bluuebunny/crossref_metadata_2025 huggingface dataset:
Clitoroplasty in the correction of clitoral hypertrophy: description of a technique that spares neurovascular structures
Authors: JACOB FELIPE LIMA , ALMEIDA NYARA RODRIGUES CONDE DE , BENTES LÍVIA GUERREIRO DE BARROS , LEMOS RAFAEL SILVA , BARBOSA JOÃO FILIPE DE SOUSA , KIETZER KATIA SIMONE , PINTO LUIS OTAVIO AMARAL DUARTE , YASOJIMA EDSON YUZUR
Published: November 2024

ABSTRACT Clitoral hypertrophy is a condition that has a negative impact on a womans intimate life and can cause embarrassment and impact on her sexual life. The article describes a surgical technique of clitoroplasty performed with a 360° circumferential subcoronal incision only in the skin and Dartos tunica to avoid neuronal damage, followed by degloving to the base of the clitoris, preserving the dorsal neurovascular bundle. The body of the clitoris was amputated, preserving 0.5 cm of the stump of the clitoral shaft, and the glans was sutured to the rest of the remaining spongy tissue. Finally, it is noteworthy that there were no complaints of loss of sensitivity or sexual dysfunctions post-operatively.
Identifying high occurrence areas of hospitalization and mortality from respiratory diseases in the Brazilian Legal Amazon: a space-time analysis
Authors: Couto Lucas de Oliveira do , Jacobson Ludmilla da Silva Viana , Périssé Andre Reynaldo Santos , Hacon Sandra de Souza
Published: November 2024

Abstract: Respiratory diseases pose a significant threat to the health of the Brazilian population, ranking among the leading causes of hospitalizations and deaths in the country. The most impacted demographics are children, adolescents, and older adults, who respectively have the highest rates of hospitalizations and deaths. An exploratory ecological study was conducted to assess the spatio-temporal distribution of hospitalizations and deaths due to respiratory diseases among children, adolescents, and older adults residing in municipalities in the Brazilian Legal Amazon. Moreover, the study aimed to identify priority municipalities within the detected clusters by employing composite synthetic municipal indices. These indices were estimated based on various socio-environmental and health indicators. The scan analysis identified clusters across various time periods but they mostly aligned with the disease trends in the region. We were able to identify clusters both near metropolitan areas and in remote locations, capturing two distinct patterns of cluster distribution. Moreover, the application of composite synthetic indices enabled a comprehensive identification of priority municipalities, considering various factors relevant to the health conditions of the population in the studied areas.
HISTÓRIA DE VIDA DE PEDAGOGOS ESCOLARES NA CONSTRUÇÃO DA IDENTIDADE PROFISSIONAL
Authors: PORTILHO EVELISE MARIA LABATUT , BATISTA GIOVANI DE PAULA , SILVA CLAUDIA SEBASTIANA ROSA DA
Published: November 2024

RESUMO: Os resultados de uma pesquisa realizada com pedagogos atuantes na educação básica em escolas estaduais, municipais e privadas do município de Curitiba e região metropolitana, por meio de um programa de formação continuada, levaram ao objetivo deste artigo que é reconhecer na história de vida de pedagogos escolares a construção de sua identidade profissional. O estudo, de enfoque fenomenológico hermenêutico (Ricoeur, 2013), analisou as histórias de vida de 16 pedagogos. Observou-se experiências e aprendizagens que, ao longo da trajetória, nos diferentes espaços de socialização, desde a educação básica, passando pela formação acadêmica e, principalmente, atuação profissional, contribuíram para a profissionalidade do pedagogo escolar (Libâneo, 2010; Nóvoa, 2019). Nos resultados, relatos indicam que referências familiares, vivências da infância, como brincadeiras relacionadas à escola, e o convívio com bons professores na educação básica foram importantes para a escolha da Pedagogia. Por sua vez, experiências com os colegas em diferentes contextos de atuação profissional exerceram influência no desenvolvimento de comportamentos, habilidades, atitudes e valores que definem maneiras de ser e estar na profissão. Evidencia-se que as aprendizagens no contexto familiar e profissional influenciaram na escolha da carreira e no modo como compreendem e exercem a função atualmente, ou seja, nos elementos que constituem a identidade profissional.
Shiitake mushroom cultivation in composted substrate: Is it possible?
Authors: Castro Cibelli Paula de , Abreu Carlos Godinho de , Moraes Tatiana Silveira Junqueira de , Zied Diego Cunha , Siqueira Félix Gonçalves de , Dias Eustáquio Souza
Published: November 2024

ABSTRACT Lentinula edodes is a primary wood-decomposing fungus that can be cultivated on wood logs or via axenic culture on sawdust-based substrate supplemented with some type of bran. Currently, the axenic cultivation system is preferred because it is favorable for cultivation on an industrial scale. In this work, we evaluated the feasibility of using composted substrates with two formulations and different composting periods for shitake cultivation. It was possible to cultivate this mushroom in the composted substrates; however, the success of cultivation depended on the use of severe pasteurization. The composted substrates were favorable for fungal mycelial growth only when a temperature of 80 °C was used for pasteurization. Moreover, the productivity and biological efficiency of the composted substrate subjected to severe pasteurization were similar to those obtained for non composted substrates. The best results were obtained with 6 days composting followed by pasteurization for 12 h at 80 °C or composting for 4 days and autoclaving for 1 h.
Análise das propriedades físico-mecânicas de bioconcretos de bambu produzidos com partículas finas em substituição parcial aos bio-agregados
Authors: Gangorra Ludmilla Cardoso de Carvalho , Gomes Bruno Menezes da Cunha , Hasparyk Nicole Pagan , Toledo Filho Romildo Dias
Published: November 2024

RESUMO Este estudo investiga a incorporação de partículas finas de bambu, geralmente descartadas, em matrizes cimentícias como bio-agregados para bioconcretos. Durante a trituração dos colmos de bambu, são geradas partículas de diversas granulometrias, com até 13% do volume composto por partículas finas. O objetivo é caracterizar fisicamente e mecanicamente bioconcretos com substituição parcial de bio-agregados miúdos por finos de bambu em teores de 0%, 5%, 10% e 13% do volume total de bio-agregados. A matriz cimentícia utilizada é composta por 45% de cimento Portland, 35% de cinza volante e 20% de cinza de casca de arroz, com relação água/materiais cimentícios de 0,3 e 2% de cloreto de cálcio. Foram realizados ensaios de espalhamento e teor de ar incorporado no estado fresco, e ensaios de umidade, absorção capilar, retração por secagem e compressão uniaxial no estado endurecido. Os resultados indicam que bioconcretos com maior teor de finos são mais compactos e menos porosos, com menor absorção capilar (até 46% menor) e maior resistência à compressão (até 15,3% maior aos 28 dias), apesar de maior retração. Conclui-se que a utilização de 13% de bio-agregados finos melhora o desempenho geral do material, viabilizando o aproveitamento integral dos bio-agregados gerados.
The role of development and financial risk in agricultural energy consumption: an empirical analysis based on country panel data and smooth transition regression
Authors: Amiri M. , Mousavi S. N. , Moghaddasi R.
Published: November 2024

Abstract Financial development facilitates farmers' access to credit resources, enabling the adoption of innovative technologies for energy management. On the other hand, long-term planning for agricultural businesses is expected to reduce various types of risks, including financial risk, thus promoting production. Therefore, the aim of this study is to empirically investigate the relationship between development and financial risk with energy consumption in the agricultural sector in Iran and selected developing countries. For this purpose, financial development indicators such as the ratio of deposits and bank facilities to agricultural value-added, as well as economic, financial, and political risk indicators, have been used for two groups of oil-exporting and non-oil-exporting developing countries during the years 2010 to 2020. In order to analyze the data, the Smooth Transition Regression model was used, which allows for examining non-linear relationships between variables. The findings suggest significant differences in the average per capita agricultural energy consumption between the studied oil-exporting and non-oil-exporting countries. Other research results indicate the superiority of non-linear specification relationships between variables and their threshold behavior. Financial development has an inverse effect on per capita energy consumption, and an increase in various types of risk (financial, economic, and political) is associated with an increase in per capita energy consumption in the agricultural sector. The magnitude of the impact of variables in non-oil-exporting countries is generally estimated to be higher than in oil-exporting countries.
HPLC-DAD-MS/MS chemical characterization and evaluation of poisoning by Vernonia rubricaulis in sheep and mice
Authors: Guizelini Carolina C. , Prado Pâmela R. , Moraes José T.R. , Marcari Jhony F.S. , Gomes Danilo C. , Figueiredo Patrícia O. , Lemos Ricardo A.A.
Published: November 2024

ABSTRACT: Vernonia rubricaulis is a plant responsible for poisoning cattle living in areas subject to flooding in the Pantanal biome of Brazil. Because V. rubricaulis causes acute hepatic necrosis and clinical signs and lesions similar to other hepatotoxic plants, its action pathways are probably similar. However, the potentially toxic components of V. rubricaulis remain unknown. Our study aims to determine the chemical profiles of aqueous and ethanolic extracts of the leaves of V. rubricaulis in the budding stage, which is known to be toxic, and in the mature stage. Experimental trials using mice and sheep investigated the presence of toxic substances in the extracts. Three groups of mice received different doses of V. rubricaulis extract. Another four groups were carried out with sheep that received: (1) aqueous extract of immature leaves, (2) aqueous extract of mature leaves, (3) ethanolic extract of mature leaves, and (4) ethanolic extract of immature leaves. Intoxication was reproduced in sheep only with the aqueous extract of V. rubricaulis buds; ethanol was not a suitable solvent for extracting toxic compounds. This finding suggests that toxic components are not present in considerable amounts in the mature plant. Swiss mice proved not to be suitable experimental models for reproducing intoxication because none of the extracts was toxic to the animals, including the one that was toxic in sheep. The chemical profile of the extracts revealed the presence of sugars, flavonoids, sphingolipids, and chlorogenic acids. Chemical profiles determined by HPLC-DAD-MS of the aqueous and ethanolic extracts of the buds and mature leaves of V. rubricaulis did not reveal compounds with known toxic potential. We demonstrated that the aqueous extraction method of V. rubricaulis was efficient at extracting toxic components from the plant’s leaves in the budding stage.
Reproductive, gestational, and fetal alterations induced by dietary mycotoxins: A systematic review
Authors: Silva Pablo O. , Ramalho Leandra N.Z. , Oliveira Carlos A.F. , Ramalho Fernando S.
Published: November 2024

ABSTRACT: Mycotoxins are low molecular weight secondary metabolites produced by some fungi genera, such as Aspergillus, Penicillium, Alternaria, Fusarium, and Claviceps, during their growth in foods. These molecules share several common characteristics, including toxicity, carcinogenesis, and teratogenesis in animals and humans. This review addresses the reproductive, gestational and fetal changes induced by ochratoxin A, fumonisins, zearalenone, patulin, deoxynivalenol, and T-2 toxin. A systematic evaluation of scientific articles was conducted on research portals PubMed and Google Scholar using keywords related to the topic. The research articles revealed all the characteristics of toxicity, carcinogenesis, and teratogenesis available in the literature, indicating a growing academic and scientific concern in the deposition of information about these mycotoxins.
Analysis of cross-sectional studies of leptospirosis in donkeys: A systematic review and meta-analysis
Authors: Morais Davidianne A. , Limeira Clécio H. , Nunes Bruno C. , S.B. Neto Pirajá , Falcão Brunna M.R. , Brasil Arthur W.L. , Santos Carolina S.A.B. , Azevedo Sérgio S. , Alves Clebert J.
Published: November 2024

ABSTRACT: Leptospirosis is a neglected zoonosis that infects donkeys and other animal species, with economic and public health concerns. Donkeys have an important role in the development of societies, the reduction of their effective population in recent years, and the little attention given to the diseases that affect them, reducing their productivity and performance. This study aimed to investigate the pooled prevalence of Leptospira spp. infection in donkeys worldwide through a systematic review and meta-analysis. Overall, 21 surveys met the eligibility criteria, with an overall combined prevalence of 34.90% (95% CI = 23.58% - 48.23%). Cochran’s Q test (p<0.01) was used to identify heterogeneity between studies, classified as high heterogeneity by the Higgins and Thompson test (I2 = 95.4%). Egger’s test did not identify the presence of publication bias (p=0.9892). This scenario suggests the need for standardization of epidemiological studies for leptospirosis in this species, such as the use of probabilistic sampling, collection of minimal information on the animals used, and the establishment of a cutoff point for the serological diagnostic test (microscopic agglutination test - MAT) and essential serogroups to be used in serology to determine reliable epidemiological indicators. In addition, there is a need for molecular studies and isolation of Leptospira spp. in donkeys for better elucidation of the disease epidemiology.
Participation of pregnant women in educational activities and indication of the maternity hospital of reference for delivery during prenatal care
Authors: Haddad Laiza Santos Pimentel , Bubach Susana , Santos Andréia Soprani dos , Horta Bernardo Lessa , Cypreste Adriana Marchon Zago , Souza Cíntia Ginaid de , Oliveira Ary Célio de , Balt Edna Cellis Vaccari , Catharino Rosiane Ramos , Duemke Lícia Baião , Santos Tânia Mara Ribeiro dos , Poton Wanêssa Lacerda
Published: November 2024

Abstract Objectives: to evaluate the associated factors in the participation of educational activities and the indication of maternity reference of the birth given for the women during prenatal. Methods: A multicenter longitudinal study was conducted in three maternity hospitals. The interview was carried out soon after the childbirth and the outcomes evaluated were the participation of educational activities during the prenatal and the indication of birth maternity reference. The Poisson regression was used in the analysis of the proposed hierarchical model. Results: Of the 3438 women, 23.2% participated in the educative activities and 61.2% had the childbirth linked to a reference maternity. The women with higher household income (PR= 1.36; CI95%= 1.04–1.77), increase in age by one year (PR= 1.02; CI95%= 1.01–1.04), first pregnancy (PR= 1.84; CI95%= 1.56–2.17), and who practiced physical activity (PR= 1.28; CI95%= 1.09–1.50) had higher prevalence in the participation on the educational activities. The indication of maternity reference was more frequent between the women with higher household income (PR= 1.15; CI95%= 1.01–1.30), education (PR= 1.01; CI95%= 1.00–1.02), non-smoker (PR= 1.31; CI95%= 1.07–1.61), and drug user (PR= 1.44; CI95%= 1.17–1.77). Conclusions despite the wide coverage, the prenatal still has flaws in the actions of education and in the indication of the reference maternity hospital.
Comparative analysis of microgaps in angled and straight components: a laboratory study
Authors: LOBO Yuri Lins , MENDES Giovanna Nascimento , SANTANA Lucas Alves da Mota , FLORESTA Lara Gois , MARQUETI Antônio Carlos , TAKESHITA Wilton Mitsunari , TRENTO Cleverson Luciano
Published: November 2024

Abstract Introduction The dental implant rehabilitation protocol is a well-established treatment option for edentulous patients with a high success rate. However, there are factors that can lead to difficulty in continuation and even complete loss of rehabilitation. Microgaps are spaces found between the implant and prosthetic abutment that are caused by the limit of precision in the manufacturing of the implant. This space can cause micromovements and bacterial microleakage that can compromise the long-term useful life of the implant. Objective Measure and evaluate microgaps in angled and straight implants using scanning electron microscopy. To carry out the study, a total of 30 SIN® osseointegrated implants were used, 15 of which were straight and 15 angled. Material and method For the comparative analysis of these components, scanning electron microscopy was used, carried out by a properly calibrated and experienced researcher. Result It was observed that the microgap measurements of both components are in accordance with the clinically acceptable values presented in the literature, however the microgap values of the angled components were considerably higher compared to the straight components. Conclusion Although the values presented corroborate the data presented in the literature, additional studies are necessary for a more comprehensive and in-depth understanding of the relationship between the microgaps of the morse cone system components.
Ceticismo profissional de auditores internos e a percepção de riscos nos controles internos
Authors: Stein Emilly , Cunha Paulo Roberto da
Published: November 2024

RESUMO Este artigo analisa a relação entre o ceticismo profissional dos auditores internos e a percepção de riscos nos controles internos. Os auditores internos têm conhecimento do funcionamento e ambiente da empresa, de modo que têm como premissa a prevenção e identificação de sinais de erros, fraude, riscos e fraquezas no sistema de controle interno. Ainda que a literatura não enfatize o tema na auditoria interna, o auditor interno deve manter um ceticismo profissional nos trabalhos da auditoria, sobretudo em um ambiente que apresenta uma independência reduzida. Dada a relevância do ceticismo profissional nos trabalhos de auditoria, os auditores internos também devem adotar uma atitude cética, auxiliando na prevenção e identificação de sinais de fraude, riscos e fraquezas no sistema de controle interno. Pesquisas relacionando o traço cético do auditor com a capacidade de percepção de riscos nos controles internos trazem uma contribuição importante para as organizações, já que as empresas podem sofrer perdas significativas em decorrência de fraudes ou ineficiência dos processos internos. Esta é uma pesquisa de perspectiva dedutiva, abordagem metodológica positiva e com método de coleta de dados survey. O ceticismo profissional dos auditores internos foi mensurado por meio do questionário de Hurtt (2010). Para a variável de percepção de riscos foram elaborados 10 cenários com base em pesquisas de Deloitte (2015), Ge e McVay (2005) e KPMG (2000). O nível de ceticismo profissional tem uma relação positiva com a percepção de riscos nos controles internos. Esses achados contribuem para as organizações fortalecerem essas características nos auditores internos, visto que a percepção dos riscos nos controles internos pode evitar que o risco se materialize e caracterize uma deficiência de controle interno ou fraude. Ressalta-se a contribuição teórica com a apresentação dos cenários como medida de percepção de riscos em controles internos.
Association between chronic health conditions and severe acute respiratory syndrome in pregnant women: an exploratory study
Authors: Lira Neto José Cláudio Garcia , Araújo Márcio Flávio Moura de , Monteiro Flavia Paula Magalhães , Freitas Roberto Wagner Júnior Freire de , Teixeira Carla Regina de Sousa , Santos Floriacy Stabnow , Costa Ana Cristina Pereira de Jesus , Santos Neto Marcelino , Pascoal Lívia Maia
Published: November 2024

ABSTRACT Objective: To analyze the association between chronic health conditions and severe acute respiratory syndrome in pregnant women. Method: Retrospective, exploratory study conducted with 1,152 pregnant women from all 27 states of Brazil who sought hospital treatment and were diagnosed with severe acute respiratory syndrome between 2020 and 2022. Public data from the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) of the Brazilian Ministry of Health were used. Nonparametric tests were performed in data interpretation. Results: The mortality rate of pregnant women due to severe acute respiratory syndrome in Brazil was 7%. Severe acute respiratory syndrome was statistically associated with the previous presence of diabetes (p = 0.023), neurological disease (p = 0.001), and drug use (p = 0.001). The epidemiological investigation of respiratory syndrome cases took longer in Black pregnant women (p = 0.012), unvaccinated women (p < 0.001) and women living in the north and south of the country (p = 0.011). Conclusion: Severe acute respiratory syndrome was more common in pregnant women with diabetes, neurological disease and drug users. However, these conditions did not lead to an increase in the number of deaths.
Matemática e Educação Matemática: disputas em um curso de Licenciatura
Authors: Gomes Maria Laura Magalhães , Paiva Paulo Henrique Apipe Avelar de
Published: November 2024

Resumo Este artigo focaliza disputas entre professores identificados com a área de Matemática e docentes ligados à Educação Matemática na Licenciatura em Matemática da Universidade Federal de São João del-Rei (UFSJ), em uma investigação sobre esse curso no período 2001-2019. Tais disputas pelo espaço de formação de professores foram evidenciadas em entrevistas com docentes da área de Educação Matemática do curso, realizadas com a metodologia da História Oral. Dois temas principais envolveram as disputas: as vagas docentes e a distribuição de disciplinas do curso. No âmbito dessas disputas, observaram-se tentativas de discriminação de gênero e segregação da área de Educação Matemática. Concluímos que o curso estudado é um espaço generificado, por terem se tornado nítidas as relações entre gênero e poder.
O letramento probabilístico nos documentos curriculares de Brasil, Argentina, Colômbia e México: uma análise comparada
Authors: Gomes Heron Miguez Gonzalez , Souza Antonio Carlos de
Published: November 2024

Resumo Este artigo é um recorte de uma pesquisa de mestrado em que estudamos como o ensino de Probabilidade se dá em documentos curriculares nacionais latino-americanos, no qual focamos o letramento probabilístico. Os países analisados são Brasil, Argentina, Colômbia e México. Adotamos uma metodologia de pesquisa qualitativa com uma abordagem de análise comparada, em que colocamos lado a lado o que é descrito e interpretado nos documentos e os analisamos em conjunto diante dos elementos do letramento probabilístico. Observamos em nossa análise uma variedade da quantidade de indicadores relacionados à Probabilidade nos anos da Educação Básica, uma presença razoável de elementos básicos relacionados ao cálculo de probabilidades, porém, uma ausência preocupante de questões críticas, contexto e linguagem probabilística. Consideramos ser importante que os países revisem os currículos nacionais e considerem a importância da totalidade do letramento probabilístico como abordagem para formar cidadãos críticos capazes de lidar com as situações de incerteza presentes em nossa sociedade.
A study of the role of gesture in the processing of numbers and vectors
Authors: Khatin-Zadeh Omid , Eskandari Zahra , Yazdani-Fazlabadi Babak
Published: November 2024

Abstract In this study, we investigated the embodied nature of vector as one of the fundamental concepts in mathematics. Our aim was to examine the role of gesture in finding directions of vectors and magnitudes of vectors on the basis of coordinates of initial points and end points of vectors. In Experiment 1, participants were asked to find directions of vectors on the basis of coordinates of initial points and end points of the vectors. While participants of one group were allowed to gesture, participants of another group were prohibited from gesturing. In Experiment 2, participants were asked to find directions and relative magnitudes of x-coordinates and y-coordinates of vectors on the basis of coordinates of initial points and end points of the vectors. In both experiments, participants of gesture-allowed group had a better performance in answering the questions. Specifically, participants performed better in finding the directions of those vectors which had a left-down direction. Based on these results, it can be concluded that the process of finding the direction and magnitude of a vector on the basis of its initial and end points is mainly embodied as a combination of leftward and downward movements (left-down direction).
El Método General de Resolución de Ecuaciones de la Regla Media de Andrés Puig (1672)
Authors: Ruiz-Catalán Jacinto , Valle-Arias Isabel M.
Published: November 2024

Resumen En el presente trabajo presentamos un método histórico de resolución de ecuaciones por aproximación denominado por su autor, Andrés Puig, de la Regla Media. Este método está contenido en el único libro conocido del autor, la Arithmetica de 1672 y está basado en otro más antiguo, de Nicolás Chuquet, presente en el Triparty de 1484, y que se denominó Règle des nombres moyens. Aunque el método de resolución, con la configuración original de Puig, sólo permite resolver ecuaciones polinómicas con soluciones enteras positivas (sólo una), con algunos cambios podría emplearse para resolver por aproximación ecuaciones polinómicas con soluciones no enteras o negativas o ecuaciones no polinómicas, y de esta forma extender los métodos de resolución de ecuaciones que habitualmente se enseñan en las aulas de secundaria y bachillerato.
Políticas elitistas e despesas públicas em educação no Brasil, 1933-2010
Authors: KANG Thomas H. , MENETRIER Isabela
Published: November 2024

Resumo Este trabalho apresenta uma nova base de dados com estimativas de despesas em educação e alguns indicadores de viés elitista nas políticas educacionais no Brasil entre 1933 e 2010. As estimativas de despesa pública em educação como proporção do Produto Interno Bruto (PIB) (total, educação básica e ensino superior) são semelhantes às apresentadas por Maduro (2007). A novidade do presente trabalho são as séries de estimativas de despesas por ciclo de ensino (EF1, EF2 e EM). A partir destas estimativas, apresenta-se também um indicador de viés elitista: a razão de despesas por estudante no primário (EF1) em relação ao gasto por aluno no ensino superior. Essas razões foram historicamente baixas, mas houve uma elevação abrupta a partir do final da década de 1960. Este aumento se deu mais pela expansão da matrícula no ensino superior do que por uma elevação de gastos por estudante no primário.
Meu Amigo Diggo: Uma ferramenta para estimular habilidades de leitura e ortografia em escolares com transtornos de aprendizagem
Authors: Duarte Filho Cícero Alves , Madeiro Francisco , Cidrim Luciana
Published: November 2024

RESUMO Objetivo: apresentar um aplicativo desenvolvido para dispositivos móveis, denominado Meu Amigo Diggo, como apoio à intervenção nas habilidades de leitura e ortografia em escolares com transtornos de aprendizagem, em especial a dislexia. Métodos: trata-se do desenvolvimento de um aplicativo para o sistema operacional Android que disponibiliza duas atividades específicas: ‘Palavras com o Diggo’ e ‘Labirinto de Letras’, além de uma atividade de leitura associada à técnica de Cloze e fábulas de Esopo. Resultados: em sua implementação, o recurso tecnológico da mascote ‘Diggo’ facilita a relação do usuário com a aplicação, e as fábulas de Esopo para as atividades de leitura, além de serem histórias curtas, apresentam importantes lições de valores e morais. Conclusão: este aplicativo propõe desafios gamificados que estimulam habilidades de leitura e ortografia por meio de um conjunto de atividades planejadas em uma interface intuitiva e cativante.
Exercícios faciais para rejuvenescimento: uma revisão sistemática
Authors: Manincor Emmanuela Oliveira de , Borges Allya Francisca Marques , Leão Lidiane Oliveira , Lobo Fernanda Souza , Silva Rayane Délcia da , Cavalcanti Renata Veiga Andersen , Corrêa Camila de Castro , Araujo Cristiano Miranda de , Taveira Karinna Veríssimo Meira
Published: November 2024

RESUMO Objetivo: este estudo buscou por meio de uma revisão sistemática de literatura verificar os efeitos dos exercícios faciais para rejuvenescimento facial. Métodos: os critérios de elegibilidade incluíram uma população composta por adultos de ambos os sexos, expostos aos exercícios faciais, possuindo grupo comparador no período pré e pós-exercícios faciais, o risco de viés foi avaliado seguindo as diretrizes do Instituto Joanna Briggs (JBI). Revisão da Literatura: 608 artigos foram recuperados durante a busca final no banco de dados, resultando em 7 artigos incluídos após o processo de seleção. Todos os artigos incluídos demonstraram uma melhora nas rugas e linhas de expressão após os exercícios faciais ou massagens. Os estudos de séries de casos foram julgados como baixo risco de viés e dois estudos de caso-controle foram julgados como moderado risco de viés. Conclusão: os exercícios faciais podem ser considerados eficientes para atenuar os sinais de envelhecimento da face. Porém são necessárias evidências mais consistentes para conclusões mais robustas, com base em ensaios clínicos randomizados.
Adaptation of the Attitudes Towards Gay Male Pornography Scale for Brazil
Authors: Caruzo Matheus Svóboda , Hernandez José Augusto Evangelho
Published: November 2024

Abstract: Gay pornography is a subgenre of the pornographic industry and reflects the diversity of sexual experiences among men. This study aimed to adapt the Attitudes Towards Gay Male Pornography Scale to the Brazilian context. A total of 1,690 adult gay and bisexual men from all Brazilian regions answered the scale. The scores were submitted to unrestricted Exploratory Factor Analyses using the FACTOR software. An 18-item solution distributed across five factors was extracted with satisfactory fit indices and internal consistency. Validity based on external measures showed associations between problematic pornography use, consumption frequency, and attempts to control consumption. The conclusion is that researchers and healthcare professionals can use this instrument to obtain a comprehensive understanding of gay pornography consumption in the country.
Relationship between psychosocial factors and work capacity of healthcare professionals
Authors: Santos Márcia Andréia Queiroz Freitas dos , Contrera Luciana , Cardoso Andréia Insabralde de Queiroz , Costa Luciana Scarlazzari
Published: November 2024

ABSTRACT Objective: To analyze the relationship between work ability and psychosocial factors of professionals from the healthcare area. Method: Cross-sectional study with 197 healthcare professionals from a teaching hospital. The Work Ability Index and the Copenhagen Psychosocial Questionnaire III were applied. For data analysis, association tests and logistic regression models were used. Results: Most participants were female (60.9%) with an average age of 40.12±7.14 years. The participants' good/optimal ability to work was 75.1%. The independent factors associated with work ability were recognition, self-rated health, somatic stress, leisure, commitment to time and interaction between work commitment and physical activity. Conclusion: There was a reduction in the good/optimal work capacity of professionals who worked on the front line of care during the COVID-19 pandemic, with frequent exposure to psychosocial risks at work and of those who did not practice physical and leisure activities.
Prevalence of urinary incontinence and associated factors in patients with post-COVID-19 syndrome after hospital discharge
Authors: Cardoso Jessica Roda , Steffanello Laura Nochang , Ferreira Luis Fernando , Leites Gabriela Tomedi , Da Rosa Patricia Viana , Rosa Luis Henrique Telles Da
Published: November 2024

ABSTRACT Objectives: To assess the prevalence of urinary incontinence and the clinical and demographic factors associated with patients with Post-COVID-19 Syndrome. Method: A cross-sectional study was conducted with 59 participants from Porto Alegre/RS. Data were collected via telephone interviews using a structured instrument, the Functional Status Scale, and the International Consultation on Incontinence Questionnaire - Short Form, between September 2021 and October 2022. Numerical data were analyzed for normality using the Shapiro-Wilk test. Student's t-test with Mann-Whitney’s post-hoc was applied for comparison of continuous variables. Fisher's exact test was used for correlation of categorical data. Results: The sample included 32 women (56.4 ± 11.3 years) and 27 men (49.5 ± 10.7 years). Only women reported post-COVID-19 urinary incontinence (28%), as well as emotional alterations (p=0.006). Urinary incontinence was associated with insomnia (p=0.005). Conclusion: Urinary incontinence was prevalent only in women and was not affected by COVID-19. Women also exhibited greater emotional alterations. Insomnia was the variable associated with the outcome. Thus far, there is incipient evidence regarding the association of the SARS-CoV-2 infection with the prevalence of urinary incontinence in individuals with Post-COVID-19 Syndrome.
Prevalência de incontinência urinária e fatores associados em pacientes com síndrome pós-COVID-19 pós alta hospitalar
Authors: Cardoso Jessica Roda , Steffanello Laura Nochang , Ferreira Luis Fernando , Leites Gabriela Tomedi , Da Rosa Patricia Viana , Rosa Luis Henrique Telles Da
Published: November 2024

RESUMO Objetivos: Verificar a prevalência de incontinência urinária e os fatores clínicos e demográficos associados entre pacientes com Síndrome Pós-COVID-19. Método: Estudo transversal, com 59 participantes de Porto Alegre/RS. Dados coletados via ligação telefônica, utilizando instrumento estruturado, Functional Status Scale e International Consultation on Incontinence Questionnaire - Short Form, entre setembro de 2021 e outubro de 2022. Os dados numéricos foram analisados quanto à normalidade pelo teste de Shapiro-Wilk. Teste T de Student com post-hoc de Mann-Whitney foi aplicado para comparação de variáveis contínuas. Teste Qui-quadrado de Fisher foi utilizado para correlação dos dados categóricos. Resultados: A amostra foi composta por 32 mulheres (56,4 ±11,3 anos) e 27 homens (49,5 ±10,7 anos). Apenas mulheres referiram incontinência urinária pós-COVID-19 (28%), bem como, alterações emocionais (p=0,006). Identificou-se associação da incontinência urinária com a variável insônia (p=0,005). Conclusão: A incontinência urinária foi prevalente somente em mulheres e não foi afetada pela COVID-19. As mulheres também apresentaram maiores alterações emocionais. A insônia foi a variável associada ao desfecho. Até o momento, parece haver incipiência de evidências robustas acerca da associação da infecção por SARS-CoV-2 com a prevalência de incontinência urinaria em indivíduos com Síndrome Pós-COVID-19.
Impacto da pandemia da Covid-19 na razão de mortalidade materna brasileira: tendência e distribuição espacial
Authors: Carvalho Izabel Cristina da Silva , Mascarenhas Márcio Dênis Medeiros , Rodrigues Malvina Thais Pacheco , Andrade Jesusmar Ximenes , Nascimento Fernando Ferraz do , Penha Jardeliny Corrêa da
Published: November 2024

RESUMO Objetivo: Analisar o impacto da pandemia da Covid-19 na Razão de Mortalidade Materna, no Brasil, no período de 2018 a 2021. Método: Estudo ecológico, de séries temporais, que analisou a tendência e a distribuição espacial dos óbitos maternos, nos anos de 2018 a 2021, obtidos a partir da base de dados do Sistema de Informação de Mortalidade e de Nascidos Vivos. Os valores da Razão de Mortalidade Materna foram submetidos à análise de regressão linear de Prais-Winsten, no programa Stata, versão 14.0. A evolução da Razão de Mortalidade Materna nas regiões foi apresentada em mapas elaborados no programa TabWin. Resultados: Registraram-se 8.229 óbitos maternos no período. O ano de 2021 obteve a maior Razão de Mortalidade Materna (113,1 mortes maternas por 100.000 nascidos vivos). O Brasil apresentou tendência estacionária, a Região Norte apresentou a maior Razão de Mortalidade Materna nos quatros anos, apresentando tendência crescente, juntamente com Nordeste, enquanto Centro-Oeste, Sul e Sudeste apresentaram tendência estacionária. Conclusão: Mesmo com tendência estacionária na maioria das regiões brasileiras, a Razão de Mortalidade Materna aumentou, especialmente em 2020 e 2021, anos da pandemia da Covid-19, o que demonstra necessidade de vigilância constante das vulnerabilidades das mulheres no ciclo gravídico-puerperal para evitar mortes maternas.
Research skills developed in post-graduation and their translation into clinical nursing practices
Authors: Ferreira Rogério , Mestre Teresa Dionísio , Fernandes Júlio Belo , Sousa Luís , José Helena , Fonseca César , Ferreira Óscar , Baixinho Cristina Lavareda
Published: November 2024

ABSTRACT Objective: To explore how the development of research skills through postgraduate training is transferred to the use of research in clinical nursing practice. Method: This was a qualitative, exploratory, descriptive study developed based on a focus group in October 2021, using an intentional sample of eight postgraduate nurses from a healthcare institution in the region of Baixo Alentejo, Portugal. Bardin's content analysis was performed to analyze data. The participants and two reviewers legitimized the findings. In addition, the consolidated criteria for reporting qualitative research checklist were applied to this study to ensure the quality of the research report. Results: From the data analysis, three categories emerged: 1) transfer of research skills to clinical practice, 2) constraints to the development of research, and 3) expectations concerning the development of nursing research. Conclusion: Appreciation of research skills in contexts of practice, team involvement, improvement of nursing care outcomes, greater understanding of the research process, communication of results, and transferring knowledge to the clinic are contributions of research skills acquired in postgraduation training. The findings from this study can contribute to the development of health and nursing education policies.
Neurodesenvolvimento no primeiro ano de crianças expostas ao SARS-CoV-2 durante período intrauterino: revisão sistemática
Authors: Veloso Aline Helena Nascimento , Barbosa Aurélio de Melo , Ribeiro Maysa Ferreira Martins , Gervásio Flávia Martins
Published: November 2024

RESUMO Objetivo: Identificar, na literatura, implicações da exposição gestacional ao SARS-CoV-2 sobre o neurodesenvolvimento no primeiro ano pós-natal, com foco nos domínios motor, pessoal-social, socioemocional e de comunicação e linguagem. Método: Revisão sistemática com síntese narrativa, considerando desfechos do neurodesenvolvimento, categorizados quanto à motricidade grossa e fina, interação pessoal-social, aspectos socioemocionais e de comunicação e linguagem. As buscas nas bases de dados Pubmed, LILACS/BIREME e EMBASE ocorreram entre janeiro/2020 e junho/2023. Dois pesquisadores independentes realizaram seleção pela leitura do título e resumo e a aplicação dos critérios de inclusão e exclusão. Foram incluídas coortes com crianças de até um ano, expostas ao SARS-CoV-2 in utero. Adotou-se a escala Newcastle-Ottawa para avaliar qualidade metodológica. Resultados: Foram inclusos 17 artigos cuja qualidade metodológica apresentou-se de intermediária a boa. O instrumento mais utilizado para caracterização do neurodesenvolvimento foi o Ages & Stages Questionnaires. Bebês de 0 a 3 meses apresentaram menores pontuações para motricidade fina e grossa. Bebês de 3 a 12 meses apresentaram mais alterações motoras finas, sociais e na comunicação e linguagem. Conclusão: A maioria dos bebês expostos ao SARS-CoV-2 apresentou desenvolvimento de acordo com o esperado, porém puderam ser identificados atrasos nos domínios motor, pessoal-social, socioemocional e comunicação e linguagem conforme faixa etária.
Analysis of structural empowerment of nurses in the context of an emergency hospital
Authors: Moura André Almeida de , Souza Amanda Alves Carlos Faria de , Silva Pablo Klayver Alves da , Ferreira Natasha Preis
Published: November 2024

ABSTRACT Objective: To analyze the relationship between structural empowerment and sociodemographic and professional factors of nurses at a reference hospital providing emergency care. Method: Analytical, cross-sectional study, with 124 nurses from an emergency hospital, applying the questionnaires: sociodemographic and professional data and the Conditions of Effectiveness at Work II (CET-II) questionnaire. The Spearman or Kruskal Wallis statistical tests were used and the significance level was updated to 5% for the study's statistical analyses. Results: Structural empowerment was moderate among nurses and “opportunity” presented greater mean among the dimensions. Although the correlations were weak, support was the dimension that showed the greatest results with the other variables. It is more noticeable when: shorter training time; greater age and; longer time at the institution. There was no difference between the dimensions of the instrument and the qualitative variables of the study, except between Opportunity and the surgical hospitalization unit and the total score of the instrument and the burns unit, compared with the other units of the hospital. Conclusion: The structural empowerment of nurses in the hospital was moderate and influenced by variables such as: age, time since graduation, time at the institution and with differences between sectors.
Specific admission nursing consultation for SARS-CoV-2 in prison units: prevalence and associated factors
Authors: Meireles Gláucia Oliveira Abreu Batista , Freires Ketllen Raiara Ferreira Santos , Paula Cácia Régia de , Cavalcante Águeda Maria Ruiz Zimmer , Ramírez Leticia Cortaza , Matos Márcia Alves Dias de , Freitas Nara Rubia de , Matos Marcos André de
Published: November 2024

ABSTRACT: Objective: To estimate the prevalence and factors associated with the performance of specific admission nursing consultations for SARS-CoV-2 in individuals deprived of liberty with COVID-19 in prison units in Central Brazil. Method: Analytical cross-sectional study conducted between May and September 2020 through individual interviews and lateral flow immunochromatography tests to detect IgM/IgG antibodies for SARS-CoV-2. The analysis was performed using the Chi-square or Fischer’s exact tests, with the outcome being the specific admission nursing consultation for SARS-CoV-2. Results: Among the 1,272 individuals investigated, 21.3% (95% CI: 19.1-23.6) tested positive for antibodies against SARS-CoV-2. Of these, 10.3% (95% CI: 7.0-14.6) underwent a specific nursing consultation for SARS-CoV-2. The most prevalent signs and symptoms were loss of taste (33.2%) and smell (32.8%), body aches (28.8%), and fever (28.4%). The analysis indicated associations between contact with symptomatic COVID-19 case (p=0.039), contact in the yard with a prisoner with COVID-19 (p=0.012), and sore throat (p=0.010), with the outcome. Conclusions: The low prevalence of specific nursing consultations for SARS-CoV-2 and the high prevalence of COVID-19 reinforce the need for mandatory implementation of this strategy in groups living in closed environments. Furthermore, nursing consultations based on the nursing process must be adopted as a public health measure.
Spiritual well-being of nursing professionals with work-related musculoskeletal disorders: a cross-sectional study
Authors: Feitoza Luciana de Carvalho , Vivas Márcia Carneiro de Santana , Silva Mary Gomes , Salles Cristina , Correia Cíntia Mesquita , Sá Kátia Nunes , Rodrigues Gilmara Ribeiro Santos
Published: November 2024

ABSTRACT Objective: To analyze the spiritual well-being of nursing professionals with work-related musculoskeletal disorders. Method: Cross-sectional observational study, carried out with nursing professionals from a public university hospital in Bahia, Brazil, from March to June 2023. Data was collected in a face-to-face interview in which sociodemographic, clinical and occupational data were extracted, in addition to the Spiritual Well-Being Scale application. Descriptive and analytical statistical analysis was carried out. Results: Most nursing professionals (n=48) were women (89.6%), mean age 44.3(±5.4), black and brown (85.5%), married (31.3%), nursing technicians (83.3%), more than 10 years in the profession (87.5%). The majority of participants had a religion (60.4%), 43.8% were Catholic, with positive scores for spiritual well-being (77.1%), religious well-being (87.5%) and existential well-being (54.2%). Having worked in the field for more than 10 years, having a religion, and having spiritual/religious practices were related to higher spiritual well-being scores. Nursing technicians showed high levels of religious well-being and there was no significant results when comparing the variables studied with existential well-being. Conclusion: Most nursing workers with musculoskeletal disorders presented a high level of spiritual well-being and religious well-being. In addition, there was little difference between the moderate and high results of existential well-being.
Intervening conditions of the implementation of an Advanced Access Model: an implementation research
Authors: Fracolli Lislaine Aparecida , Oliveira Larayne Gallo Farias , Anjos Thaynara Silva dos , Timmons Stephen , Nichiata Lúcia Yasuko Izumi , Gryschek Anna Luiza de Fátima Pinho Lins , Pinto Alexandre Ramiro
Published: November 2024

ABSTRACT Objective: To identify the conditions that interfere with the implementation of the Advanced Access model in primary health care. Method: This is an implementation research that used the Consolidated Framework for Implementation Research (CFIR). The CFIR provides a classification of factors that affect the implementation of a technology and comprises five domains: characteristics of the intervention, external environment, internal environment, individuals, and process. The study setting included 13 Health Units in the southern region of the city of São Paulo-SP. 39 health professionals and 10 managers participated. Data was collected through semi-structured interviews. These were recorded and transcribed, and the text data was coded based on pre-established codes derived from the CFIR domains. Results: Four categories were found that impacted the implementation of the AA model in services: 1) Characteristics of the Advanced Access model that impacted implementation; 2) Organization of the health sector and the Advanced Access model; 3) Characteristics of the individuals involved in the innovation; and 4) The planning and leadership model for implementation. Final Considerations: The social, structural, and professional conditions in the municipality of São Paulo made it difficult to implement the AA model. The implementation research supported the process of improving access in the health units studied and provided evidence of what helped and what hindered the restructuring of the access model in these places.