/poor physical performance (p=0.026), while frailty was associated with very poor/poor physical performance (p<0.001), the presence of depressive symptomatology (p=0.029) and of ≥5 morbidities (p=0.003). Conclusion pre-frail and frail conditions predominated among the oldest old assessed. Maintaining physical performance is an aspect that can be targeted by health professionals in oldest old to delay pre-frailty and frailty.